Abstract
Objective To comprehensively summarize the evidence on the preferences and values of migraine patients. Methods We searched PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Sino-Med, Chongqing VIP, and Wanfang Data for studies on the preferences and values of migraine patients. A qualitative review was performed, but no quantitative synthesis. Results Twenty‐one studies were finally included, involving a total of 8701 participants. Patients expected a cure, to be symptom-free, a reduction in frequency of headaches, a reduction in severity of headaches, and an improved quality of life from their preventive treatment. Patients expected rapid pain relief, complete pain relief, return to normal activities, no recurrence, and no adverse events from their acute symptomatic treatment. Conclusion Efficacy is the primary consideration in the treatment of migraine. Specifically, the most important embodiment of patient preferences and values is the reduced frequency of attacks with preventive treatment as well as prompt analgesia with acute symptomatic treatment.
Highlights
Patient preferences and values are mostly convergent with those of healthcare workers, but there are differences [1]
Evidence of patient preferences and values has been emphasized in the development of guidelines [6,7,8,9,10]
Inclusion criteria were as follows: studies related to patient preferences and values for migraine therapy, both the preventive treatment and the acute symptomatic treatment; studies that examined the context of the consideration of migraine therapy and how patients value alternative health states and experiences with treatment; and studies that examined the choices patients make when presented with decisional aids for management options regarding migraine therapy. e exclusion criteria were reviews, letters, posters, case reports, and case series
Summary
Patient preferences and values are mostly convergent with those of healthcare workers, but there are differences [1]. As direct recipients in the process of disease diagnosis and treatment, the preferences and values of patients cannot be ignored [2]. E use of analgesic drugs aims to prevent a migraine attack or to stop it once it starts, and the common analgesic drugs include triptans, nonsteroidal anti-inflammatory drugs, acetaminophen, combination (acetaminophen, caffeine, and aspirin), and narcotics [13]. Other treatments such as application of pressure, cold, or heat, acupuncture, and surgical treatment have gradually attracted attention in recent years, but evidence support is still lacking [14]
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