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        New Message Board Archives >> Oct-Dec 2003 >> Disability rates from headache
        
(Message started by: Bob_Johnson on Nov 21^st, 2003, 8:04am)

Title: Disability rates from headache
Post by Bob_Johnson on Nov 21^st, 2003, 8:04am

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.

Title: Re: Disability rates from headache
Post by jonny on Nov 21^st, 2003, 9:10pm

Thanks Bob,

Your always there with the info, its greatly appreciated!!

................................jonny

Title: Re: Disability rates from headache
Post by Marc on Nov 21^st, 2003, 11:09pm

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

Title: Re: Disability rates from headache
Post by Mastifflvr28 on Nov 22^nd, 2003, 1:20am

yer right Marc,
Thank you Bob for ALL your hard work and research!!
Mast

Title: Re: Disability rates from headache
Post by Bob_Johnson on Nov 22^nd, 2003, 10:34am

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.

Title: Re: Disability rates from headache
Post by BobG on Nov 22^nd, 2003, 1:28pm

For those not familiar with Bob's research click on this

http://www.clusterheadaches.com/wwwboard/messages2/117016.html
Bob Johnson (“Cluster Resources #16” Doctors, medicines, etc 11-1-01)

and this

http://www.clusterheadaches.com/wwwboard/messages/35104.html
Bob Johnson (Coping with insensitive docs) 1-18-00