Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society

Anti-CGRP therapies; Migraine preventive treatment; Preventive treatment

Detalles Bibliográficos
Autores: Özge, Aynur, Pozo-Rosich, Patricia, Caronna, Edoardo, Sacco, Simona, Peres, Mario F P, Ashina, Sait
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:dnet:scientia____::22d1375f06e7bf55a0556126f29289cd
Acceso en línea:http://hdl.handle.net/11351/14302
Access Level:acceso abierto
Palabra clave:Migranya - Tractament
Migranya - Prevenció
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine Disorders
Other subheadings::Other subheadings::Other subheadings::/prevention & control
Other subheadings::Other subheadings::/therapy
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañosos
Otros calificadores::Otros calificadores::Otros calificadores::/prevención & control
Otros calificadores::Otros calificadores::/terapia
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network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society
title Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society
spellingShingle Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society
Özge, Aynur
Migranya - Tractament
Migranya - Prevenció
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine Disorders
Other subheadings::Other subheadings::Other subheadings::/prevention & control
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine Disorders
Other subheadings::Other subheadings::/therapy
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañosos
Otros calificadores::Otros calificadores::Otros calificadores::/prevención & control
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañosos
Otros calificadores::Otros calificadores::/terapia
title_short Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society
title_full Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society
title_fullStr Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society
title_full_unstemmed Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society
title_sort Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache Society
dc.creator.none.fl_str_mv Özge, Aynur
Pozo-Rosich, Patricia
Caronna, Edoardo
Sacco, Simona
Peres, Mario F P
Ashina, Sait
author Özge, Aynur
author_facet Özge, Aynur
Pozo-Rosich, Patricia
Caronna, Edoardo
Sacco, Simona
Peres, Mario F P
Ashina, Sait
author_role author
author2 Pozo-Rosich, Patricia
Caronna, Edoardo
Sacco, Simona
Peres, Mario F P
Ashina, Sait
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Pozo-Rosich P, Caronna E] Unitat de Sefalees, Servei de Neurologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca de Cefalea i Dolor Neurològic, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Sacco S] Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy. [Peres MFP] Institute of Psychiatry, HCFMUSP, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. Department of Neurology, Hospital Albert Einstein, São Paulo, Brazil. [Ashina S] Department of Neurology Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA. Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA. [Özge A] Mersin University, School of Medicine, Mersin and NOROM Neuroscience and Excellence Center, Ankara, Türkiye
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Migranya - Tractament
Migranya - Prevenció
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine Disorders
Other subheadings::Other subheadings::Other subheadings::/prevention & control
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine Disorders
Other subheadings::Other subheadings::/therapy
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañosos
Otros calificadores::Otros calificadores::Otros calificadores::/prevención & control
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañosos
Otros calificadores::Otros calificadores::/terapia
topic Migranya - Tractament
Migranya - Prevenció
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine Disorders
Other subheadings::Other subheadings::Other subheadings::/prevention & control
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine Disorders
Other subheadings::Other subheadings::/therapy
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañosos
Otros calificadores::Otros calificadores::Otros calificadores::/prevención & control
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañosos
Otros calificadores::Otros calificadores::/terapia
description Anti-CGRP therapies; Migraine preventive treatment; Preventive treatment
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11351/14302
url http://hdl.handle.net/11351/14302
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Cephalalgia;45(10)
https://doi.org/10.1177/03331024251387721
info:eu-repo/grantAgreement/ES/PE2017-2020/CM20%2F00217
info:eu-repo/grantAgreement/ES/PEICTI2021-2023/JR23%2F00065
dc.rights.none.fl_str_mv Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Early treatment in migraine – A call to shift prevention from attacks to disease progression: A position statement from the International Headache SocietyÖzge, AynurPozo-Rosich, PatriciaCaronna, EdoardoSacco, SimonaPeres, Mario F PAshina, SaitMigranya - TractamentMigranya - PrevencióDISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine DisordersOther subheadings::Other subheadings::Other subheadings::/prevention & controlDISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Headache Disorders::Headache Disorders, Primary::Migraine DisordersOther subheadings::Other subheadings::/therapyENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañososOtros calificadores::Otros calificadores::Otros calificadores::/prevención & controlENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos con cefaleas::cefaleas primarias::trastornos migrañososOtros calificadores::Otros calificadores::/terapiaAnti-CGRP therapies; Migraine preventive treatment; Preventive treatmentTerapias anti-CGRP; Tratamiento preventivo de la migraña; Tratamiento preventivoTeràpies anti-CGRP; Tractament preventiu de la migranya; Tractament preventiuMigraine is one of the most disabling diseases worldwide, especially when it transforms into chronic migraine, which is often associated with medication overuse and can become resistant or even refractory to treatments. Molecular, neuroimaging and neurophysiological changes have been described in chronic migraine, some of which might not be fully reversible with preventive treatment. For these reasons, we should aim to prevent this transition, and initiate preventive treatment before disease becomes refractory and burden increases. Preventive migraine treatments are often delayed because of access to care, stigma leading to undertreatment and patients' reluctance as a result of fear of side effects and, in some cases, fear of being labeled as chronically ill. With the availability of effective and well-tolerated preventive treatments, we must shift our mindset and take advantage of new opportunities to initiate preventive treatment earlier. In this International Headache Society position statement, we propose a migraine preventive strategy under the idea of shifting from reactive treatment once disability is established (prevention of attacks), to proactive, individualized prevention initiated early with safe, effective and tolerable therapies (prevention of disease progression). This approach is based on 1) promoting the early initiation of effective and tolerable preventive therapies, starting from two to four monthly migraine days in line with the majority of current guidelines and recommendations and 2) fostering longitudinal studies to gather more evidence on the potential benefit of early prevention, with the final goal of improving patient outcomes, promoting excellent migraine care, enhancing individual and social well-being, and, ultimately, preventing migraine progression and preserving brain health.EC has received honoraria from Novartis, Chiesi, Lundbeck, MedScape, Lilly, TEVA, Organon and Dr Reddy's; his salary has been partially funded by Río Hortega grant Acción Estratégica en Salud 2017–2020 from Instituto de Salud Carlos III (CM20/00217) and Juan Rodés fellowship, Subprograma Estatal de Incorporación de la Acción Estratégica en Salud 2023 (JR23/00065). He is a junior editor for Cephalalgia.SAGE PublicationsInstitut Català de la Salut[Pozo-Rosich P, Caronna E] Unitat de Sefalees, Servei de Neurologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca de Cefalea i Dolor Neurològic, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Sacco S] Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy. [Peres MFP] Institute of Psychiatry, HCFMUSP, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. Department of Neurology, Hospital Albert Einstein, São Paulo, Brazil. [Ashina S] Department of Neurology Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA. Department of Anesthesia, Critical Care and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA. [Özge A] Mersin University, School of Medicine, Mersin and NOROM Neuroscience and Excellence Center, Ankara, TürkiyeVall d'Hebron Barcelona Hospital Campus202620262025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/11351/14302Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésCephalalgia;45(10)https://doi.org/10.1177/03331024251387721info:eu-repo/grantAgreement/ES/PE2017-2020/CM20%2F00217info:eu-repo/grantAgreement/ES/PEICTI2021-2023/JR23%2F00065Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:dnet:scientia____::22d1375f06e7bf55a0556126f29289cd2026-06-12T09:38:37Z
score 15.81155

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