Suppr超能文献

偏头痛在美国的流行率和负担:一项系统评价。

Prevalence and burden of migraine in the United States: A systematic review.

机构信息

Mount Sinai Center for Headache and Facial Pain, Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

出版信息

Headache. 2024 May;64(5):516-532. doi: 10.1111/head.14709. Epub 2024 May 3.

Abstract

BACKGROUND

This study reviewed migraine prevalence and disability gathered through epidemiologic survey studies in the United States conducted over the past three decades. We summarized these studies and evaluated changing patterns of disease prevalence and disability.

METHODS

We conducted a systematic review of US studies addressing the prevalence, disability, and/or burden of migraine, including both episodic migraine (EM) and chronic migraine (CM). A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was used in conjunction with the PubMed search engine. Eligible studies were published before February 2022, were conducted in the United States, included representative samples, and used a case definition of migraine based on the International Classification of Headache Disorders (ICHD). The primary measure of disease burden was the Migraine Disability Assessment Scale (MIDAS). The MIDAS measures days lost due to migraine over 3 months in three domains and defines groups with moderate (Grade III) or severe disability (Grade IV) using cut-scores.

RESULTS

Of the 1609 identified records, 26 publications from 11 US population-based studies met eligibility criteria. The prevalence of migraine in the population has remained relatively consistent for the past 30 years: ranging from 11.7% to 14.7% overall, 17.1% to 19.2% in women, and 5.6% to 7.2% in men in the studies reviewed. CM prevalence is 0.91% (1.3% among women and 0.5% of men) in adults and 0.8% in adolescents. The proportion of people with migraine and moderate-to-severe MIDAS disability (Grades III-IV), has trended upward across studies from 22.0% in 2005 to 39.0% in 2012, to 43.2% in 2016, and 42.4% in 2018. A consistently higher proportion of women were assigned MIDAS Grades III/IV relative to men.

CONCLUSION

The prevalence of migraine in the United States has remained stable over the past three decades while migraine-related disability has increased. The disability trend could reflect changes in reporting, study methodology, social and societal changes, or changes in exacerbating or remediating factors that make migraine more disabling, among other hypotheses. These issues merit further investigation.

摘要

背景

本研究回顾了过去三十年美国进行的流行病学调查研究中收集的偏头痛患病率和残疾情况。我们对这些研究进行了总结,并评估了疾病患病率和残疾程度的变化模式。

方法

我们对美国研究偏头痛患病率、残疾和/或负担的研究进行了系统回顾,包括发作性偏头痛(EM)和慢性偏头痛(CM)。使用首选报告项目的系统评价和荟萃分析(PRISMA)方案与 PubMed 搜索引擎结合使用。合格的研究发表于 2022 年 2 月之前,在美国进行,包括有代表性的样本,并使用基于国际头痛疾病分类(ICHD)的偏头痛病例定义。疾病负担的主要衡量标准是偏头痛残疾评估量表(MIDAS)。MIDAS 衡量三个月内因偏头痛而损失的天数,在三个领域使用截断分数定义中度(等级 III)或重度残疾(等级 IV)的人群。

结果

在 1609 条记录中,有 26 篇来自 11 项美国人群为基础的研究的出版物符合入选标准。过去 30 年来,人群中偏头痛的患病率一直相对稳定:在审查的研究中,总体患病率为 11.7%至 14.7%,女性为 17.1%至 19.2%,男性为 5.6%至 7.2%。成年人中 CM 的患病率为 0.91%(女性为 1.3%,男性为 0.5%),青少年为 0.8%。患有偏头痛和中度至重度 MIDAS 残疾(等级 III-IV)的人群比例在研究中呈上升趋势,从 2005 年的 22.0%上升到 2012 年的 39.0%,到 2016 年的 43.2%,再到 2018 年的 42.4%。女性被分配 MIDAS 等级 III/IV 的比例始终高于男性。

结论

过去三十年来,美国偏头痛的患病率保持稳定,而偏头痛相关的残疾程度有所增加。残疾趋势可能反映了报告、研究方法、社会和社会变化的变化,或使偏头痛更具致残性的加重或缓解因素的变化等其他假设。这些问题值得进一步调查。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验