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Published on: June 2, 2014
Integrated care for chronic migraine patients: epidemiology, burden, diagnosis and treatment options
Hans-Christoph Diener1, Kasja Solbach2, Dagny Holle2
1Department of Neurology, University Hospital Essen, Essen, Germany; h.diener@uni-essen.de.
Abstract:
Migraine is a common neurological disorder, characterised by severe headaches. Epidemiological studies in the USA and Europe have identified a subgroup of migraine patients with chronic migraine. Chronic migraine is defined as ≥15 headache days per month for ≥3 months, in which ≥8 days of the month meet criteria for migraine with or without aura, or respond to treatment specifically for migraine. Chronic migraine is associated with a higher burden of disease, more severe psychiatric comorbidity, greater use of healthcare resources, and higher overall costs than episodic migraine (<15 headache days per month). There is a strong need to improve diagnosis and therapeutic treatment of chronic migraine. Primary care physicians, as well as hospital-based physicians, are integral to the identification and treatment of these patients. The latest epidemiological data, as well as treatment options for chronic migraine patients, are reviewed here.
Insights
Chronic migraine, a severe headache disorder, affects many. This review covers the latest epidemiology and treatment options for chronic migraine, emphasizing improved diagnosis and care.
Area of Science:
- Neurology
- Epidemiology
Background:
- Migraine is a common neurological disorder.
- Chronic migraine is defined as ≥15 headache days per month for ≥3 months, with ≥8 days meeting migraine criteria.
- Chronic migraine presents a higher disease burden, psychiatric comorbidity, healthcare utilization, and costs compared to episodic migraine.
Purpose of the Study:
- To review the latest epidemiological data on chronic migraine.
- To discuss current therapeutic treatment options for chronic migraine patients.
- To highlight the need for improved diagnosis and management of chronic migraine.
Main Methods:
- Review of epidemiological studies in the USA and Europe.
- Analysis of diagnostic criteria for chronic migraine.
- Synthesis of current treatment strategies for chronic migraine.
Main Results:
- Chronic migraine affects a significant subgroup of migraine patients.
- This condition is associated with substantial negative impacts on patients' lives and healthcare systems.
- Current diagnostic and treatment approaches require enhancement.
Conclusions:
- Improved diagnosis and therapeutic strategies are crucial for managing chronic migraine.
- Primary care and hospital-based physicians play a vital role in identifying and treating chronic migraine patients.
- Further research and clinical attention are needed to address the challenges of chronic migraine.
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