#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Socio-economic impact of headache disorders –reasons and improvement possibilities


Authors: P. Řehulka 1;  M. Vrubel 2;  T. Nežádal- 3 5;  M. Brázdil 1
Authors‘ workplace: I. neurologická klinika, LF MU a FN u sv. Anny v Brně 1;  Institut výzkumu inkluzivního vzdělávání, PdF MU, Brno 2;  Neurologické oddělení, ÚVN – VFN, Praha 3;  Institut neuropsychiatrické péče, Praha 4;  Neurochirurgická a neuroonkologická, klinika 1. LF UK a ÚVN – VFN, Praha 5
Published in: Cesk Slov Neurol N 2020; 83/116(5): 499-503
Category: Review Article
doi: https://doi.org/10.14735/amcsnn2020499

Overview

Headache disorders are ubiquitous and mainly those that are primary are highly prevalent. Some of those are associated with substantial disability and cause significant negative impact on both individual and societal levels. Migraine, tension-type headache and medication-overuse headache overwhelm all others in the economic burden. Despite easy diagnostics and availability of effective treatments, headache disorders remain underdiagnosed and undertreated due to substantial barriers (political, economic, social and clinical). The indirect financial costs through lost productivity are far greater than the healthcare expenditure, which probably does not exceed 10% of total costs of headache disorders. From a global point of view, a possible healthcare improvement seems to be cost-effective and costsaving. Improvement of management issues and organization of headache services requires the existence of a structured and stepwise action programme. All essential components of effective healthcare for headache (awareness of the problem, correct recognition and diagnosis, avoidance of mismanagement, appropriate lifestyle modifications and informed use of suitable pharmaceutical remedies) is possible to put in practice already at the level of primary or secondary care. The main efforts should be directed at elaboration of pre- and post-graduate education of physicians and other healthcare providers.

Keywords:

Migraine – headache – disability evaluation – economic burden of disease


Sources

1. Stovner LJ, Hagen K, Jensen R et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 2007; 27 (3): 193–210. doi: 10.1111/j.1468-2982.2007.01288.x.

2. World Health Organization. Lifting The Burden. Atlas of headache disorders and resources in the world 2011. Geneva: WHO 2011.

3. Diener HC, Steiner TJ, Tepper SJ. Migraine – the forgotten epidemic: development of the EHF/WHA Rome declaration on migraine. J Headache Pain 2006; 7: 433–437. doi: 10.1007/s10194-006-0349-4.

4. World Health Organization. The World Health Report 2001. Chapter 2. Burden of mental and behavioural disorders. [online]. Available from URL: http: //www.who.int/whr/2001/en/index.html.

5. World Health Organization. Disability and health. [online]. Available from URL: https: //www.who.int/news-room/fact-sheets/detail/disability-and-health.

6. Steiner TJ. Lifting The Burden: the global campaign against headache. Lancet Neurol 2004; 3 (4): 204–205. doi: 10.1016/S1474-4422 (04) 00703-3.

7. Steiner TJ. Lifting The Burden: the global campaign to reduce the burden of headache worldwide. J Headache Pain 2005; 6 (5): 373–377. doi: 10.1007/s10194-005-0241-7.

8. Headache Classification Committee of the International Headache Society. The international classification of headache disorders 3rd edition. Cephalalgia 2018; 38 (1): 1–211. doi: 10.1177/0333102417738202.

9. Vos T, Abajobir AA, Abate KH et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017; 390 (10100): 1211–1259. doi: 10.1016/S0140-6736 (17) 32154-2.

10. Rasmussen BK, Olesen J. Migraine with aura and migraine without aura: an epidemiological study. Cephalalgia 1992; 12 (4): 221–228. doi: 10.1046/j.1468-2982.1992.1204221.x.

11. Katsarava Z, Buse DC, Manack AN et al. Defining the differences between episodic migraine and chronic migraine. Curr Pain Headache Rep 2012; 16 (1): 86–92. doi: 10.1007/s11916-011-0233-z.

12. Stovner LJ, Zwart JA, Hagen K et al. Epidemiology of headache in Europe. Eur J Neurol 2006; 13 (4): 333–345. doi: 10.1111/j.1468-1331.2006.01184.x.

13. Jensen RH. Tension-type headache – the normal and most prevalent headache. Headache 2018; 58 (2): 339–345. doi: 10.1111/head.13067.

