Schwedt Todd J, Shapiro Robert E
Washington University Headache Center, Washington University School of Medicine, St. Louis, MO 63110, USA.
Headache. 2009 Feb;49(2):162-9. doi: 10.1111/j.1526-4610.2008.01323.x.
Despite the high level of individual and societal burden resulting from headache disorders, the National Institutes of Health (NIH) has funded relatively little research on these disorders.
The objective of this study was to define current patterns of NIH funding of research on headache disorders.
The Computer Retrieval of Information on Scientific Projects database was searched using the terms "migraine" or "headache" or "trigeminovascular" and inclusive of the dates 1987 to November 2007. Titles and abstracts of the resulting projects were reviewed to identify headache research projects and to extract data. E-mails were sent to each of the principal investigators to identify investigators experienced in serving on NIH study sections. E-mails and membership directories were used to determine if principal investigators were members of the American Headache Society. Comparisons were made for levels of NIH funding for migraine, headache disorders, and 10 other medical disorders relative to 3 measures of disease burden.
A total of 111 headache research projects led by 93 different investigators were identified. Research project grants (Rs) accounted for 61 (55%) of the grants. Migraine was the most common headache type studied, being the focus in 77 (69.4%) of the projects. The National Institute of Neurological Disorders and Stroke was responsible for funding 66 (59.5%) of the projects. At least 30 (32.3%) of the principal investigators were American Headache Society members and 14 (15%) had served on NIH study sections.
A small number of research grants on headache disorders were funded by the NIH over the last 2 decades, with 2007 funding estimated between $6.8 and $13 million. By comparison to NIH funding of research on 10 chronic medical conditions relative to disease burden, headache research funding should exceed $103 million annually.
尽管头痛疾病给个人和社会带来了沉重负担,但美国国立卫生研究院(NIH)对这些疾病的研究资助相对较少。
本研究的目的是确定NIH目前对头痛疾病研究的资助模式。
使用“偏头痛”或“头痛”或“三叉神经血管系统”等术语,在科学项目信息计算机检索数据库中进行检索,检索时间范围为1987年至2007年11月。对检索到的项目的标题和摘要进行审查,以确定头痛研究项目并提取数据。向每位主要研究者发送电子邮件,以确定有在NIH研究小组任职经验的研究者。通过电子邮件和成员名录来确定主要研究者是否为美国头痛协会的成员。比较了NIH对偏头痛、头痛疾病以及其他10种医学疾病的研究资助水平与3种疾病负担衡量指标之间的关系。
共确定了由93位不同研究者牵头的111个头痛研究项目。研究项目拨款(R01)占拨款总数的61项(55%)。偏头痛是研究最多的头痛类型,在77项(69.4%)项目中作为重点研究对象。国立神经疾病与中风研究所负责资助其中66项(59.5%)项目。至少30位(32.3%)主要研究者是美国头痛协会成员,14位(15%)曾在NIH研究小组任职。
在过去20年里,NIH资助的头痛疾病研究拨款数量较少,2007年的资助估计在680万至1300万美元之间。与NIH对10种慢性疾病研究的资助情况及疾病负担相比,头痛研究的资助每年应超过1.03亿美元。