Stovner Lars Jacob, Hagen Knut
Norwegian National Headache Centre, Trondheim University Hospital, Norway.
Curr Opin Neurol. 2006 Jun;19(3):281-5. doi: 10.1097/01.wco.0000227039.16071.92.
Documentation of disease impact, both on the individual and on society, is vital to ensure that healthcare resources are distributed according to the relative importance of the different disorders. For headache, international initiatives now promote the cause of headache sufferers by documenting the prevalence, burden, and cost. The present review aims to give an update on studies on these aspects of headache that have appeared since 2004.
Some studies indicate that the headache prevalence may be increasing, but the evidence is conflicting. The disease burden and the costs of migraine are probably among the highest for the neurologic disorders, and it is probably as high in poor countries as in the rich. For other headaches, reliable data on impact are still scarce, but these disorders may be as important as migraine because they are even more prevalent.
Robust and increasing evidence suggests that headache should be taken seriously as a public health problem, not only in the rich countries. More studies on the impact of non-migrainous headaches, largely of the tension type, are urgently needed for a full evaluation of the consequences of headache disorders.
记录疾病对个人和社会的影响，对于确保医疗资源根据不同疾病的相对重要性进行分配至关重要。对于头痛，国际倡议现在通过记录患病率、负担和成本来推动头痛患者的事业。本综述旨在更新自2004年以来出现的关于头痛这些方面的研究。
一些研究表明头痛患病率可能在上升，但证据相互矛盾。偏头痛的疾病负担和成本可能在神经系统疾病中是最高的，在贫穷国家可能与富裕国家一样高。对于其他头痛，关于影响的可靠数据仍然稀缺，但这些疾病可能与偏头痛一样重要，因为它们更为普遍。
有力且不断增加的证据表明，头痛应作为一个公共卫生问题予以重视，不仅在富裕国家如此。迫切需要更多关于非偏头痛性头痛（主要是紧张型）影响的研究，以便全面评估头痛疾病的后果。
