Shauly Orr, Gould Daniel J, Patel Ketan M
Keck Hospital of University of Southern California, Los Angeles, CA.
Aesthet Surg J Open Forum. 2019 Apr 2;1(2):ojz007. doi: 10.1093/asjof/ojz007. eCollection 2019 Jun.
Migraine disorders are a leading cause of morbidity and decreased economic productivity in the United States among both men and women. As such, it is important to consider patient opinions, and have an accurate representation of the burden and sentiment toward currently available interventions among those suffering from migraines.
The aim of the study was to assess patient options regarding adverse outcomes of the various treatment options available for migraine headaches.
A prospective cross-sectional study of volunteers recruited through an internet crowdsourcing service, Amazon Mechanical Turk©, was conducted. Surveys were administered to collect patient-reported opinions regarding adverse outcomes of both surgical and nonsurgical treatment options for migraine headaches.
The prevalence of migraine headache across all study participants was 15.6% and varied slightly across participant demographics. Individuals ages 35-44 (2.73 migraines per month) experienced the fewest migraine and with the lowest severity. Those individuals ages 45+ experienced the most severe headaches (Visual Analog Scale = 44.23 mm). Additionally, the greatest migraine frequency and severity existed among those households with yearly income of $75,000-$100,000. The lowest injection therapy utility scores were obtained for adverse outcomes of hematoma (47.60 mm) and vertigo (54.40 mm).
Migraine headaches remains a significant problem among the US population, with an overall prevalence of 15.6% (approximately 50 million Americans). Additionally, physicians interesting in offering minimally invasive or surgical treatment for migraine headaches should focus on mitigating patient fears regarding clinical outcomes and cost of care.
偏头痛疾病是美国男性和女性发病及经济生产力下降的主要原因。因此，考虑患者意见并准确呈现偏头痛患者对现有干预措施的负担和看法很重要。
本研究的目的是评估偏头痛患者对各种可用治疗方案不良后果的选择。
通过互联网众包服务亚马逊土耳其机器人（Amazon Mechanical Turk©）招募志愿者进行前瞻性横断面研究。进行调查以收集患者报告的关于偏头痛手术和非手术治疗方案不良后果的意见。
所有研究参与者中偏头痛的患病率为15.6%，在不同参与者人口统计学特征中略有差异。35 - 44岁的个体（每月2.73次偏头痛）经历的偏头痛最少且严重程度最低。45岁及以上的个体经历的头痛最严重（视觉模拟量表 = 44.23毫米）。此外，年收入75,000 - 100,000美元的家庭中偏头痛频率和严重程度最高。血肿（47.60毫米）和眩晕（54.40毫米）不良后果的注射治疗效用得分最低。
偏头痛在美国人群中仍然是一个重大问题，总体患病率为15.6%（约5000万美国人）。此外，对提供偏头痛微创或手术治疗感兴趣的医生应专注于减轻患者对临床结果和护理成本的担忧。
