Disability in migraine: Multicountry results from the Chronic Migraine Epidemiology and Outcomes - International (CaMEO-I) Study.

IF 5 2区 医学 Q1 CLINICAL NEUROLOGY
Zaza Katsarava, Dawn C Buse, Elizabeth Leroux, Michel Lanteri-Minet, Fumihiko Sakai, Manjit S Matharu, Aubrey Manack Adams, Karen Carr, Kristina M Fanning, Richard B Lipton
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Abstract

Background: Few studies of migraine have evaluated migraine disability across multiple countries using the same methodology.

Methods: This cross-sectional, web-based survey was conducted in 2021-2022 in Canada, France, Germany, Japan, UK and USA. Respondents with migraine were identified based on modified International Classification of Headache Disorders, 3rd edition, criteria. Headache features (Migraine Symptom Severity Score (MSSS, range: 0-21), presence of allodynia (Allodynia Symptom Checklist, ASC-12)) and migraine burden (Patient Health Questionnaire-4 (PHQ-4), Migraine-Specific Quality of Life questionnaire version 2.1 (MSQ v2.1), Work Productivity and Activity Impairment (WPAI) questionnaire) were evaluated.

Results: Among 14,492 respondents with migraine across countries, the mean ± SD MSSS was 15.4 ± 3.2 and 48.5% (7026/14,492) of respondents had allodynia based on ASC-12. Of all respondents living with migraine, 35.5% (5146/14,492) reported moderate to severe anxiety and/or depression symptoms. Mean ± SD MSQ v2.1 Role Function-Restrictive, Role Function-Preventive and Emotional Function domain scores were 60.7 ± 22.9, 71.5 ± 23.0 and 65.1 ± 27.2, respectively. The WPAI mean ± SD percentages of respondents who missed work or worked impaired as a result of migraine were 6.8 ± 18.1% and 41.0 ± 30.1%, respectively.

Conclusions: For every country surveyed, migraine was associated with high levels of symptom severity, with allodynia and with substantial burden.

偏头痛的残疾问题:慢性偏头痛流行病学和结果--国际(CaMEO-I)研究的多国结果。
背景:很少有偏头痛研究采用相同的方法对多个国家的偏头痛残疾情况进行评估:这项基于网络的横断面调查于 2021-2022 年在加拿大、法国、德国、日本、英国和美国进行。根据修改后的《国际头痛疾病分类》第三版标准,确定了偏头痛受访者。对头痛特征(偏头痛症状严重程度评分(MSSS,范围:0-21)、是否存在异感(异感症状核对表,ASC-12))和偏头痛负担(患者健康问卷-4(PHQ-4)、偏头痛生活质量问卷 2.1 版(MSQ v2.1)、工作效率和活动障碍(WPAI)问卷)进行了评估:在14492名患有偏头痛的各国受访者中,MSSS的平均值(± SD)为15.4 ± 3.2,48.5%(7026/14492)的受访者患有以ASC-12为基础的异动症。在所有患有偏头痛的受访者中,35.5%(5146/14492)报告有中度至重度焦虑和/或抑郁症状。MSQ v2.1 "角色功能-限制"、"角色功能-预防 "和 "情感功能 "域的平均±标清分数分别为60.7±22.9、71.5±23.0和65.1±27.2。因偏头痛而缺勤或工作能力受损的受访者的WPAI平均±标准差百分比分别为6.8±18.1%和41.0±30.1%:在接受调查的每个国家中,偏头痛都与症状严重程度高、异感症和沉重负担有关。
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来源期刊
Cephalalgia
Cephalalgia 医学-临床神经学
CiteScore
10.10
自引率
6.10%
发文量
108
审稿时长
4-8 weeks
期刊介绍: Cephalalgia contains original peer reviewed papers on all aspects of headache. The journal provides an international forum for original research papers, review articles and short communications. Published monthly on behalf of the International Headache Society, Cephalalgia''s rapid review averages 5 ½ weeks from author submission to first decision.
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