Patterns of diagnosis and acute and preventive treatment for migraine in the United States: results from the american migraine prevalence and prevention study.
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| Title: | Patterns of diagnosis and acute and preventive treatment for migraine in the United States: results from the american migraine prevalence and prevention study. |
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| Authors: | Diamond S (AUTHOR), Bigal ME (AUTHOR), Silberstein S (AUTHOR), Loder E (AUTHOR), Reed M (AUTHOR), Lipton RB (AUTHOR) |
| Source: | Headache: The Journal of Head & Face Pain. Mar2007, Vol. 47 Issue 3, p355-363. 9p. |
| Abstract: | OBJECTIVE: To describe the patterns of medical treatment for migraineurs in the United States. BACKGROUND: Over the past decade, many new treatments for migraine have become available and awareness of migraine has improved. However, there is little information about the patterns of medical treatment in the US society. DESIGN/METHODS: A validated self-administered headache questionnaire was mailed to a random sample of 120,000 US households. Each household member with severe headaches was asked to complete the survey. The questionnaire assessed headache features, disability, and patterns of medical treatment. Subjects were classified according to their use of headache preventive medication, as current users, coincident users (using effective medications for other medical reasons), lapsed users (had used in the past but not at the time of the survey), or never users. RESULTS: In 162,576 participants, the prevalence of migraine was 17.1% in women and 5.6% in men. Only 56.2% of those with migraine had ever received a medical diagnosis. Ninety-eight percent of the migraineurs used acute treatment for their migraine attacks. Forty-nine percent (49%) usually used over-the-counters, 20% usually used prescription medications, and 29% used both. Only 12.4% of migraineurs indicated that they were taking a migraine preventive medication, but 17.2% were using medications with potential antimigraine effects for other medical reasons. Current or past use of preventive medication was more likely in women than men (odds ratio [OR] = 1.37, 95% confidence interval [CI] 1.27-1.48), increased with age and individuals with high MIDAS grade (Grade IV vs I, OR 2.35, 95% CI 2.09-2.64). Preventive medication use increased with awareness of migraine and with illness severity. CONCLUSIONS: Migraine remains undertreated in the US population. Barriers to preventive treatment are greater in younger age groups, men, and people unaware that they have migraine. [ABSTRACT FROM AUTHOR] |
| Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 106010288 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Patterns of diagnosis and acute and preventive treatment for migraine in the United States: results from the american migraine prevalence and prevention study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Diamond+S%22">Diamond S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bigal+ME%22">Bigal ME</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silberstein+S%22">Silberstein S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Loder+E%22">Loder E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reed+M%22">Reed M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lipton+RB%22">Lipton RB</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Headache%3A+The+Journal+of+Head+%26+Face+Pain%22">Headache: The Journal of Head & Face Pain</searchLink>. Mar2007, Vol. 47 Issue 3, p355-363. 9p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVE: To describe the patterns of medical treatment for migraineurs in the United States. BACKGROUND: Over the past decade, many new treatments for migraine have become available and awareness of migraine has improved. However, there is little information about the patterns of medical treatment in the US society. DESIGN/METHODS: A validated self-administered headache questionnaire was mailed to a random sample of 120,000 US households. Each household member with severe headaches was asked to complete the survey. The questionnaire assessed headache features, disability, and patterns of medical treatment. Subjects were classified according to their use of headache preventive medication, as current users, coincident users (using effective medications for other medical reasons), lapsed users (had used in the past but not at the time of the survey), or never users. RESULTS: In 162,576 participants, the prevalence of migraine was 17.1% in women and 5.6% in men. Only 56.2% of those with migraine had ever received a medical diagnosis. Ninety-eight percent of the migraineurs used acute treatment for their migraine attacks. Forty-nine percent (49%) usually used over-the-counters, 20% usually used prescription medications, and 29% used both. Only 12.4% of migraineurs indicated that they were taking a migraine preventive medication, but 17.2% were using medications with potential antimigraine effects for other medical reasons. Current or past use of preventive medication was more likely in women than men (odds ratio [OR] = 1.37, 95% confidence interval [CI] 1.27-1.48), increased with age and individuals with high MIDAS grade (Grade IV vs I, OR 2.35, 95% CI 2.09-2.64). Preventive medication use increased with awareness of migraine and with illness severity. CONCLUSIONS: Migraine remains undertreated in the US population. Barriers to preventive treatment are greater in younger age groups, men, and people unaware that they have migraine. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=106010288 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/j.1526-4610.2006.00631.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 355 Titles: – TitleFull: Patterns of diagnosis and acute and preventive treatment for migraine in the United States: results from the american migraine prevalence and prevention study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Diamond S – PersonEntity: Name: NameFull: Bigal ME – PersonEntity: Name: NameFull: Silberstein S – PersonEntity: Name: NameFull: Loder E – PersonEntity: Name: NameFull: Reed M – PersonEntity: Name: NameFull: Lipton RB IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar2007 Type: published Y: 2007 Identifiers: – Type: issn-print Value: 00178748 Numbering: – Type: volume Value: 47 – Type: issue Value: 3 Titles: – TitleFull: Headache: The Journal of Head & Face Pain Type: main |
| ResultId | 1 |
