The Sensitivity and Specificity of the Case Definition Criteria in Diagnosis of Headache: A School-Based Epidemiological Study of 5562 Children in Mersin
The objectives of the present study were to estimate the prevalence of recurrent headaches in schoolchildren (ranging from 2nd to 5th degrees) in Mersin city of Turkey and to determine the sensitivity, specificity, positive predictive value and positive likelihood ratio of the diagnostic headache ch...
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| Veröffentlicht in: | Cephalalgia 2003-03, Vol.23 (2), p.138-145 |
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| creator | Özge, A Buğdayci, R Şaşmaz, T Kaleağasi, H Kurt, Ö Karakelle, A Tezcan, H Siva, A |
| description | The objectives of the present study were to estimate the prevalence of recurrent headaches in schoolchildren (ranging from 2nd to 5th degrees) in Mersin city of Turkey and to determine the sensitivity, specificity, positive predictive value and positive likelihood ratio of the diagnostic headache characteristics in children with migraine and Tension Type Headache (TTH) using neurologist's diagnosis as the gold standard. The stratified sample of study was composed of 5562 children. The prevalence of recurrent headache was 49.2% (2739 of 5562) and the prevalence of current headache was 31.3% (859 of 2739). TTH was more common than migraine (24.7% vs. 10.4%). The most sensitive headache characteristic for migraine was ‘severity of pain’ and the most sensitive definitive symptom is ‘duration of headache’ in children with TTH. IHS-based symptom definition criteria are highly beneficial in diagnosis of childhood headache, if used together with detailed clinical assessment. |
| doi_str_mv | 10.1046/j.1468-2982.2003.00474.x |
| format | Article |
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The stratified sample of study was composed of 5562 children. The prevalence of recurrent headache was 49.2% (2739 of 5562) and the prevalence of current headache was 31.3% (859 of 2739). TTH was more common than migraine (24.7% vs. 10.4%). The most sensitive headache characteristic for migraine was ‘severity of pain’ and the most sensitive definitive symptom is ‘duration of headache’ in children with TTH. 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The stratified sample of study was composed of 5562 children. The prevalence of recurrent headache was 49.2% (2739 of 5562) and the prevalence of current headache was 31.3% (859 of 2739). TTH was more common than migraine (24.7% vs. 10.4%). The most sensitive headache characteristic for migraine was ‘severity of pain’ and the most sensitive definitive symptom is ‘duration of headache’ in children with TTH. IHS-based symptom definition criteria are highly beneficial in diagnosis of childhood headache, if used together with detailed clinical assessment.</description><subject>Adolescent</subject><subject>Child</subject><subject>childhood headache</subject><subject>Female</subject><subject>Headache - diagnosis</subject><subject>Headache - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Migraine</subject><subject>Migraine Disorders - diagnosis</subject><subject>Migraine Disorders - epidemiology</subject><subject>Pain Measurement - methods</subject><subject>positive predictive value</subject><subject>Predictive Value of Tests</subject><subject>Prevalence</subject><subject>Recurrence</subject><subject>Reproducibility of Results</subject><subject>Risk Factors</subject><subject>sensitivity</subject><subject>Sensitivity and Specificity</subject><subject>specificity</subject><subject>tension type headache</subject><subject>Tension-Type Headache - diagnosis</subject><subject>Tension-Type Headache - epidemiology</subject><subject>Turkey - epidemiology</subject><issn>0333-1024</issn><issn>1468-2982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1uEzEUhS0EoqHwCsgrdjP4b2YcJBZlGhqkIpBS1pZj30kcTexgz5TmUXjbepoIlrCyrfudc61zEMKUlJSI-v2upKKWBZtLVjJCeEmIaET58AzN_gyeoxnhnBeUMHGBXqW0I4RUNalfogvK6jxr6Az9vtsCXoFPbnD3bjhi7S1eHcC4zpnpHTo8ZKTVCfA1dM5nMHjcRjdAdBo7j6-d3viQXJrgJWirzRY-4Cu8MtsQ-uJT1lq8ODgLexf6sHFG93g1jPbJvqpqhtut620EP_l9hZicf41edLpP8OZ8XqIfnxd37bK4_Xbzpb26LYxoGlEAFyA4rxpZWyoJrYmwvONGim4tuGwkNWxuoWasopxQQaxc8yqLSEMpY3N-id6dfA8x_BwhDWrvkoG-1x7CmFTDScWybQblCTQxpBShU4fo9joeFSVqqkXt1JS-mtJXUy3qqRb1kKVvzzvG9R7sX-G5hwx8PAG_XA_H_zZW7eL7Mt-yvjrpk96A2oUx-pzZvz_2CJmWqew</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>Özge, A</creator><creator>Buğdayci, R</creator><creator>Şaşmaz, T</creator><creator>Kaleağasi, H</creator><creator>Kurt, Ö</creator><creator>Karakelle, A</creator><creator>Tezcan, H</creator><creator>Siva, A</creator><general>SAGE