Comprehensive Application of the International Classification of Headache Disorders Third Edition, Beta Version
- Authors
- Kim, Byung-Kun; Cho, Soo-Jin; Kim, Byung-Su; Sohn, Jong-Hee; Kim, Soo-Kyoung; Cha, Myoung-Jin; Song, Tae-Jin; Kim, Jae-Moon; Park, Jeong Wook; Chu, Min Kyung; Park, Kwang-Yeol; Moon, Heui-Soo
- Issue Date
- Jan-2016
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Keywords
- Headache; Diagnosis; Migraine Disorders; Outpatients
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE, v.31, no.1, pp 106 - 113
- Pages
- 8
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 31
- Number
- 1
- Start Page
- 106
- End Page
- 113
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/7418
- DOI
- 10.3346/jkms.2016.31.1.106
- ISSN
- 1011-8934
1598-6357
- Abstract
- The purpose of this study was to test the feasibility and usefulness of the International Classification of Headache Disorders, third edition, beta version (ICHD-3 beta), and compare the differences with the International Classification of Headache Disorders, second edition (ICHD-2). Consecutive first-visit patients were recruited from 11 headache clinics in Korea. Headache classification was performed in accordance with ICHD-3 beta. The characteristics of headaches were analyzed and the feasibility and usefulness of this version was assessed by the proportion of unclassified headache disorders compared with ICHD-2. A total of 1,627 patients were enrolled (mean age, 47.4 +/- 14.7 yr; 62.8% female). Classification by ICHD-3 beta was achieved in 97.8% of headache patients, whereas 90.0% could be classified by ICHD-2. Primary headaches (n = 1,429, 87.8%) were classified as follows: 697 migraines, 445 tension-type headaches, 22 cluster headaches, and 265 other primary headache disorders. Secondary headache or painful cranial neuropathies/other facial pains were diagnosed in 163 patients (10.0%). Only 2.2% were not classified by ICHD-3 beta. The main reasons for missing classifications were insufficient information (1.6%) or absence of suitable classification (0.6%). The diagnoses differed from those using ICHD-2 in 243 patients (14.9%). Among them, 165 patients were newly classified from unclassified with ICHD-2 because of the relaxation of the previous strict criteria or the introduction of a new diagnostic category. ICHD-3 beta would yield a higher classification rate than its previous version, ICHD-2. ICHD-3 beta is applicable in clinical practice for first-visit headache patients of a referral hospital.
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