{
  "abstract": "This is a consensus guidance document developed by the British Association for the Study of Headache (BASH), of practical recommendations in the use of advanced migraine treatments based on the current literature, guidelines, real-world experience and opinion from an expert consensus group. The target audience for this statement includes all clinical and allied healthcare professionals interested in headache. The introduction of calcitonin gene-related peptide-targeted migraine treatments in addition to botulinum toxin has widened the choice of migraine treatment options. However, there is a lack of consistency in the use and treatment of accessibility across the UK. We have developed a multidisciplinary consensus clinical guidance that makes recommendations on how to use advanced preventative treatments for migraine. The BASH consensus group was composed of consultants, nurses and general practitioners with specialist’s experience in headache. Key clinical questions were agreed by consensus. Each recommendation was based on a selective search of evidence, including meta-analyses, systematic reviews and considered relevant national standards of care. A modified Delphi process was used to obtain consensus on the recommendations via an anonymous voting process by the Consensus Group and BASH Council members. Those not reaching the minimum required consensus level (≥75%) were amended until agreement was reached or were designated as lacking consensus. Expert practical recommendations on advanced migraine treatments covering common dilemmas are presented. These recommendations aim to optimise patient access and experience of advanced migraine treatments. This document will need to be revised periodically as new evidence emerges.",
  "authors": [
    {
      "affiliations": [
        "Department of Neurology, South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK"
      ],
      "name": "Gina Kennedy"
    },
    {
      "affiliations": [
        "Department of Neurology, Aberdeen Royal Infirmary, Aberdeen, UK"
      ],
      "name": "David Paul Bartram Watson"
    },
    {
      "affiliations": [
        "Neurology Department, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK"
      ],
      "name": "Brendan Davies"
    },
    {
      "affiliations": [
        "Department of Neuroscience, Oxford University Hospitals NHS Foundation Trust, Oxford, UK",
        "Pain Management Centre, University College London, London, UK"
      ],
      "name": "Anish Bahra"
    },
    {
      "affiliations": [
        "Department of Neurology, University Hospitals Sussex NHS Foundation Trust, Worthing, UK"
      ],
      "name": "Claire Fisher"
    },
    {
      "affiliations": [
        "Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK"
      ],
      "name": "Mona Ghadiri-Sani"
    },
    {
      "affiliations": [
        "Department of Neurology, University College London, London, UK"
      ],
      "name": "Salwa Kamourieh"
    },
    {
      "affiliations": [
        "Metabolism and Systems Science, University of Birmingham, Birmingham, UK",
        "Department of Neurology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"
      ],
      "name": "Jessie Jie Yi Gew"
    },
    {
      "affiliations": [
        "IslandHealth, Guernsey, UK"
      ],
      "name": "Michael Long"
    },
    {
      "affiliations": [
        "Department of Neurology, Buckinghamshire Healthcare NHS Trust, London, UK"
      ],
      "name": "Mark Weatherall"
    },
    {
      "affiliations": [
        "Metabolism and Systems Science, University of Birmingham, Birmingham, UK",
        "Department of Neurology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"
      ],
      "name": "Benjamin Wakerley"
    },
    {
      "affiliations": [
        "Neurology Department, Addenbrooke’s Hospital, Cambridge, UK"
      ],
      "name": "Jane Anderson"
    },
    {
      "affiliations": [
        "Metabolism and Systems Science, University of Birmingham, Birmingham, UK",
        "Department of Neurology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"
      ],
      "name": "Alexandra J Sinclair"
    }
  ],
  "title": "Migraine-advanced preventative treatments: the British Association for the Study of Headache Clinical Practice Recommendations and Consensus Guidance",
  "uid": "4e52a244-63e7-51a9-b475-435a84e80509"
}