Patients with migraine should be monitored regularly to assess disability and treatment needs, which may vary over time.[39]Eigenbrodt AK, Ashina H, Khan S, et al. Diagnosis and management of migraine in ten steps. Nat Rev Neurol. 2021 Aug;17(8):501-14.
https://www.nature.com/articles/s41582-021-00509-5
http://www.ncbi.nlm.nih.gov/pubmed/34145431?tool=bestpractice.com
It is helpful to ask patients to keep a headache diary or calendar to assess triggers, headache frequency and characteristics, other symptoms, and medication use (including effectiveness).[34]Ailani J, Burch RC, Robbins MS, et al. The American Headache Society consensus statement: update on integrating new migraine treatments into clinical practice. Headache. 2021 Jul;61(7):1021-39.
https://www.doi.org/10.1111/head.14153
http://www.ncbi.nlm.nih.gov/pubmed/34160823?tool=bestpractice.com
[129]Seng EK, Martin PR, Houle TT. Lifestyle factors and migraine. Lancet Neurol. 2022 Oct;21(10):911-21.
http://www.ncbi.nlm.nih.gov/pubmed/36115363?tool=bestpractice.com
Adherence to drug therapy, treatment goals, and complications (e.g., mood disorders) should be explored at each follow-up visit.[39]Eigenbrodt AK, Ashina H, Khan S, et al. Diagnosis and management of migraine in ten steps. Nat Rev Neurol. 2021 Aug;17(8):501-14.
https://www.nature.com/articles/s41582-021-00509-5
http://www.ncbi.nlm.nih.gov/pubmed/34145431?tool=bestpractice.com
[82]Ashina M, Buse DC, Ashina H, et al. Migraine: integrated approaches to clinical management and emerging treatments. Lancet. 2021 Apr 17;397(10283):1505-18.
http://www.ncbi.nlm.nih.gov/pubmed/33773612?tool=bestpractice.com
The Migraine Disability Assessment (MIDAS) Questionnaire is a validated 5-question tool giving the clinician an objective evaluation of headache-related impact on a patient’s daily life.[81]Stewart WF, Lipton RB, Dowson AJ, et al. Development and testing of the Migraine Disability Assessment (MIDAS) Questionnaire to assess headache-related disability. Neurology. 2001;56(6 suppl 1):S20-8.
http://www.ncbi.nlm.nih.gov/pubmed/11294956?tool=bestpractice.com