Prevalence of primary headache disorders diagnosed according to ICHD-3 beta in three different social groups

Lebedeva, Elena R.; Kobzeva, Natalia R; Gilev, Denis V.; Olesen, Jes

doi:10.1177/0333102415596442

Cited by 31 publications

(52 citation statements)

References 45 publications

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“…Our results are in agreement with those of the study conducted by Lebedeva et al [40] that reported the highest prevalence of migraine and TTH among students. Similarly, we reported a high prevalence of migraine among medial students in Kuwait [14].…”

Section: Discussionsupporting

confidence: 94%

Prevalence of Primary Headache Disorders in Kuwait

Al-Hashel

Ahmed²,

Alroughani³

2017

Neuroepidemiology

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Background: Only an insignificant quantum of data exists on the prevalence of primary headaches among those living in Kuwait. We aimed to determine the prevalence of primary headaches among the Kuwaiti population. Methods: This community-based study included Kuwaiti population aged 18-65 years. Using systematic random sampling, data was collected by the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation questionnaire. Responses to the diagnostic questions were transformed into diagnoses algorithmically to confirm the diagnosis of primary headache. Results: A total of 15,523 patients were identified of whom 9,527 (61%) were diagnosed with primary headache disorder; a female predominance of 62.2% was observed. The mean age was 34.84 ± 10.19. Tension-type headache (TTH) was the most prevalent at 29% followed by episodic migraine (23.11%), chronic migraine (5.4%), and medication overuse headache (2.4%). Primary headache prevalence declined steadily from 71% in those aged 18-30 years to 23% in those over 50 (p < 0. 037). The female:male ratio was 1.7:1. Frequency and severity of primary headache were correlated significantly with lost work days (r = 0.611, p < 0.001 and r = 0.102, p = 0.001, respectively). Conclusions. In Kuwait, primary headache disorder is more frequent in young adults and females. TTH followed by episodic migraine were the more prevalent types of headache. Higher frequency and severe headaches were associated with increasing social and work-related burden.

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Section: Discussionsupporting

confidence: 94%

Prevalence of Primary Headache Disorders in Kuwait

Al-Hashel

Ahmed²,

Alroughani³

2017

Neuroepidemiology

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“…Blood donors were chosen as a mixed group who had much similarity with general population. In our previous study of the same population as in the present study, we found that blood donors had a prevalence of migraine and TTH similar to the general population . Social groups are not the same as occupational groups.…”

Section: Methodssupporting

confidence: 69%

“…We previously found that the prevalence of migraine and TTH varied considerably between social groups, primarily because students had a higher prevalence of both migraine and TTH and workers had a lower prevalence of TTH . Our hypothesis in this study was that factors associated with migraine and TTH differ not only between sexes but also between social groups.…”

Section: Introductionmentioning

confidence: 76%

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Factors Associated With Primary Headache According To Diagnosis, Sex, and Social Group

Lebedeva

Kobzeva²,

Gilev

et al. 2016

Headache

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Most of the associated factors were shared by the sexes. The associated factors varied somewhat more between migraine and TTH and between social groups. To be a student was associated with the highest risk of headache. Factors different from those in the present and previous studies should be studied in the future in order to better understand the differences in associated factors according to diagnosis, sex, and social group.

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“…1 Within the United States, migraine prevalence has remained highest among Native Americans, followed by whites, and they are more prevalent in females than in males, with a 2:1 to 3:1 ratio. 2,3 Migraine sufferers are more likely to experience depression, anxiety, and chronic pain. This leads to increased health care costs and lost work productivity.…”

mentioning

confidence: 99%

Anatomical Look Into OnabotulinumtoxinA Injection for Chronic Migraine Headache

Wu-Fienberg

Ansari

Zardouz

et al. 2018

Regional Anesthesia and Pain Medicine

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Background and ObjectivesWhile existing studies about onabotulinumtoxinA for chronic migraines have focused on injection location and appropriate dosing, little consideration has been given to patient body habitus and its potential impact on efficacy. We hypothesized that with increasing patient body mass index (BMI) there would be more subcutaneous fat separating targeted muscle groups from the skin surface, such that standard 0.5-inch needles used in existing protocols may not allow intramuscular injection. This may have implications for treatment planning.MethodsAnatomically normal computed tomography scans of the head, neck, and face were randomly selected. Subjects were stratified into 4 groups based on BMI, with 30 patients in each group. Four standardized locations were chosen to obtain measurements from the skin surface to the underlying muscle fascia, including (1) frontalis, (2) temporalis, (3) semispinalis capitis, and (4) trapezius.ResultsMedian depth for the temporalis was 12.65 mm (Q1 = 9.32 mm, Q3 = 15.08 mm) for the BMI greater than 35 kg/m2 group. Median depth for the semispinalis capitis was 13.77 mm (Q1 = 10.3 mm, Q3 = 15.7 mm) for the BMI 30 to 35 kg/m2 group, and 14.75 mm (Q1 = 11.00, Q3 = 17.00 mm) for the BMI greater than 35 kg/m2 group. Median depth for the trapezius was 13.95 mm (Q1 = 10.18 mm, Q3 = 19.00 mm) for the BMI greater than 35 kg/m2 group. These medians exceeded the length of the standard 0.5-inch (12.-mm) needle used in existing protocols.ConclusionsOur study demonstrates that with increasing BMI there is a greater distance between the skin surface and the muscle fascia of muscles that are targeted for injection in standard chronic migraine botulinum toxin injection protocols. Because of this, patient body habitus may be an important factor in injection technique.

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Prevalence of primary headache disorders diagnosed according to ICHD-3 beta in three different social groups

Abstract: Headache prevalence was high and differed markedly among the three social groups. It is important that headache epidemiology also focus on socially defined groups in order to target future preventive efforts.

Cited by 31 publications

References 45 publications

Prevalence of Primary Headache Disorders in Kuwait

Prevalence of Primary Headache Disorders in Kuwait

Factors Associated With Primary Headache According To Diagnosis, Sex, and Social Group

Anatomical Look Into OnabotulinumtoxinA Injection for Chronic Migraine Headache

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