Use of Pharmacological and Non-Pharmacological Strategies by Community-Dwelling Adults to Manage Migraine: A Systematic Review

Migraine is a prevalent disease associated with high levels of disability and is often underdiagnosed and undertreated. This systematic literature review aimed to identify the types of pharmacological and non-pharmacological strategies that community-dwelling adults report using to manage migraine....

Full description

Saved in:
Bibliographic Details
Published inClinics and practice Vol. 13; no. 3; pp. 553 - 568
Main Authors Marupuru, Srujitha, Almatruk, Ziyad, Slack, Marion K, Axon, David R
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 23.04.2023
MDPI
Subjects
Analgesics
Bibliographic data bases
community-dwelling adults
Data collection
Grey literature
Headaches
Literature reviews
Migraine
Narcotics
Pain
pain management
Review
Self report
Systematic review
United States > US
pain management
migraine
systematic review
community-dwelling adults
Online AccessGet full text

Cover

More Information
Summary:Migraine is a prevalent disease associated with high levels of disability and is often underdiagnosed and undertreated. This systematic literature review aimed to identify the types of pharmacological and non-pharmacological strategies that community-dwelling adults report using to manage migraine. A systematic literature review of relevant databases, grey literature, websites, and journals was conducted from 1 January 1989 to 21 December 2021. Study selection, data extraction, and risk of bias assessment were completed independently by multiple reviewers. Data were extracted on migraine management strategies and categorized as opioid and non-opioid medications and medical, physical, psychological, or self-initiated strategies. A total of 20 studies were included. The sample sizes ranged from 138 to 46,941, with a mean age of 34.7 to 79.9 years. The data were typically collected using self-administered questionnaires (nine studies), interviews (five studies), online surveys (three studies), paper-based surveys (two studies), and a retrospective database (one study). Community-dwelling adults with migraine reported they primarily used medications, specifically triptans (range 9-73%) and non-steroidal anti-inflammatory drugs (NSAIDs) (range 13-85%) to manage migraine. Except for medical strategies, the use of other non-pharmacological strategies was low. Common non-pharmacological strategies included consulting physicians (range 14-79%) and heat or cold therapy (35%).
ISSN:2039-7275
2039-7283
2039-7283
DOI:10.3390/clinpract13030051