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Some multidisciplinary headache programs have already been established for patients with frequent refractory headaches [11 25], but documentation of organization, as well as published outcome and follow-up data for periods longer than 3 to 6 months, is still sparse.
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In clinical practice, there is a lack of multidisciplinary headache treatment programs that entail a comprehensive assessment including a headache diagnosis according to ICDH-II criteria [16], screening for psychiatric comorbidity, craniomandibular dysfunctioning and musculoskeletal disorders, and provide treatment according to clinical guidelines [17, 18].
The multidisciplinary headache treatment program started in 2006 in cooperation with selected health insurance companies and the University Hospital in Essen, Germany, which initiated a similar integrated headache care program in 2005 [24, 31].
Multidisciplinary headache programmes have already been established and implemented in several European headache centres, but published outcome data are still sparse.
Patients with refractory CCH referred to multidisciplinary headache clinic at our centre underwent DBS.
Jensen et al. [9] report outcome data of MOH in a multidisciplinary headache center.
However, medication consumption was examined in just a few studies dealing with multidisciplinary headache treatment.
A scientific session focusing on multidisciplinary headache management was organised at The European Headache and Migraine Trust International Congress (EHMTIC) 2010 in Nice.
It was concluded that effective multidisciplinary headache treatment can reduce headache frequency and burden of disease, as well as the risk for medication overuse headache.
During an 18 months period 282 consecutive patients entered an open label uncontrolled study in a multidisciplinary headache centre.
Background : Despite the very high prevalence of headaches, multidisciplinary headache clinics are still few and better documentation of their content and efficacy is needed.
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