The migraine signature study: Methods and baseline results - PubMed
Source :
https://pubmed.ncbi.nlm.nih.gov/33368248/Among patients with migraine in a large health system, those who were also cared for in neurology were more likely to receive both acute and preventive medication migraine orders than those patients who did not see a neurologist, with triptans and antidepressants the most commonly prescribed classes ...
This is an important study because of the large study population size with several important take home points:
1. Migraine patients have more comorbidities than patients without migraines (not news)
2. Migraine patients were more likely to receive preventatives if they saw a neurologist rather than a PCP. Use of acute migraine therapy was pretty similar between both groups
3. Most disturbing is that migraine patients were MORE likely to receive opioids if they saw a neurologist rather than PCP (but both were high).
This is discouraging given all the data about the contraindication of using opioids in migraine