Chronic Headache Clinical Trial
Official title:
An Observational Study to Evaluate Referral From General Practitioners (GPs) to: 1) Direct Access to Magnetic Resonance Imaging (MRI); and 2) the Neurology Department for the Management of Patients With Chronic Headache.
This study aims to evaluate whether direct access from General Practitioners (GPs) to Magnetic Resonance Imaging (MRI) for patients with chronic headache decreases overall NHS costs and increases patient satisfaction compared to clinical practice with referral to Neurology Services.
Headache is the most common symptom reported in the community, affecting more than 90% of the
population at some point in their lifetime. Despite the low level of referrals to secondary
care (as most patients tend to be managed within primary care), the absolute number of
headache episodes (due to its high prevalence) makes headache the most frequently listed
reason for referral to the Neurologist and thus, utilises precious capacity that is severely
constrained.
In order to support future management of this chronic condition, this study aims to evaluate
existing clinical pathways in the management of patients with chronic headache - either
referral to the Neurology Department or direct access to Imaging. Participants will be
followed-up for a period of 12 months after the initial Secondary Care episode (either an MRI
scan or Neurology appointment). Costs from the NHS perspective and self-perceived patient
quality of life will be assessed and cost per patient and cost-effectiveness analyses will be
performed.
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