Details
Category: Volume 06 Issue 08 August 2018
Hits: 1086

Title: The Burden of Headache in Patients Attending Medicine OPD at a Tertiary Medical Centre (AIIMS Patna)

Authors: Dr M. Sarfuddin Ahmad, Dr Gagan Gunjan, Dr Maya Gopalakrishnan, Dr Ravikirti

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.200

Abstract

Background

Headache is a very common complaint in communities. Primary headache disorders are not only among the commonest disorders in the world but also among the most burdensome, causing considerable morbidity and loss of productivity.1  The Global burden of disease study 2010 (GBD2010) reported tension type headache (TTH) and migraine to be the 2nd and 3rd most prevalent disorders worldwide, but migraine far outweighs TTH  as a cause of disability.2 The Global burden disease study 2013 (GBD2013) found migraine to be the 6th highest cause worldwide in terms of years lost due to disability (YLD). Community based studies in India report an observed 1 year prevalence of any headache to be 63.9% which is significantly high compared to global prevalence of any headache. The mean global prevalence is estimated as 14.7%.3  Even in developed countries like USA,UK only half of those identified with migraine had seen a doctor for headache related reasons in the previous 12 months and only two-thirds had been correctly diagnosed.4  In India, there is dearth of focused epidemiological studies on primary headache and its subtypes especially Bihar.

References

  1. Stovner L, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia Int J Headache. 2007 Mar;27(3):193–210.
  2. GBD 2013 Risk Factors Collaborators, Forouzanfar MH, Alexander L, Anderson HR, Bachman VF, Biryukov S, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Lond Engl. 2015 Dec 5;386(10010):2287–323.
  3. Kulkarni GB, Rao GN, Gururaj G, Stovner LJ, Steiner TJ. Headache disorders and public ill-health in India: prevalence estimates in Karnataka State. J Headache Pain [Internet]. 2015 Jul 22 [cited 2016 Apr 17];16. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4510104/
  4. World Health Organisation and Lifting The Burden. ATLAS of headache disorders and resources in the world 2011. Geneva: World Health Organization; 2011.
  5. Steiner TJ, Birbeck GL, Jensen R, Katsarava Z, Martelletti P, Stovner LJ. Lifting The Burden: the first 7 years. J Headache Pain. 2010 Dec;11(6):451–5.
  6. Mateen FJ, Dua T, Steiner T, Saxena S. Headache disorders in developing countries: research over the past decade. 2008;28:1107–1114. doi: 10.1111/j.1468-2982.2008.01681.x. [PubMed] [Cross Ref]
  7. Smith GD. The uses of ‘uses of epidemiology’ Int J Epidemiol. 2001;30: 1146–1155. doi: 10.1093/ije/30.5.1146. [PubMed] [Cross Ref
  8. Atlas of headache disorders and resources in the world 2011. Geneva: World Health Organization; 2011.
  9. Stovner LJ. The epidemiology and cost of severe headache disorders. In: Jensen R, Diener H, Olesen J, editors. Headache clinics: organisation, patients and treatment. New York: Oxford University Press; 2007. pp. 3–8.
  10. Wöber-Bingöl C. Epidemiology of migraine and headache in children and adolescents. Curr Pain Headache Rep. 2013;17:341..
  11. Stovner LJ. Headache epidemiology: how and why? J Headache Pain. 2006;7:141–144. doi: 10.1007/s10194-006-0276-4. [PMC free article] [PubMed] [Cross Ref]
  12. Buse DC, Manack AN, Fanning KM, Serrano D, Reed ML, Turkel CC, Lipton RB. Chronic migraine prevalence, disability, and sociodemographic factors: results from the American Migraine Prevalence and Prevention Study. 2012;52:1456-1470.
  13. Headache Classification Subcommittee of the International Headache Society The international classification of headache disorders, 2nd edition. 2004;24(Suppl 1):1–160. [PubMed]
  14. Lipton RB, Bigal ME, Diamond M, et al. Migraine prevalence, disease burden, and the need for preventive therapy. 2007;68:343–349
  15. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, Abraham J, Ackerman I, Aggarwal R, Ahn SY, Ali MK, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Bahalim AN, Barker-Collo S, Barrero LH, Bartels DH, Basáñez MG, Baxter A, Bell ML, Benjamin EJ, Bennett D et al. (2012) Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2163–2196
  16. Westergaard ML, Hansen EH, Glumer C, Olesen J, Jensen RH (2014) Definitions of medication-overuse headache in population-based studies and their implications on prevalence estimates: A systematic review. Cephalalgia 34:409–25.
  17. Kumar N, Shekhar C, Kumar P, Kundu AS. Kuppuswamy’s socioeconomic status scale-updating for 2007. Indian J Pediatr. 2007;74:1131–1132. [PubMed]
  18. Steiner TJ (2007) The HALT index. In: Steiner TJ, Martelletti P (eds) Aids for management of common headache disorders in primary care. J Headache Pain 8(Suppl 1):S23 [PubMed]
  19. Burch RC, Loder S, Loder E, Smitherman TA. The prevalence and burden of migraine and severe headache in the United States: Updated statistics from government health surveillance studies. Headache 2015;55:21-34.
  20. Peters M (2007) Translation protocols. In: Steiner TJ, Martelletti P (eds) Aids for management of common headache disorders in primary care. J Headache Pain 8(Suppl 1):S45–47
  21. Dean AG, Arner TG, Sunki GG, Friedman R, Lantinga M, Sangam S et al (2011) Epi Info™, a database and statistics program for public health professionals. Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Version 3.5.1
  22. Gourie-Devi M, Gururaj G, Satishchandra P. A manual for descriptive Studies: Neuroepidemiology in developing countries. Bangalore: Prism; 1997.
  23. Kish L. A procedure for objective respondent selection within the household. J Am Stat Assoc. 1949;44:380–387. doi: 10.1080/01621459.1949.10483314. [Cross Ref]
  24. SPSS Inc. (2006) Statistical package for social sciences. SPSS Inc, Chicago, USA. Version 15.0
  25. Gourie-Devi M, Gururaj G, Satishchandra P, Subbakrishna DK. Prevalence of neurological disorders in Bangalore, India: a community-based study with a comparison between urban and rural areas. 2004;23:261–268. doi: 10.1159/000080090. [PubMed] [Cross Ref]
  26. Schoenberg BS. Clinical neuroepidem-iology in developing countries. 1982;1:137–142. doi: 10.1159/000110695. [Cross Ref]
  27. Andrée C, Vaillant M, Barre J, Katsarava Z, Lainez JM, Lair ML, et al. Development and validation of the EUROLIGHT questionnaire to evaluate the burden of primary headache disorders in Europe. 2010;30(9):1082–1100. doi: 10.1177/0333102409354323. [PubMed] [Cross Ref]
  28. Jürgens TP, Schulte LH, May A. Migraine trait symptoms in migraine with and without aura. 2014 Mar [Epub ahead of print.
  29. Burch RC, Loder S, Loder E, Smitherman TA. The prevalence and burden of migraine and severe headache in the United States: Updated statistics from government health surveillance studies. Headache 2015;55:21-34.

Corresponding Author

Dr Gagan Gunjan

M.D, Gen. Medicine