What are the main findings? Migraine care in Italy is characterized by a mismatch between healthcare resource utilization and clinical needs, with limited primary-care involvement, repeated specialist consultations, and healthcare nomadism. Healthcare resource utilization is substantial, including extensive diagnostic testing—predominantly brain imaging—as well as emergency department visits, detoxification cycles, and repeated access to headache centers. What are the implications of the main findings? The findings support a reorganization of migraine care pathways, with stronger primary-care involvement, clearer referral pathways, and improved continuity of care. Greater adherence to guideline-based diagnostic and management strategies may reduce potentially avoidable healthcare utilization and promote more efficient, patient-centered migraine care.
Migraine in Real-World Clinical Practice: Patient Burden, Healthcare Utilization and Unmet Needs—A Cross-Sectional Analysis of the I-GRAINE Study / Barbanti, P., Spieckert De Souza, J., Fiorentini, G., Pistoia, F., Camarda, C., Doretti, A., Egeo, G., D'Onofrio, F., Aurilia, C., Bartolini, M., Braca, S., Carnevale, A., Grugno, R., Autunno, M., Zucco, M., Russo, M., Quintana, S., Caproni, S., Di Summa, A., Scatena, P., et al.. - In: BRAIN SCIENCES. - ISSN 2076-3425. - 16:10(2026). [10.3390/brainsci16101040]
Migraine in Real-World Clinical Practice: Patient Burden, Healthcare Utilization and Unmet Needs—A Cross-Sectional Analysis of the I-GRAINE Study
Filippi M.;Messina S.;Cetta I.;
2026-01-01
Abstract
What are the main findings? Migraine care in Italy is characterized by a mismatch between healthcare resource utilization and clinical needs, with limited primary-care involvement, repeated specialist consultations, and healthcare nomadism. Healthcare resource utilization is substantial, including extensive diagnostic testing—predominantly brain imaging—as well as emergency department visits, detoxification cycles, and repeated access to headache centers. What are the implications of the main findings? The findings support a reorganization of migraine care pathways, with stronger primary-care involvement, clearer referral pathways, and improved continuity of care. Greater adherence to guideline-based diagnostic and management strategies may reduce potentially avoidable healthcare utilization and promote more efficient, patient-centered migraine care.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
