MINI MIGRAINE TEST

This simple three-question test, called “ID Migraine,” can identify patients with migraine with about the same accuracy as widely used screening tests for other illnesses. It was developed by a team of migraine researchers and validated in a national study.

The authors tested the validity and reliability of ID Migraine at 27 primary care sites and 12 headache specialty practice sites in the U.S.

• A nine-question survey was completed by 443 patients making routine primary care physician visits for any reason. Patients in the study either had headaches that interfered with their ability to work, study, or their enjoyment of life; or said they wanted to talk to their physicians about their headaches.
• All the patients were then referred to one of 12 headache specialty centers, where specialists diagnosed them without knowing how they had answered the questionnaire.
• The patients' medical diagnoses were compared to the answers given to the questionnaires. An analysis identified the three questions that best predicted a migraine diagnosis.
• Of patients who answered "yes" to two of the three questions, 93 percent were diagnosed by the headache experts as suffering from migraines.

The findings were published in the scientific/clinical journal, Neurology, in August, 2003. The lead author was, Richard B. Lipton, M.D. Professor and Vice Chair of Neurology at the Albert Einstein College of Medicine. Co-authors of the paper were: K. Kolodner, D. Dodick, R. Sadovsky, J. Endicott, J. Hettiarachchi and W. Harrison. The study was supported by funding from Pfizer Inc.

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