Institute of Psychiatry, HCFMUSP, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Department of Neurology, Hospital Albert Einstein, São Paulo, Brazil.
Cephalalgia. 2024 Aug;44(8):3331024241267309. doi: 10.1177/03331024241267309.
The Global Burden of Disease (GBD) study is pivotal in shaping health policies by providing comprehensive data on mortality and disability. An updated GBD2021 analysis, published in on 14 March 2024, expands the scope of neurological disorders to include 37 conditions, revealing their significant impact on global health. Neurological disorders affect 3.4 billion people, or 43.1% of the global population, making them the leading cause of disability-adjusted life years (DALYs) in 2021, with an 18.2% increase since 1990. The top three causes of DALYs in this category are stroke, neonatal encephalopathy and migraine. Migraine, affecting 1.16 billion people, ranks first among children and adolescents and second among adults aged under 60 years. Despite its substantial impact, migraine often lacks proper attention because of its non-fatal nature, invisibility and historical neglect of neurological disorders. The International Headache Society calls for recognizing migraine as a serious medical condition, promoting research and integrating migraine management into public health strategies. Effective interventions include raising awareness, improving access to treatment, adding migraine to the epidemiological surveillance agenda and exploring new treatment strategies. A coordinated effort among stakeholders is essential to alleviate the burden of migraine on individuals and society.
全球疾病负担（GBD）研究通过提供死亡率和残疾数据，在制定卫生政策方面发挥着关键作用。2024 年 3 月 14 日发表在[期刊名称]上的 GBD2021 更新分析扩展了神经系统疾病的范围，纳入了 37 种疾病，揭示了它们对全球健康的重大影响。神经系统疾病影响了 34 亿人，占全球人口的 43.1%，是 2021 年伤残调整生命年（DALY）的主要原因，自 1990 年以来增加了 18.2%。该类别中 DALY 的前三个原因是中风、新生儿脑病和偏头痛。偏头痛影响了 11.6 亿人，在儿童和青少年中排名第一，在 60 岁以下成年人中排名第二。尽管偏头痛的影响很大，但由于其非致命性、不可见性和历史上对神经系统疾病的忽视，往往得不到适当的关注。国际头痛学会呼吁将偏头痛视为一种严重的医疗状况，促进研究并将偏头痛管理纳入公共卫生战略。有效的干预措施包括提高认识、改善治疗机会、将偏头痛纳入流行病学监测议程以及探索新的治疗策略。利益相关者之间的协调努力对于减轻偏头痛对个人和社会的负担至关重要。
