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. 2015 Jun 5;2015:0318.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Headache frequency

RCT
100 children aged 5–15 years with migraine headache, based on the 2nd edition on The International Classification of Headache Disorders (ICHD-II) criteria, and with frequent (at least 1 headache attack per week) or disabling headache (>20 on the PedMIDAS scale) Mean monthly headache frequency after 3 months of treatment
8.8 with propranolol
4.1 with topiramate

P = 0.001
Effect size not calculated topiramate

RCT
86 children aged 3–15 years with migraine (defined by the 2004 International Headache Society [IHS] criteria) and >3 headaches per month, or severe disabling/intolerable headache Mean number of headaches at 4 months' follow-up
1.8 with propranolol
2.3 with topiramate

P = 0.643
Not significant
Headache duration

RCT
100 children aged 5–15 years with migraine headache, based on the ICHD-II criteria, and with frequent (at least 1 headache attack per week) or disabling headache (>20 on the PedMIDAS scale) Mean headache duration at 3 months
1.35 hours with propranolol
0.56 hours with topiramate

P = 0.0001
Effect size not calculated topiramate

RCT
86 children aged 3–15 years with migraine (defined by the 2004 IHS criteria) and >3 headaches per month, or severe disabling/intolerable headache Mean duration of headache attacks at 4 months' follow-up
2.6 with propranolol
2.2 with topiramate

P = 0.827
Not significant
Severity of headache

RCT
100 children aged 5–15 years with migraine headache, based on the ICHD-II criteria, and with frequent (at least 1 headache attack per week) or disabling headache (>20 on the PedMIDAS scale) Severity of headache (mean visual analogue scale score [from 0 = no pain to 10 = severe pain]) at 3 months
4.2 with propranolol
2.8 with topiramate

P = 0.0001
Effect size not calculated topiramate

RCT
86 children aged 3–15 years with migraine (defined by the 2004 IHS criteria) and >3 headaches per month, or severe disabling/intolerable headache Proportion of children with headache severity affecting daily activities at 4 months' follow-up
6/40 (15%) with propranolol
6/38 (16%) with topiramate

Reported as not significant between groups at all follow-up visits
P >0.05
Not significant