Vinding G R, Zeeberg P, Lyngberg A, Nielsen R T, Jensen R
Danish Headache Centre, Department of Neurology, University of Copenhagen, Glostrup Hospital, Glostrup, Denmark.
Cephalalgia. 2007 Mar;27(3):263-70. doi: 10.1111/j.1468-2982.2006.01273.x.
The aim was to characterize the individual and socio-economic impact of headache in a patient population from The Danish Headache Centre. This was a cross-sectional study using a structured interview, prospective headache diaries and standardized self-administered questionnaires using the ICHD-II criteria. Fifty-five subjects (12 male and 43 female) with a median age of 41 years and a median headache frequency of 15 days/month participated. Very high utilization of the healthcare system and a high absence rate due to headache of 12 days/year were reported. Eighty-one percent experienced a marked decrease in work effectiveness. Overall, 91% felt hampered by their headache on a daily basis and 98% had had expenses for headache medication. Frequent headache disorders are highly costly, especially due to indirect costs. Prevention, early intervention or effective treatment strategies for headache disorders may therefore be highly cost effective, not only for the individual but also for society.
目的是描述丹麦头痛中心患者群体中头痛对个人和社会经济的影响。这是一项横断面研究，采用结构化访谈、前瞻性头痛日记以及依据国际头痛疾病分类第二版（ICHD-II）标准的标准化自填式问卷。55名受试者（12名男性和43名女性）参与其中，年龄中位数为41岁，头痛频率中位数为每月15天。报告显示医疗系统利用率极高，因头痛导致的缺勤率高达每年12天。81%的人工作效率显著下降。总体而言，91%的人每天因头痛而受影响，98%的人有头痛药物费用支出。频繁的头痛疾病成本高昂，尤其是间接成本。因此，头痛疾病的预防、早期干预或有效治疗策略可能具有很高的成本效益，不仅对个人，对社会也是如此。
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