Headache yesterday in Europe

Andrée, Colette; Steiner, Timothy J.; Barré, Jessica; Katsarava, Zaza; Laínez, José Miguel; Lampl, Christian; Lantéri-Minet, Michel; Rastenytė, Daiva; Torre, Elena Ruiz de la; Tassorelli, Cristina; Stovner, Lars Jacob

doi:10.1186/1129-2377-15-33

Cited by 19 publications

(20 citation statements)

References 19 publications

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“…Asking participants about headache yesterday offers the unique chance to (almost) eliminate recall bias. Currently, only two studies have been published applying this approach in adults [ 20 , 21 ]. In the present study, pupils with headache yesterday showed several differences from those with headache last year but not yesterday: headache frequency was higher, duration longer, intensity more severe and use of abortive headache medication more common.…”

Section: Discussionmentioning

confidence: 99%

The global burden of headache in children and adolescents – developing a questionnaire and methodology for a global study

et al. 2014

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BackgroundBurden of headache has been assessed in adults in countries worldwide, and is high, but data for children and adolescents are sparse. The objectives of this study were o develop a questionnaire and methodology for the global estimation of burden of headache in children and adolescents, to test these in use and to present preliminary data.MethodsWe designed structured questionnaires for mediated-group self-administration in schools by children aged 6-11 years and adolescents aged 12-17 years. In two pilot studies, we offered the questionnaires to pupils in Vienna and Istanbul. We performed face-to-face interviews in a randomly selected subsample of 199 pupils to validate the headache diagnostic questions.ResultsData were collected from 1,202 pupils (mean 13.9 ± 2.4 years; 621 female, 581 male). The participation rate was 81.1% in Istanbul, 67.2% in Vienna. The questionnaire proved acceptable: ≤5% of participants disagreed partially or totally with its length, comprehensibility or simplicity. The sensitivity, specificity, positive and negative predictive values ranged between 0.71 and 0.76 for migraine and between 0.61 and 0.85 for tension-type headache (TTH). Cronbach’s alpha was 0.83. The 1-year prevalence of headache was 89.3%, of migraine 39.3% and of TTH 37.9%. The prevalence of headache on ≥15 days/month was 4.5%. One fifth (20.7%) of pupils with headache lost ≥1 day of school during the preceding 4 weeks and nearly half (48.8%) reported ≥1 day when they could not do activities they had wanted to. The vast majority of pupils with headache experienced difficulties in coping with headache and in concentrating during headache. Quality of life was poorer in pupils with headache than in those without.ConclusionThese pilot studies demonstrate the usefulness of the questionnaires and feasibility of the methodology for assessing the global burden of headache in children and adolescents, and predict substantial impact of headache in these age groups.

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Section: Discussionmentioning

confidence: 99%

The global burden of headache in children and adolescents – developing a questionnaire and methodology for a global study

et al. 2014

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“…This is the third published analysis of headache yesterday (HY) worldwide, following those in China [ 10 ] and eight countries of Europe [ 7 ], and the first in Russia. It is of some interest to know the proportion of a population afflicted by headache on any day, but the true value of this population-based enquiry lies in its almost complete detachment from the recall errors to which traditional burden-of-headache surveys are so strongly subject.…”

Section: Discussionmentioning

confidence: 99%

“…Some have also estimated headache-attributed burden, and those assessing socioeconomic impact have employed questionnaires such as the Migraine Disability Assessment (MIDAS) instrument [ 5 ] or its derivative, the Headache-Attributed Lost Time (HALT) questionnaire [ 5 , 6 ]. The former, and in its original form (HALT-90) also the latter, depend upon enquiry relating to the three months prior to the interview, an approach subject to the limitations and errors (and possible biases) of recall over such a long period [ 7 ]. The consequences of these limitations, errors and possible biases need to be considered, and an alternative approach that allows this is enquiry into headache occurring on the day before the interview (“headache yesterday”; HY).…”

Section: Introductionmentioning

confidence: 99%

“…A question subset concerning HY [ 8 , 9 ], has been included into several recent large epidemiological studies supported by Lifting The Burden and conducted within the Global Campaign against Headache, including those in China [ 10 ], India [ 11 ], Pakistan [ 12 ], Nepal [ 13 ], Zambia (unpublished) and countries of the Eurolight project [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Headache yesterday in Russia: its prevalence and impact, and their application in estimating the national burden attributable to headache disorders

