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Gestão das cefaleias em Portugal: consenso das Sociedades Portuguesas de cefaleias e neurologia, associação portuguesa de medicina geral e familiar e MiGRA
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Advisor(s)
Abstract(s)
As cefaleias são uma causa significativa de incapacidade a nível global, com a enxaqueca a ocupar o segundo lugar entre as doenças com mais anos vividos com incapacidade. A maioria dos doentes com cefaleias, incluindo enxaqueca, podem e devem ser diagnosticados, tratados e acompanhados eficazmente nos cuidados de saúde primários. Isso não só reduz a incapacidade associada a estas patologias, mas também previne a progressão para formas crónicas ou o uso excessivo de medicamentos. A criação de uma rede eficiente de referenciação, envolvendo associações de doentes e profissionais de saúde além dos cuidados primários, é essencial para garantir o apoio necessário em casos mais complexos e para promover a saúde da população de forma ágil e atempada. Estas orientações para diagnóstico, terapêutica e referenciação resultam de um consenso entre a Sociedade Portuguesa de Cefaleias, Sociedade Portuguesa de Neurologia, Associação Portuguesa de Medicina Geral e Familiar, e a MiGRA Portugal, associação portuguesa de doentes com enxaqueca e cefaleias. Este documento foi elaborado para capacitar todos os médicos a contribuir de forma eficaz no tratamento destas patologias.
Headaches are a significant cause of global disability, with migraines ranking second of all conditions in terms of years lived with disability. Most headache patients, including those with migraine, can and should be effectively diagnosed, treated, and managed in primary healthcare settings. This approach not only reduces the disability associated with these conditions but also prevents progression to chronic forms or the development of medication overuse. The establishment of an efficient referral network, involving patient associations and healthcare professionals beyond primary care, is essential to ensure adequate support for more complex cases and to promote population health in a timely and effective manner. These guidelines for diagnosis, treatment, and referral are the result of a consensus among the Portuguese Headache Society, the Portuguese Society of Neurology, the Portuguese Association of Family Medicine, and MiGRA Portugal, the Portuguese association of migraine and headache patients. This document was designed to empower all physicians to contribute effectively to the management of these conditions.
Headaches are a significant cause of global disability, with migraines ranking second of all conditions in terms of years lived with disability. Most headache patients, including those with migraine, can and should be effectively diagnosed, treated, and managed in primary healthcare settings. This approach not only reduces the disability associated with these conditions but also prevents progression to chronic forms or the development of medication overuse. The establishment of an efficient referral network, involving patient associations and healthcare professionals beyond primary care, is essential to ensure adequate support for more complex cases and to promote population health in a timely and effective manner. These guidelines for diagnosis, treatment, and referral are the result of a consensus among the Portuguese Headache Society, the Portuguese Society of Neurology, the Portuguese Association of Family Medicine, and MiGRA Portugal, the Portuguese association of migraine and headache patients. This document was designed to empower all physicians to contribute effectively to the management of these conditions.
Description
Keywords
Cefaleias/diagnóstico Cefaleias/tratamento farmacológico Encaminhamento e consulta Headache/diagnosis Headache/drug therapy Migraine disorders/diagnosis Migraine disorders/drug therapy Perturbações da enxaqueca/diagnóstico Perturbações da enxaqueca/tratamento farmacológico Portugal Referral and consultation
Pedagogical Context
Citation
Gil-Gouveia, R., Parreira, E., Martins, I. P., & Luzeiro, I. et al. (2025). Gestão das cefaleias em Portugal: consenso das Sociedades Portuguesas de cefaleias e neurologia, associação portuguesa de medicina geral e familiar e MiGRA. Acta Medica Portuguesa, 38(5), 336-347. https://doi.org/10.20344/amp.22496