Publications</general><general>Blackwell Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200303</creationdate><title>The Sensitivity and Specificity of the Case Definition Criteria in Diagnosis of Headache: A School-Based Epidemiological Study of 5562 Children in Mersin</title><author>Özge, A ; Buğdayci, R ; Şaşmaz, T ; Kaleağasi, H ; Kurt, Ö ; Karakelle, A ; Tezcan, H ; Siva, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4774-e34e4335786d1801604d3f3c84fb438781c29de6225130140d8b3534e07112293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>childhood headache</topic><topic>Female</topic><topic>Headache - diagnosis</topic><topic>Headache - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Migraine</topic><topic>Migraine Disorders - diagnosis</topic><topic>Migraine Disorders - epidemiology</topic><topic>Pain Measurement - methods</topic><topic>positive predictive value</topic><topic>Predictive Value of Tests</topic><topic>Prevalence</topic><topic>Recurrence</topic><topic>Reproducibility of Results</topic><topic>Risk Factors</topic><topic>sensitivity</topic><topic>Sensitivity and Specificity</topic><topic>specificity</topic><topic>tension type headache</topic><topic>Tension-Type Headache - diagnosis</topic><topic>Tension-Type Headache - epidemiology</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Özge, A</creatorcontrib><creatorcontrib>Buğdayci, R</creatorcontrib><creatorcontrib>Şaşmaz, T</creatorcontrib><creatorcontrib>Kaleağasi, H</creatorcontrib><creatorcontrib>Kurt, Ö</creatorcontrib><creatorcontrib>Karakelle, A</creatorcontrib><creatorcontrib>Tezcan, H</creatorcontrib><creatorcontrib>Siva, A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cephalalgia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Özge, A</au><au>Buğdayci, R</au><au>Şaşmaz, T</au><au>Kaleağasi, H</au><au>Kurt, Ö</au><au>Karakelle, A</au><au>Tezcan, H</au><au>Siva, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Sensitivity and Specificity of the Case Definition Criteria in Diagnosis of Headache: A School-Based Epidemiological Study of 5562 Children in Mersin</atitle><jtitle>Cephalalgia</jtitle><addtitle>Cephalalgia</addtitle><date>2003-03</date><risdate>2003</risdate><volume>23</volume><issue>2</issue><spage>138</spage><epage>145</epage><pages>138-145</pages><issn>0333-1024</issn><eissn>1468-2982</eissn><abstract>The objectives of the present study were to estimate the prevalence of recurrent headaches in schoolchildren (ranging from 2nd to 5th degrees) in Mersin city of Turkey and to determine the sensitivity, specificity, positive predictive value and positive likelihood ratio of the diagnostic headache characteristics in children with migraine and Tension Type Headache (TTH) using neurologist's diagnosis as the gold standard. The stratified sample of study was composed of 5562 children. The prevalence of recurrent headache was 49.2% (2739 of 5562) and the prevalence of current headache was 31.3% (859 of 2739). TTH was more common than migraine (24.7% vs. 10.4%). The most sensitive headache characteristic for migraine was ‘severity of pain’ and the most sensitive definitive symptom is ‘duration of headache’ in children with TTH. IHS-based symptom definition criteria are highly beneficial in diagnosis of childhood headache, if used together with detailed clinical assessment.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>12603371</pmid><doi>10.1046/j.1468-2982.2003.00474.x</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0333-1024 |
| ispartof | Cephalalgia, 2003-03, Vol.23 (2), p.138-145 |
| issn | 0333-1024 1468-2982 |
| language | eng |
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| source | Sage Journals GOLD Open Access 2024 |
| subjects | Adolescent Child childhood headache Female Headache - diagnosis Headache - epidemiology Humans Male Migraine Migraine Disorders - diagnosis Migraine Disorders - epidemiology Pain Measurement - methods positive predictive value Predictive Value of Tests Prevalence Recurrence Reproducibility of Results Risk Factors sensitivity Sensitivity and Specificity specificity tension type headache Tension-Type Headache - diagnosis Tension-Type Headache - epidemiology Turkey - epidemiology |
| title | The Sensitivity and Specificity of the Case Definition Criteria in Diagnosis of Headache: A School-Based Epidemiological Study of 5562 Children in Mersin |
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