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A computerized expert system for diagnosing primary headache based on International Classification of Headache Disorder (ICHD-II).

ABSTRACT: BACKGROUND: The authors developed a computerized program designed to diagnose primary headache based on international classification of headache disorders, 2nd edition (ICHD-II) criteria for use by physicians. METHODS: An appropriate questionnaire was designed according to the ICHD-II criteria for all types of primary headaches and the computerized system provided diagnosis based on the criteria. The software was tested by analyzing 80 patients, recruited from an outpatient headache clinic, affected by primary headache. Each patient with a unique card number was interviewed up to 15 minutes. At the end of each day, software and neurologist diagnoses were evaluated for each patient. RESULTS: Of 80 patients, the software was able to come up with correct results in 78 cases. The age of the patients ranged from 30 to 80 years old. Migraine headache accounted for 71 cases, five patients had tension type headache, and 2 had cluster headaches; all were correctly diagnosed by software. Two cases were not concordant with the neurologist's diagnosis. The neurologist diagnosed these two cases as "Medical overuse syndrome headache" and "cluster headache", which our software was not able to diagnosis them. CONCLUSIONS: This software permitted the diagnosis of more than 97% of the patients similar to the physician's. We hope this questionnaire and applying the software to diagnose headache based on ICHD could be of help to better the diagnosis of headaches.

SUBMITTER: Eslami V

PROVIDER: S-EPMC3661080 | biostudies-other | 2013 Dec

REPOSITORIES: biostudies-other

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A computerized expert system for diagnosing primary headache based on International Classification of Headache Disorder (ICHD-II).

Eslami Vahid V Rouhani-Esfahani Sadreddin S Hafezi-Nejad Nima N Refaeian Farshid F Abdi Siamak S Togha Mansoureh M

SpringerPlus 20130430 1

<h4>Background</h4>The authors developed a computerized program designed to diagnose primary headache based on international classification of headache disorders, 2nd edition (ICHD-II) criteria for use by physicians.<h4>Methods</h4>An appropriate questionnaire was designed according to the ICHD-II criteria for all types of primary headaches and the computerized system provided diagnosis based on the criteria. The software was tested by analyzing 80 patients, recruited from an outpatient headache ...[more]

PMID: 23710428

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Project description:ObjectiveThis article systematically reviews the empirical literature examining the efficacy of digital headache management interventions for patients with a primary headache disorder.BackgroundDigital headache management interventions provide opportunities to improve access to behavioral headache interventions to underserved groups.MethodsA systematic search of PubMed, Scopus, and EBSCO (PsycInfo, Education Research Complete, ERIC, Health Source: Nursing/Academic Edition, Psychology and Behavioral Sciences Collection) and reference review was conducted. Included studies had to recruit a sample with a primary headache diagnosis, be a randomized controlled trial including a digital component, assess a headache outcome (i.e., frequency, duration, severity, intensity, disability) or quality of life, and be published in English. Two authors independently extracted data for included studies. The methodological quality of studies was assessed using the revised Cochrane risk-of-bias tool.ResultsThirteen studies with unique interventions met inclusion criteria. More than half of the studies were pilots; however, nearly 70% (9/13) demonstrated significant between-group or within-group improvements on one or more headache-related outcomes. All interventions included some form of relaxation training and the majority were delivered via interactive website. While fewer than half the studies report participant race and/or ethnicity, of those that do, 83% (5/6) reported a predominately White/Caucasian sample.ConclusionsEfficacy testing of digital headache interventions is in its infancy with the majority of these studies relying on pilot studies with small samples comprised of homogenous patient populations. Interactive websites were the most common digital medium to deliver digital headache management interventions and have demonstrated promising results. Further testing using large-scale randomized controlled trials and exploration of other digital tools is warranted. Future studies with more diverse samples are needed to inform health equity of digital headache interventions.

Dataset Information

A computerized expert system for diagnosing primary headache based on International Classification of Headache Disorder (ICHD-II).

Publications

A computerized expert system for diagnosing primary headache based on International Classification of Headache Disorder (ICHD-II).

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