Medication-overuse headache in China: Clinical profile, and an evaluation of the ICHD-3 beta diagnostic criteria

Dong, Zhao; Chen, Xiaoyan; Steiner, Timothy J.; Hou, Lei; Di, Hai; He, Mianwang; Dai, Wei; Pan, Meiyan; Zhang, Mingjie; Liu, Ruozhuo; Yu, Shengyuan

doi:10.1177/0333102414552533

Cited by 26 publications

(24 citation statements)

References 23 publications

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“…And MOH accounted for approximately 60% of CDH. Our group's another study [26] showed MOH clinical profile -MOH in China was associated with lower educational level and annual income. A recent report [27] also suggested MOH was more common in the less well educated.…”

Section: Discussionmentioning

confidence: 81%

Prevalence and risk factors associated with headache amongst medical staff in South China

Xie

et al. 2020

J Headache Pain

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Background: A previous study by our team reported the prevalence of primary headache disorders and factors associated with headache among nurses in three hospitals in North China. The aim of this cross-sectional survey was to learn more about how medical nurses in South China were affected by headache. Additionally, we determined the prevalence of headache and measured the impact of headache among doctors in mainland China for the first time. Methods: Stratified random cluster sampling was used to select 280 physicians and 365 nurses from various departments in four hospitals in Sanya, which is one of southernmost cities in China. Information was collected on demographic data, occupational factors and headache characteristics by using a structured questionnaire. Results: Among 645 medical staff, 548 (85%) responded (doctors = 240, nurses = 308). Among the medical staff, the 1year prevalence of primary headache disorders was 50%, with 25.9% experiencing migraine and 24.1% experiencing tension-type headache (TTH). The prevalence of migraine in female doctors was higher than that in female nurses, although this difference was not significant (32.4% vs. 29.8%, P = 0.628). Multivariate analysis showed that being female and working in other specialties (Emergency Department & Radiology Department) remained independent risk factors for migraine in doctors (OR 2.314 and 3.223). In nurses, being married was a risk factor for migraine (OR 3.728), and job titles remained an independent risk factor for migraine and TTH (OR 2.294 and 4.695). Working more than 6 night-shifts per month was associated with an increased prevalence of migraine and TTH in doctors; the same was true in nurses for migraine, but not for TTH. Conclusion: The prevalence of primary headache disorders in both nurses and doctors is higher than that in the general population in South China. Our study shows that occupation, geography and sex may play an important role. Further, female doctors are more susceptible than female nurses to migraine. The risk factors relevant to headache that were found in this study should provide an important reference for promoting occupational health in medical staff, especially female doctors in China.

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Section: Discussionmentioning

confidence: 81%

Prevalence and risk factors associated with headache amongst medical staff in South China

Xie

et al. 2020

J Headache Pain

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“…There is no large-scale epidemiological data on MOH in China. Dong [ 5 ] retrospectively analyzed the clinical features of 240 patients with MOH and discovered only two patients (0.8 %) had previously been given the diagnosis of MOH. Furthermore, the median time to diagnosis after the estimated onset of the disorder was 4.0 years.…”

Section: Introductionmentioning

confidence: 99%

Analysis of risk factors for medication-overuse headache relapse: a clinic-based study in China

Yan

Chen

et al. 2015

BMC Neurol

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BackgroundMedication overuse headache (MOH) is the third most prevalent headache type after migraine and tension-type headache. A large number of studies on the long-term prognosis have shown that MOH has a high relapse rate after treatment. Although MOH relapse-related risk factors have been reported, no related research has been performed in China. Therefore, the purpose of this study was to analyze and evaluate the risk factors for MOH relapse in China.MethodsEighty-six out-patients of Shandong Provincial Hospital who were initially diagnosed with MOH, and who had successful withdrawal treatment within 2 months, were chosen from March 2012 to July 2013. All subjects were followed up by the investigators of this study. Of the 86 subjects, 27 who had relapsed were compared with 59 who had not relapsed (i.e. the controls). Based on a standardized questionnaire, a database was created (with Microsoft Excel 2010). The data, which included 38 indexes, were analyzed by univariate analysis with chi-square test, Fisher’s exact test, t-test, or paired rank test. The statistically correlated (P < 0.05) variables were chosen as the independent variables, thereby enabling the calculation of the non-conditional multivariate stepwise logistic regression.ResultsThe independent risk factors for medication-overuse headache relapse were determined as headache frequency before drug withdrawal, duration of primary headache, and headache frequency after drug withdrawal.ConclusionHeadache frequency before drug withdrawal, duration of primary headache, and headache frequency after drug withdrawal may be the independent risk factors for MOH relapse in China.

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“…[1][2][3][4][5][6][7][8] A number of acute headache treatments may cause MOH, 7 and the medications that are predominantly associated with MOH vary from country to country. 1,7,9,10 Opioids such as codeine are particularly problematic, as they are consistently associated with increasingly severe headaches 11 ( Table 12 ) and poor outcomes after withdrawal. 13 In a number of regions, including Hong Kong and Japan, codeine-containing medication is only available by prescription.…”

Section: Medication Overuse Headache: Strategies For Prevention and Tmentioning

confidence: 99%

Medication overuse headache: strategies for prevention and treatment using a multidisciplinary approach

Driel

Anderson²,

McGuire

et al. 2018

Hong Kong Med J

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Medication-overuse headache in China: Clinical profile, and an evaluation of the ICHD-3 beta diagnostic criteria

Abstract: MOH in China is associated with lower educational level and annual income. MOH has rarely been diagnosed and correctly treated in China. ICHD-3 beta appears to be more appropriate for the diagnosis of MOH than previous versions.

Cited by 26 publications

References 23 publications

Prevalence and risk factors associated with headache amongst medical staff in South China

Prevalence and risk factors associated with headache amongst medical staff in South China

Analysis of risk factors for medication-overuse headache relapse: a clinic-based study in China

Medication overuse headache: strategies for prevention and treatment using a multidisciplinary approach

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