Can Migraine Care Be Reliably Measured? - Summary - MDSpire

Can Migraine Care Be Reliably Measured?

  • By

  • Andrea Surnit

  • April 20, 2026

  • 3 min

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Objective:

To determine the suitability of existing performance measures for migraine treatment and assess the feasibility of recommending a core performance measure, while also identifying gaps and evaluating guideline-based recommendations.

Key Findings:
  • No suitable core performance measure for migraine care was identified.
  • Only one existing measure related to imaging overuse was found, but it was not supported due to lack of testing and outdated guidelines.
  • Guideline-recommended treatment measures were deemed infeasible due to poor data capture in electronic health records, particularly for over-the-counter medications.
Interpretation:

Current limitations in migraine measurement reflect challenges in data capture and documentation rather than deficiencies in care quality.

Limitations:
  • Inadequate data capture for over-the-counter medications.
  • Lack of testing for existing performance measures.
  • Variability in documentation practices affecting reliability.
Conclusion:

The ACP does not recommend a core performance measure for migraine treatment, emphasizing the need for improved measurement strategies.

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