Ayzenberg¹,

Katsarava

Sborowski

et al. 2015

J Headache Pain

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BackgroundEvaluation of the prevalence and impact of headache on the preceding day (“headache yesterday”; HY) is a new approach, allowing more precise estimation of headache-attributed burden without recall error. The aim of the study was to estimate the national burden attributable to headache disorders in Russia by applying measures of prevalence of HY and its impact on productivity and daily activities in the general population.MethodsWe interviewed a representative population-based sample face-to-face by visiting randomly selected households throughout Russia. We randomly selected one adult aged 18–65 years from each. We followed a structured questionnaire including diagnostic questions, enquiry into occurrence of HY and various aspects of attributed burden.ResultsParticipation rate was 74.3%. One in seven participants (14.5%; men 9.1%: women 19.3%) reported HY. Approximately half of these had one of the subtypes of headache occurring on ≥15 days/month; the remainder had episodic migraine or tension-type headache almost equally. Mean duration of headache was 6.0 ± 4.4 hours. In 88.3% headache intensity was moderate or severe (mean 2.1 on a scale 1–3) and in 73.9% HY impaired daily activity. Loss of productivity at work due to headache totalled 2.6 million person-years/year, or 4.0% of workforce capacity. This estimate exceeded by 70% a previous estimate from the same survey based on recall over the preceding 3 months. There was greater impact on other daily activities.ConclusionRecall-error-free estimation shows lost productivity every day due to headache in the Russian population is enormously high. Measures to redress these losses – effective structured health-care services supported by educational programmes – should be seen as a public-health priority while almost certainly being cost-saving.

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“…In all three earlier published studies of HY, similar internal consistency has been seen between reported HY and prediction of 1-day headache prevalence based on estimated 1-year prevalence and recalled frequency during the preceding 3 months [15–17]. What was underestimated in recall over 3 months was the productivity loss, which was calculated at population level in Karnataka at only 1.8 % [18])–seemingly a major error.…”

Section: Discussionmentioning

confidence: 56%

Headache yesterday in Karnataka state, India: prevalence, impact and cost

et al. 2016

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BackgroundThe Global Campaign against Headache has pioneered evaluation of the prevalence and impact of headache on the preceding day (“headache yesterday”) as a new approach to the estimation of headache-attributed burden, avoiding recall error. We report its application in Karnataka State, southern India.MethodsIn a door-to-door survey, biologically unrelated adults (aged 18–65 years) were randomly sampled from urban and rural areas in and around Bengaluru and interviewed by trained researchers using a validated, structured questionnaire. Enquiry into headache applied ICHD-II diagnostic criteria and included questions about headache on the day preceding the interview (headache yesterday [HY]).ResultsThere were 2329 participants (participation proportion 92.6 %; males 1141 [49.0 %], females 1188 [51.0 %]; mean age 38.0 [±12.7] years; 1103 [47.4 %] from rural areas, 1226 [52.6 %] urban). HY was reported by 138 participants (males 33 [2.9 %], females 105 [8.8 %]): the 1-day prevalence of headache was 5.9 %. Mean duration of HY was 7.0 ± 8.5 h, so that 1.7 % of the population (5.9 % * 7.0/24), on average, had headache at any moment in time yesterday. Mean intensity on a scale of 1–3 was 2.0 [±0.8]. Lost productivity due to HY was reported by 83.3 % of participants with HY: 37.7 % able to do less than half of what they had planned and 13.0 % able to do nothing. Productivity loss at population level (being the productivity loss within the entire adult population, every single day, attributable to headache) was 3.0 %.ConclusionsThis method of enquiry, free from recall error, confirmed a very high level of headache-attributed burden in Karnataka: previous estimates based on 3-month recall may even have been too low. Until another study is done in the country, these are the best data for all India. They demonstrate need for action nationwide to mitigate this burden, and correct action will ultimately almost certainly be cost-saving.

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Headache yesterday in Europe

Cited by 19 publications

References 19 publications

The global burden of headache in children and adolescents – developing a questionnaire and methodology for a global study

The global burden of headache in children and adolescents – developing a questionnaire and methodology for a global study

Headache yesterday in Russia: its prevalence and impact, and their application in estimating the national burden attributable to headache disorders

Headache yesterday in Karnataka state, India: prevalence, impact and cost

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