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Topic: Disability rates from headache (Read 283 times) |
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Bob_Johnson
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Disability rates from headache
« on: Nov 21st, 2003, 8:04am » |
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This report is limited by the size of the population studied but it might give some useful data in support of disability claims/applications. You can get a full copy of the article from your local library's interlibrary loan service or from a large hospital's medical library.
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HEADACHE DISABILITY AND
HEADACHE DIAGNOSIS:
Non-Migraine Headache Is Associated With
Greater Disability Than Migraine
DAWN A. MARCUS, MD
OBJECTIvE: To compare headache-associated disability in migraine versus non-migraine headache patients.
DESIGN: The study involved 289 consecutive patients who were seeking treatment for chronic headache and who were evaluated with questionnaires to determine headache-associated disability. Comparisons were made between patients with migraine versus patients with exclusively non-migraine headache.
RESULTS: Headache occurred frequently (more than 4 days per week) in 63.7% of patients overall. Frequent headache occurred in only 15.8% of patients with migraine, in 75.4% with combined migraine and tension- type headache, and in 66.7% to 89.2% with non- migraine headache. Both migraine and combined migraine and tension-type headache were associated with significantly less frequent disability than non- migraine headaches. Percentages of patients incapacitated I day a week or less were migraine, 67.1%; combined migraine and tension-type, 59.4%; tension-type, 54.7%; post-traumatic, 28.9%; cluster, 33.3%; and secondary headaches, 45.9%. Percentages of patients incapacitated more than 3 days per week were migraine, 2.6%; combined migraine and tension-type, 15.9%; tension-type, 37.7%; post-traumatic, 40.0%; cluster, 33.3%; and secondary headaches, 40.5%. Percentages of patients needing to reduce activities be-cause of headache I day or less weekly were migraine, 30.3%; combined migraine and tension-type, 14.5%; tension-type, 24.5%; traumatic, 13.3%; cluster, 22.2%; and secondary headaches, 21.6%. Percentages of patients needing to reduce activities more than 3 days weekly were migraine, 6.6%; combined migraine and tension-type, 30.4%; tension-type, 37.7%; traumatic, 62.2%; cluster, 33.3%; and secondary headaches, 45.9%.
SUMMARY: Non-migraine headaches were associated with the greatest disability. Disability measures should be included in headache assessment and determination of treatment efficacy for non-migraine headaches.
Headache & Pain. 2003; 14 4): 180-185
Dr Marcus is associate professor in the department of anesthesiology and research director of the Multidisdplinary Headache Clinic at the University of Pittsburgh Medical Center in Pennsylvania.
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Bob Johnson
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jonny
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Re: Disability rates from headache
« Reply #1 on: Nov 21st, 2003, 9:10pm » |
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Thanks Bob,
Your always there with the info, its greatly appreciated!!
................................jonny
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Marc
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Re: Disability rates from headache
« Reply #2 on: Nov 21st, 2003, 11:09pm » |
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I want to ditto Jonny's post.
Bob Johnson has been posting a whole lot of research info here for years. In fact, he used to maintain a huge library of CH related info online.
I've emailed him a couple of times to say thank you, but I also want to remind everyone else just how much data he's dug up and quietly posted here!
Marc
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Bob_Johnson
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Re: Disability rates from headache
« Reply #4 on: Nov 22nd, 2003, 10:34am » |
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Many thanks!
It's unfortunate that the new format here doesn't allow the posting of the resource message--but it's just too long.
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Bob Johnson
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