MétaCan
Menu
Back to cohort
Record W2042285125 · doi:10.3399/bjgp08x264009

Easing the pain: challenges and opportunities in headache management

2008· letter· en· W2042285125 on OpenAlexaff
David Watson

Bibliographic record

VenueBritish Journal of General Practice · 2008
Typeletter
Languageen
FieldMedicine
TopicMigraine and Headache Studies
Canadian institutionsHamilton Medical Research Group
Fundersnot available
KeywordsMedicineMigraineHeadachesCluster headacheSecondary carePediatricsNeurologyPopulationPrimary careInternational Classification of Headache DisordersPrimary headacheTension headacheHeadache DisordersCohortPhysical therapyFamily medicinePsychiatryInternal medicine

Abstract

fetched live from OpenAlex

Headache is common. The lifetime prevalence of headache in the UK general population is over 90% 1 and an estimated 46% of the population are troubled by headache in any one year. eadache accounts for 4.4% of consultations in primary care 3 and 20-30% of neurology out-patient consultations. Nearly all headache is primary, with the majority of patients suffering from tension-type headache, migraine, or both together. Secondary headaches, that is, headaches attributed to another disorder, are rare. There is no diagnostic test for primary headache. Diagnosis is made by taking a good history. The vast majority of patients with headache are managed by GPs, and only 2-3% are referred to neurology services. espite this, GPs seem to be poor at diagnosing headache. In this issue of the BJGP, Kernick et al 6 report on a large cohort of patients presenting with new onset headache in primary care in the UK. They found that 70% were not given a diagnosis; 24% were diagnosed with either migraine, tension headache, or cluster headache; and 6% were diagnosed with secondary headache. This is similar to previous research. Primary care research, such as the Landmark 7 and Spectrum studies, 8 has shown that migraine is underdiagnosed and that tension-type headache and sinus headache are overdiagnosed.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.016
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.023
Threshold uncertainty score0.044

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.016
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0010.001
Science and technology studies0.0040.006
Scholarly communication0.0050.015
Open science0.0020.003
Research integrity0.0230.031
Insufficient payload (model declined to judge)0.0070.004

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.118
GPT teacher head0.309
Teacher spread0.191 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations8
Published2008
Admission routes1
Has abstractyes

Explore more

Same venueBritish Journal of General PracticeSame topicMigraine and Headache StudiesFrench-language works237,207