Hospital da Luz Headache Center, Lisboa. Avenida Lusíada nº 100, 1500-650, Lisboa, Portugal.
Universidade Católica Portuguesa, Institute of Health Sciences, Center for Interdisciplinary Research in Health, Lisboa, Portugal.
J Headache Pain. 2022 Feb 22;23(1):31. doi: 10.1186/s10194-022-01395-y.
The paper from Steiner et al. suggests that an outcome measure expressed in time units may be an adequate method to assess the impact of headache disorders, regardless of diagnosis or health care setting, proving useful for cost-benefit analysis and health policy definition. Using time lost to each attack - weighted by disability - may prove to be a reliable measure to establish the effectiveness of acute treatment, but if considering also the attack frequency it could evaluate the effects of preventive strategies. A measure such as the Headache Gauge, which translates the proportion of time lost to headache -related disability, has proven to be applicable also in routine clinical practice as well, and can be tested in clinical trials and populational analysis. There are practical limitations, such as disability assessment and the need for prospective data collection to avoid recall bias but it seems consensual that impairment related to primary headache disorders is primarily driven by the TIME stolen from the perfect health status.
施泰纳等人的论文表明，以时间单位表示的结果测量可能是评估头痛障碍影响的一种充分方法，无论诊断或医疗保健环境如何，这对成本效益分析和卫生政策制定很有用。使用因残疾而失去的每次发作的时间（通过残疾加权）可能被证明是评估急性治疗效果的可靠方法，但如果还考虑发作频率，它可以评估预防策略的效果。像头痛计这样的测量方法，将因头痛相关残疾而失去的时间比例转化为数字，已被证明也适用于常规临床实践，可以在临床试验和人群分析中进行测试。存在实际限制，例如残疾评估和需要前瞻性数据收集以避免回忆偏倚，但人们普遍认为，原发性头痛障碍相关的损伤主要是由从完美健康状态中偷走的时间造成的。
