Auray Jean-Paul
Université Claude Bernard - Lyon 1, Laboratoire d'Analyse des Systèmes de Santé, UMR - CNRS no 5823, Villeurbanne, France.
CNS Drugs. 2006;20 Spec no.1:37-46.
The International Headache Society has defined a clear diagnostic guideline classifying headaches into three categories. It is now well known that headaches have a significant effect on the quality of life and the professional, school or family activities of individuals, and that the economic impact is far from negligible. An extensive survey drawn from a sample of 10 585 individuals in the French adult population was carried out in the last three months of 1999. The results showed a prevalence of 17.3% for migraine and nearly 30% for headaches. The average expenditure for a headache patient is about 220 Euro, divided as follows: 10% for GP consultations, 11% for laboratory evaluations, 17% for specialist consultations, 18% for drugs and 44% for hospital costs. But this breakdown depends largely on the headache category. Although the most acute headaches lead to the most severe deterioration of quality of life, professional or school activities are not affected in the same way.
国际头痛协会制定了明确的诊断指南,将头痛分为三类。现在众所周知,头痛对生活质量以及个人的职业、学业或家庭活动有重大影响,而且其经济影响不可忽视。1999年最后三个月,对法国成年人口中的10585人进行了广泛调查。结果显示,偏头痛的患病率为17.3%,头痛的患病率近30%。头痛患者的平均支出约为220欧元,细分如下:全科医生会诊占10%,实验室评估占11%,专科医生会诊占17%,药物占18%,医院费用占44%。但这种细分很大程度上取决于头痛的类别。尽管最急性的头痛会导致生活质量最严重的恶化,但职业或学业活动受到的影响方式并不相同。