Migraine Diagnosis and Treatment: Results From the American Migraine Study II

A population-based survey in 1999 examined migraine diagnosis and medication use. This study involved 3577 individuals experiencing severe headaches, using International Headache Society criteria. Results showed 48% of participants received a physician diagnosis of migraine in 1999. This was an increase from 38% in 1989. Additionally, 41% of diagnosed migraineurs used prescription drugs for headaches in 1999. This was slightly higher than the 37% reported in 1989. The percentage of migraineurs using only over-the-counter medications decreased to 57% from 59%. Activity restrictions were reported by 37% of diagnosed and 21% of undiagnosed migraineurs. Meanwhile, 38% of diagnosed and 24% of undiagnosed migraineurs missed at least one day of work or school. Despite more diagnoses, many migraineurs remain undiagnosed. Public health initiatives are needed to improve migraine care and treatment access, helping reduce disability. Clinical relevance: This research highlights persistent undiagnosed migraines, emphasizing the need for better diagnosis and treatment strategies.