Kim Kyung Min, Cho Soo Jin, Shin Hye Jung, Yang Kwang Ik, Kim Daeyoung, Yun Chang Ho, Chu Min Kyung
Department of Neurology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
J Clin Neurol. 2021 Jan;17(1):77-85. doi: 10.3988/jcn.2021.17.1.77.
Identifying changes in the prevalence, disability, and management patterns of migraine is important for reducing the burden of this disease. However, data on the changes in these variables are scarce.
We compared data obtained in the 2009 Korean Headache Survey and the 2018 Korean Sleep-Headache Survey.
The 1-year migraine prevalence did not differ significantly between 2018 and 2009 [5.2% (114/2,200) vs. 6.0% (91/1,507), =0.492]. The number of days with missed activity due to headache during the previous 3 months was larger in the 2018 survey than in the 2009 survey [1.1±2.9 vs. 0.3±1.0 days (mean±standard deviation), =0.013]. The number of days with reduced productivity during the previous 3 months did not differ significantly between the two surveys (0.8±2.8 vs. 1.4±1.4 days, =0.679). The proportion of subjects with a substantial-to-severe headache impact (Headache Impact Test-6 score ≥56) was marginally larger in the 2018 survey than in the 2009 survey [42.1% (48/114) vs. 29.7% (27/91), =0.066]. The rate of lifetime medical consultations did not differ between the 2018 and 2009 surveys [34.2% (39/114) vs. 30.8% (28/91), =0.615].
Migraine prevalence was stable over the 9-year period between the surveys, but disability due to missed activity was greater in 2018 than in 2009 in Korea.
识别偏头痛患病率、致残情况及管理模式的变化对于减轻该疾病负担至关重要。然而,关于这些变量变化的数据却很匮乏。
我们比较了2009年韩国头痛调查和2018年韩国睡眠-头痛调查所获得的数据。
2018年与2009年的1年偏头痛患病率无显著差异[5.2%(114/2200)对6.0%(91/1507),P = 0.492]。2018年调查中前3个月因头痛导致活动缺失的天数多于2009年调查[1.1±2.9对0.3±1.0天(均值±标准差),P = 0.013]。前3个月生产力下降的天数在两次调查间无显著差异(0.8±2.8对1.4±1.4天,P = 0.679)。头痛影响严重程度较高(头痛影响测试-6评分≥56)的受试者比例在2018年调查中略高于2009年调查[42.1%(48/114)对29.7%(27/91),P = 0.066]。2018年与2009年调查的终生医疗咨询率无差异[34.2%(39/114)对30.8%(28/91),P = 0.615]。
在两次调查间隔的9年期间,偏头痛患病率保持稳定,但在韩国,2018年因活动缺失导致的致残情况比2009年更严重。