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Pediatric Medication-overuse Headache and Global Headache Research. A Systematic Review
1Pediatric Neurology, Clínica Cefaleas - Centro Médico Escalón, San Salvador, El Salvador; Department of Neurosciences, Medical School, Universidad Dr. Jose Matias Delgado, El Salvador.
Insights
Research on pediatric medication-overuse headache (MOH) shows similar publication focus in North America and Europe. Pediatric MOH prevalence ranges from 4-11% in general headache patients, rising significantly in chronic headache cases.
Area of Science:
- Neurology
- Pediatric Headache Disorders
- Epidemiology
Background:
- Medication-overuse headache (MOH) is a significant clinical concern, yet pediatric research remains limited.
- Existing literature suggests potential geographical disparities in the perceived importance of adult MOH research between Europe and North America.
Purpose of the Study:
- To investigate geographical differences in research output concerning pediatric medication-overuse headache (MOH).
- To analyze the prevalence of pediatric MOH based on published studies.
Main Methods:
- A correlation analysis was performed between Global Burden of Disease data on headache prevalence and PubMed-searched publications on pediatric MOH (2006-2021).
- Databases including PubMed, HINARI, and ScienceDirect were searched, yielding 13 studies for pediatric MOH prevalence evaluation across six global regions.
- Prevalence data were analyzed for pediatric headache patients, chronic headache patients, and those with post-traumatic headaches.
Main Results:
- North America (28.45%) and Europe (28.54%) exhibit the highest prevalence of headache disorders.
- The majority of pediatric MOH publications originated from North America (44.2%) and Europe (37.2%).
- Pediatric MOH prevalence was found to be 4-11% among general pediatric headache patients, increasing to 20-70% in those with chronic headache diagnoses. Higher prevalence was noted in post-traumatic headache cases.
Conclusions:
- Research efforts on pediatric MOH appear comparably significant in North America and Europe.
- The prevalence of pediatric MOH varies considerably across studies, with notably higher rates in chronic and post-traumatic headache populations.
- Further research is warranted to explore the relationship between post-traumatic headache and pediatric MOH prevalence.
Abstract:
Medication-overuse headache (MOH) is a relevant topic of interest but pediatric studies are scarce. Some authors have expressed their opinion regarding geographical differences in the perceived importance of adult MOH between European and North American research. To determine if there is a geographic difference in the research efforts on pediatric MOH; and to study pediatric MOH prevalence of published studies. An analysis of the Global Burden of Disease database focusing on Headache disorders prevalence per region was correlated with the region where research was conducted via PubMed search on pediatric MOH from 2006-2021. Analysis of databases from PubMed, HINARI, and ScienceDirect found 13 studies that fulfilled inclusion criteria to evaluate pediatric MOH prevalence. 6 regions were analyzed North America, Latin America, Europe, Asia, Africa, Oceania. Regions with higher prevalence of headache disorders were North America (28.45%) and Europe (28.54%). Most pediatric MOH publications were from North America (44.2%) and Europe (37.2%). The prevalence found of pediatric MOH among pediatric headache patients is 4-11%. Prevalence increases to 20-70% among patients having a diagnosis of chronic headache. Higher prevalence was found in patients suffering post traumatic headaches. The perceived importance for pediatric MOH is similar between North America and Europe based on the research published. The prevalence varies greatly between published studies. Relationship between Post-traumatic headache and pediatric MOH prevalence should be further studied.
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