NIHR-Wellcome Trust King's Clinical Research Facility, King's College London, London, UK.
Consumer Healthcare, Sanofi, Gentilly, France.
Eur J Neurol. 2021 Dec;28(12):4184-4193. doi: 10.1111/ene.15037. Epub 2021 Aug 28.
A large proportion of headache sufferers do not routinely seek medical care. App-based technologies permit the collection of real-world data over time and between countries that can help assess true burden of headache. This study used a mobile phone application to collect information on the real-world burden of self-diagnosed headache and to describe its impact on daily life in headache sufferers who do not routinely seek medical advice.
This retrospective, non-interventional, cross-sectional study analysed self-reported data from users of the 'Migraine Buddy' app. The main objective was to describe self-reported characteristics of headache and migraine (triggers, duration, frequency), treatment patterns and impact on daily activity in headache sufferers from Australia, Brazil, France, Germany and Japan. Data including demographics, self-diagnosed episode type (headache/migraine), duration, potential triggers and impact on daily activity are reported. All analyses were exploratory and performed per country.
Self-reported data were collected from 60,474 users between August 2016 and August 2018. Approximately 90% of users were females; >60% were aged 24-45 years. Over one-third of users reported having two to five episodes of headache or migraine per month; impact included impaired concentration, being slower and missing work or social activities. Variations across countries were observed; within countries, episode characteristics were very similar for self-diagnosed headache versus migraine.
Headache tracking was used to describe the experience, impact and self-management approaches of migraine and headache sufferers in a real-world setting. Headache disorders present a range of important issues for patients that deserve more study and reinforce the need for better approaches to management.
很大一部分头痛患者没有定期就医。基于应用程序的技术可以在一段时间内和国家之间收集真实世界的数据，从而有助于评估头痛的真实负担。本研究使用手机应用程序收集自我诊断头痛的真实世界负担信息，并描述其对未定期寻求医疗建议的头痛患者日常生活的影响。
这是一项回顾性、非干预性、横断面研究，分析了“偏头痛伴侣”应用程序用户的自我报告数据。主要目的是描述头痛和偏头痛（触发因素、持续时间、频率）的自我报告特征、治疗模式以及在澳大利亚、巴西、法国、德国和日本的头痛患者中的日常活动的影响。报告的数据包括人口统计学特征、自我诊断的发作类型（头痛/偏头痛）、持续时间、潜在触发因素和对日常活动的影响。所有分析均为探索性分析，并按国家进行。
2016 年 8 月至 2018 年 8 月期间，共从 60474 名用户中收集了自我报告数据。约 90%的用户为女性；>60%的用户年龄在 24-45 岁之间。超过三分之一的用户报告每月有两到五次头痛或偏头痛发作；影响包括注意力不集中、反应迟钝和缺勤或错过社交活动。在不同国家之间观察到了差异；在同一国家内，自我诊断的头痛与偏头痛的发作特征非常相似。
使用头痛跟踪来描述偏头痛和头痛患者在真实环境中的体验、影响和自我管理方法。头痛障碍给患者带来了一系列重要问题，值得进一步研究，并强化了需要更好的管理方法的必要性。
