AAN 2021 | Barriers to appropriate care in chronic and episode migraine: findings of the CaMEO study

Dawn C. Buse, PhD, Albert Einstein College of Medicine, New York, NY, shares the findings of a web-based study assessing barriers to care in patients with chronic and episodic migraine. Over 9000 participants from the CaMEO study (Chronic Migraine Epidemiology and Outcomes) were included. Barriers to good care were defined as a lack of medical consultation, failure to receive an accurate diagnosis, not starting an individualized treatment plan, and not avoiding acute medication overuse. The findings demonstrated that only 8.5% of patients with episodic migraine and 1.8% of those with chronic migraine received good medical care, meaning all barriers were traversed. Race, sex, income, and education level all impacted the likelihood of receiving good care. The need for efforts to improve consultation and diagnosis rates were highlighted. This interview took place during the American Academy of Neurology (AAN) 2021 Annual Meeting.