14. Westergaard ML, Munksgaard SB, Bendtsen L et al. Medication-overuse headache: a perspective review. Ther Adv Drug Saf 2016; 7 (4): 147–158. doi: 10.1177/2042 098616653390.

15. Steiner TJ, Stovner LJ. Headache-attributed burden: its qualitative components. In: Steiner TJ, Stovner LJ (eds). Societal Impact of Headache. 1st ed. Basel: Springer Nature Switzerland AG 2019: 29–46.

16. Steiner TJ, Stovner LJ, Nichols E et al. Headache in the Global Burden of Disease (GBD) studies. In: Steiner TJ, Stovner LJ (eds). Societal impact of headache. 1st ed. Basel: Springer Nature Switzerland AG 2019: 105–126.

17. Salomon JA, Haagsma JA, Davis A et al. Disability weights for the Global Burden of Disease 2013 study. Lancet Glob Health 2015; 3 (11): e712–e723. doi: 10.1016/S2214-109X (15) 00069-8.

18. Steiner TJ, Stovner LJ, Vos T et al. Migraine is first cause of disability in under 50s: will health politicians now take notice? J Headache Pain 2018; 19 (1): 17. doi: 10.1186/s10194-018-0846-2.

19. Mennini FS, Gitto L. The financial costs of headache. In: Steiner TJ, Stovner LJ (eds). Societal impact of headache. 1st ed. Basel: Springer Nature Switzerland AG 2019: 157–169.

20. Fishman P, Von Korff M, Lozano P et al. Chronic care costs in managed care. Health Aff 1997; 16 (3): 239–247. doi: 10.1377/hlthaff.16.3.239.

21. Linde M, Gustavsson A, Stovner LJ et al. The cost of headache disorders in Europe: the Eurolight project. Eur J Neurol 2012; 19 (5): 703–711. doi: 10.1111/j.1468-1331.2011.03612.x.

22. Olesen J, Gustavsson A, Svensson M et al. on behalf of the CDBE2010 study group and the European Brain Council. The economic cost of brain disorders in Europe. Eur J Neurol 2012; 19 (1): 155–162. doi: 10.1111/j.1468-1331.2011.03590.x.

23. Hu XH, Markson LE, Lipton RB et al. Burden of migraine in the United States: disability and economic costs. Arch Intern Med 1999; 159 (8): 813–818. doi: 10.1001/archinte.159.8.813.

24. Steiner TJ, Stovner LJ, Katsarava Z et al. The impact of headache in Europe: principal results of the Eurolight project. J Headache Pain 2014; 15: 31. doi: 10.1186/1129-2377-15-31.

25. Steiner TJ, Katsarava Z, Olesen J. Barriers to care. In: Steiner TJ, Stovner LJ (eds). Societal impact of headache. 1st ed. Basel: Springer Nature Switzerland AG 2019: 173–184.

26. Organisation for Economic Co-operation and Development. Hospodářské přehledy OECD: Česká republika 2018. [online]. Dostupné z URL: http: //www.oecd.org/eco/surveys/economic-survey-czech-republic.htm.

27. Steiner TJ, Jensen R, Katsarava Z et al. The healthcare solution to headache. In: Steiner TJ, Stovner LJ (eds). Societal impact of headache. 1st ed. Basel: Springer Nature Switzerland AG 2019: 203–224.

28. Steiner TJ, Antonaci F, Jensen R et al. Recommendations for headache service organisation and delivery in Europe. J Headache Pain 2011; 12 (4): 419–426. doi: 10.1007/s10194-011-0320-x.

29. Munksgaard SB, Allena M, Tassorelli C et al. What do the patients with medication overuse headache expect from treatment and what are the preferred sources of information? J Headache Pain 2011; 12 (1): 91–96. doi: 10.1007/s10194-011-0298-4.

30. Carlsen LN, Westergaard ML, Bisgaard M et al. National awareness campaign to prevent medication-overuse headache in Denmark. Cephalalgia 2018; 38 (7): 1316–1325. doi: 10.1177/0333102417736898.

31. Kavuk I, Weimar C, Kim BT et al. One-year prevalence and socio-cultural aspects of chronic headache in Turkish immigrants and German natives. Cephalalgia 2006; 26: 1177–1181. doi: 10.1111/j.1468-2982.2006.01186.x.

Labels
Paediatric neurology Neurosurgery Neurology General practitioner for adults

Article was published in

Czech and Slovak Neurology and Neurosurgery

Issue 5

2020 Issue 5

Most read in this issue
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#