偏头痛：流行病学、负担和共病。

Migraine: Epidemiology, Burden, and Comorbidity.

机构信息

Department of Neurology, John R. Graham Headache Center, Brigham and Women's Hospital, Harvard Medical School, 1153 Centre Street, Suite 4H, Jamaica Plain, MA 02130, USA.

Albert Einstein College of Medicine, 1250 Waters Place, 8th floor, Bronx, NY 10461, USA. Electronic address: https://twitter.com/dawnbuse.

出版信息

Neurol Clin. 2019 Nov;37(4):631-649. doi: 10.1016/j.ncl.2019.06.001. Epub 2019 Aug 27.

DOI:10.1016/j.ncl.2019.06.001

PMID:31563224

Abstract

Migraine affects an estimated 12% of the population. Global estimates are higher. Chronic migraine (CM) affects 1% to 2% of the global population. Approximately 2.5% of persons with episodic migraine progress to CM. Several risk factors are associated with the progression to CM. There is significant short-term variability in migraine frequency independent of treatment. Migraine is associated with cardiovascular disease, psychiatric disease, and sleep disorders. It is the second most disabling condition worldwide. CM is associated with higher headache-related disability/impact, medical and psychiatric comorbidities, health care resource use, direct and indirect costs, lower socioeconomic status, and health-related quality of life.

摘要

偏头痛影响估计有 12%的人口。全球估计更高。慢性偏头痛（CM）影响全球人口的 1%至 2%。大约有 2.5%的发作性偏头痛患者进展为 CM。几种危险因素与进展为 CM 相关。偏头痛的发作频率在没有治疗的情况下存在显著的短期变异性。偏头痛与心血管疾病、精神疾病和睡眠障碍有关。它是全球第二大致残疾病。CM 与更高的头痛相关残疾/影响、医疗和精神共病、医疗保健资源利用、直接和间接成本、较低的社会经济地位以及与健康相关的生活质量有关。