OBJECTIVE: To assess the long-term effectiveness and outcome of multidisciplinary treatment of childhood @entity10 1, 2, and 5 years after initial treatment. BACKGROUND: @entity10 are a common problem for @entity1 and adolescents and for many @entity1 continue into adulthood. Outcome research for pediatric @entity2704 is limited, thus restricting knowledge of the effectiveness of long-term management and outcome. METHODS: Headache characteristics were assessed at the initial visit and were reevaluated 1, 2, and 5 years later in independent sub-groups of consecutive @entity1 . These characteristics included @entity10 frequency, severity, average duration, school absences, and overall perceived response to treatment. RESULTS: At 1 year, 96 @entity1 were evaluated (mean age = 11.0 +/- 3.4, 59% females), 69 @entity1 at 2 years (mean age = 10.6 +/- 3.4, 48% females), and 32 at 5 years (mean age = 10.5 +/- 3.9, 66% females). The @entity10 were reported as better in 94% at 1 year, 85% at 2 years, and 94% at 5 years. The initial frequency was at 13.4 +/- 10.8 @entity10 per month, 4.9 +/- 7.0 at 1 year (P < .001), 4.7 +/- 7.6 at 2 years (P < .001), and 4.5 +/- 7.5 at 5 years (P < .001). The severity decreased from 6.8 +/- 1.8 to 5.1 +/- 2.3 at 1 year (P < .001), to 5.0 +/- 2.4 at 2 years (P < .001), and to 4.6 +/- 2.5 at 5 years (P < .01). The school days missed per month showed a marked decrease from 4.5 +/- 9.5 at initial visit to 1.55 +/- 2.8 at 5 years (P < .001). @entity1 that were only seen at their initial visit and did not choose to return for follow-up had less frequent and shorter duration @entity10 on initial visit when compared with the rest of the sample and continued to be doing well at the 1-, 2-, and 5-year assessments. CONCLUSIONS: Multidisciplinary treatment was found to be effective for @entity1 and adolescents with improvement of multiple outcome variants of pediatric @entity2704 care, including frequency, severity, and school days missed. @entity1 who did not return to follow-up evaluation were more likely to have less frequent and shorter duration @entity10 at initial presentation. Regular follow-up care is needed for those @entity1 with more severe initial @entity10 presentation.

Outcome of a multidisciplinary approach to pediatric XXXX at 1, 2, and 5 years.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients'] @entity2704 :: ('MESH:D008881', 'Disease') :: ['migraine', 'migraine headaches'] @entity10 :: ('MESH:D006261', 'Disease') :: ['Headaches', 'headache', 'headaches']
@entity2704 :: (MESH:D008881,Disease) :: ['migraine']
