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• W4381550160 abstract "Real-world data are accumulating on the effectiveness, tolerability and safety of anti-calcitonin gene-related peptide pathway monoclonal antibodies for the preventive treatment of migraine. We performed a systematic review of the methodology of prospective, observational, clinic-based real-world evidence studies with these drugs in both episodic and chronic migraine.The objectives were to evaluate the definitions and reported outcomes used, and to perform a risk of bias assessment for each of the different studies. PubMed and EMBASE were systematically queried for relevant scientific articles. Study quality assessment of the included studies was conducted using the National Heart, Lung and Blood Institute (NHLBI) Study Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group.Forty-six studies fitted the criteria for the systematic review and were included in the analysis. Ten studies (21.7%) defined a migraine day for the study, while only 5 studies defined a headache day for the study (10.9%). The most common primary endpoint/objective of the studies was change in monthly migraine days (n = 16, 34.8%), followed by responder rate (n = 15, 32.6%) and change in monthly headache days (n = 5, 10.9%). Eight studies (17.4%) did not define the primary endpoint/objective. Thirty-three studies were graded as good quality and 13 studies were graded as fair.Our analysis shows rather significant heterogeneity and/or lack of predefined primary outcomes/objectives, definitions of outcomes measures and the use of longitudinal monitoring (e.g. headache diaries). Standardization of terminology, definitions and protocol procedures for real-world evidence studies of preventive treatments for migraine are recommended.This study was registered with PROSPERO with ID CRD42022369366." @default.
• W4381550160 created "2023-06-22" @default.
• W4381550160 creator A5026901904 @default.
• W4381550160 creator A5039556087 @default.
• W4381550160 creator A5092229118 @default.
• W4381550160 date "2023-06-22" @default.
• W4381550160 modified "2023-10-06" @default.
• W4381550160 title "Methodological considerations on real-world evidence studies of monoclonal antibodies against the CGRP-pathway for migraine: a systematic review" @default.
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• W4381550160 doi "https://doi.org/10.1186/s10194-023-01611-3" @default.
• W4381550160 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37344811" @default.
• W4381550160 hasPublicationYear "2023" @default.

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