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 ...
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