Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Chronic and Episodic Migraine in Primary Care

In a survey of patients with migraine, chronic migraine (CM) patients reported higher levels of disability and less satisfaction with access to perceived medical advice and care compared with patients with episodic migraine (EM). The cross-sectional survey study included randomly selected migraine patients within a community primary care practice. Researchers found:

  • There were 516 survey respondents.
  • CM patients were more likely than EM patients to report care from a neurologist and higher disability.
  • CM patients were less likely to report overall satisfaction with care, satisfaction with access to care, and advice they needed.
  • CM patients were more likely to be taking preventive medication.


Young NP, Philpot LM, Vierkant RA, et al. Episodic and chronic migraine in primary care. [Published online ahead of print April 29, 2019]. Headache. doi: 10.1111/head.13543.