cqvip:FRAMIG 2000 is a population-based survey of medical and therapeutic managemen t of migraine in France. A total of 312 migraine sufferers were first identified from a representative sample of 4689 adult subjects using a validated questionn aire based on the IHS migraine diagnostic criteria and administered by telephone . Subjects were then interviewed using a branching questionnaire and a computer -assisted interview technique. Although 80%were self-aware of their migrainou s state, 82%of migraine sufferers had no medical follow-up for migraine. The p roportion of migraine sufferers who did not consult decreased slightly with incr easing migraine-related disability (from 87%for subjects in MIDAS grade I to 6 8%for those in MIDAS grade IV). Migraine sufferers declared to effectively cont rol only four attacks out of 10 after the first intake of the usual treatment. O nly 6%of subjects in the survey received a prophylactic treatment for migraine whereas 22%were in MIDAS grade III or IV. These data show that the burden of mi graine does not result from a deficit in diagnosis but instead from a deficit in patient information on the proper use of current effective treatments of migrai ne.
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