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Migraine impact and functional disability

R B Lipton1, W F Stewart, M Von Korff

  • 1Department of Neurology, Epidemiology and Social Medicìne, Albert Einstein College of Medicine, Montefiore Medical Centre, Bronx, New York 10467, USA.

Cephalalgia : an International Journal of Headache
|October 1, 1995
PubMed
Summary
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Migraine significantly impacts individuals and society through pain and disability. Better diagnosis and a headache grading system can improve treatment and reduce healthcare costs.

Area of Science:

  • Neurology
  • Public Health
  • Health Economics

Background:

  • Migraine poses a significant burden on individuals and society.
  • The societal impact is linked to work loss and disability.
  • Migraine is prevalent, underdiagnosed, and undertreated.

Purpose of the Study:

  • To review the impact of migraine on individuals and society.
  • To highlight the need for improved healthcare delivery for migraine sufferers.
  • To explore the potential of a headache grading system for optimizing therapy.

Main Methods:

  • Literature review of epidemiologic studies on migraine.
  • Analysis of individual and societal impact factors.
  • Discussion of diagnostic and therapeutic challenges.

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Main Results:

  • Migraine's impact varies based on pain severity and role dysfunction.
  • Societal costs are driven by workplace and home disability.
  • Current diagnosis may not suffice for optimal treatment selection.

Conclusions:

  • Improving migraine care can reduce individual and societal burdens.
  • A headache grading system could enhance therapy selection.
  • Optimized therapy offers the best hope for cost-effective interventions.