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Background Due to the extraordinary severity of pain, cluster headache (CH) warrants rapid diagnosis and appropriate treatment. The diagnosis of CH is simple, and rapid and effective treatments exist (injective sumatriptan and oxygen). In spite of this, clinical data have documented that CH is largely under-diagnosed and under-treated and it is common opinion that CH should be managed in a specialist setting. A fast access to headache services for CH patients is required to avoid delays to proper care. Aim of the study. To investigate the accessibility of the headache centers listed on the official websites of the two existing Italian societies involved into the study of headaches (SISC and ANIRCEF) Methods Volunteers suffering for CH and serving as active members of Alleanza Cefalalgici Cluster (AlCe Cluster) contacted the Italian headache specialists searching for a fast access to a visit or for talking with the physicians. The primary outcome measure was the fast access to the headache specialist, defined as an access scheduled within 7 days from the contact. The secondary outcome measures were a) the possibility to talk with the physicians and b) a service measure of call-center efficiency (number of calls necessary to be answered). The study was conducted on April 2012. Results

Accessibility of headache centers for patients suffering for cluster headache in Italy: too far from the patients’ needs