Table of Contents
International Scholarly Research Notices
Volume 2014 (2014), Article ID 169428, 6 pages
Research Article

Headache in General Practice: Frequency, Management, and Results of Encounter

Department of Primary Care, Leipzig Medical School, Philipp-Rosenthal-Straße 55, 04103 Leipzig, Germany

Received 21 April 2014; Revised 4 August 2014; Accepted 5 August 2014; Published 29 October 2014

Academic Editor: Giuseppe Biondi-Zoccai

Copyright © 2014 Thomas Frese et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. Headache is a common reason for consulting the general practitioner. The goal of the investigation was to characterize the headache consultation rates, the associated symptoms, the frequency of diagnostic and therapeutic procedures, and the results of the encounter of patients with headache. Methods. Cross-sectional data were collected from randomly selected patients during the German SESAM 2 study and compared with unpublished but publicly available data from the Dutch Transition Project. Results. Headache accounts for up to five percent of all general practice consultations. Women consult the general practitioner for headache twice as often as men. Physical examination and drug prescription are the most frequent procedures. Most of the patients suffer from primary headache; secondary headache is due to upper respiratory tract infections or problems of the spinal column. Dangerous courses occur in very rare cases. Conclusion. This work confirms the findings of earlier studies regarding the management of patients that consult the general practitioner for headache. It broadens the preexisting database since cross-sectional data regarding headache in general practice was rarely published.