Survey of migraineurs referred to headache specialists: Care, satisfaction, and outcomes

The authors report a survey of 281 migraineurs recently referred to headach e specialists by primary care physicians. Compared with care before referra l, specialists spent substantially more time with patients and were more li kely to ask patients to take a prophylactic drug and to keep a headache dia ry, to discuss migraine triggers, and to prescribe 5-hydroxytryptamine(1E/1 D) agonists (triptans). After referral, patients reported improved satisfac tion with care and significant decreases in frequency, duration, and severi ty of attacks.