Prevalence and impact of migraine and probable migraine in a health plan

N. V. Patel, M. E. Bigal, K. B. Kolodner, C. Leotta, J. E. Lafata, Richard B. Lipton

Research output: Contribution to journalArticle

120 Citations (Scopus)

Abstract

Background: A large number of headache sufferers with features of migraine fail to meet criteria for strict migraine (SM; migraine with or without aura) but do meet criteria for probable migraine (PM). Objectives: To estimate the prevalence of PM, to compare the epidemiologic profiles of SM and PM, and to assess the disability and impact on the health-related quality of life (HRQoL) of these patients. Methods: Computer-assisted telephone interviews in a sample recruited from a mixed model health maintenance organization were used. SM, PM, and control subjects were identified. Also assessed were demographic features, disability, HRQoL, and depression. Results: The 1-year prevalence for SM was 14.7% (19.2% in women and 6.6% in men); for PM, it was 14.6% (15.9% in women, 12.6% in men). Most subjects with PM (82%) did not meet the associated symptom criteria for migraine. HRQoL was reduced in the PM, SM, and all migraine (AM; SM and PM pooled together) groups compared with controls. The proportion of subjects with high disability was elevated in PM (13%), SM (31%), and AM (22%) groups vs controls (3.7%; < 0.0001). Conclusions: Within a health plan, probable migraine is a prevalent form of migraine, with symptom and epidemiologic profiles that overlap with strict migraine. Although strict migraine prevalence was consistent with previous studies, a probable migraine prevalence higher than previously reported was found, perhaps reflecting a difference between health plan and population samples.

Original languageEnglish (US)
Pages (from-to)1432-1438
Number of pages7
JournalNeurology
Volume63
Issue number8
StatePublished - Oct 26 2004

Fingerprint

Migraine Disorders
Health
Quality of Life
Migraine without Aura
Migraine with Aura
Health Maintenance Organizations

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Patel, N. V., Bigal, M. E., Kolodner, K. B., Leotta, C., Lafata, J. E., & Lipton, R. B. (2004). Prevalence and impact of migraine and probable migraine in a health plan. Neurology, 63(8), 1432-1438.

Prevalence and impact of migraine and probable migraine in a health plan. / Patel, N. V.; Bigal, M. E.; Kolodner, K. B.; Leotta, C.; Lafata, J. E.; Lipton, Richard B.

In: Neurology, Vol. 63, No. 8, 26.10.2004, p. 1432-1438.

Research output: Contribution to journalArticle

Patel, NV, Bigal, ME, Kolodner, KB, Leotta, C, Lafata, JE & Lipton, RB 2004, 'Prevalence and impact of migraine and probable migraine in a health plan', Neurology, vol. 63, no. 8, pp. 1432-1438.
Patel NV, Bigal ME, Kolodner KB, Leotta C, Lafata JE, Lipton RB. Prevalence and impact of migraine and probable migraine in a health plan. Neurology. 2004 Oct 26;63(8):1432-1438.
Patel, N. V. ; Bigal, M. E. ; Kolodner, K. B. ; Leotta, C. ; Lafata, J. E. ; Lipton, Richard B. / Prevalence and impact of migraine and probable migraine in a health plan. In: Neurology. 2004 ; Vol. 63, No. 8. pp. 1432-1438.
@article{529912316c5941e99e95ee68837c2ef7,
title = "Prevalence and impact of migraine and probable migraine in a health plan",
abstract = "Background: A large number of headache sufferers with features of migraine fail to meet criteria for strict migraine (SM; migraine with or without aura) but do meet criteria for probable migraine (PM). Objectives: To estimate the prevalence of PM, to compare the epidemiologic profiles of SM and PM, and to assess the disability and impact on the health-related quality of life (HRQoL) of these patients. Methods: Computer-assisted telephone interviews in a sample recruited from a mixed model health maintenance organization were used. SM, PM, and control subjects were identified. Also assessed were demographic features, disability, HRQoL, and depression. Results: The 1-year prevalence for SM was 14.7{\%} (19.2{\%} in women and 6.6{\%} in men); for PM, it was 14.6{\%} (15.9{\%} in women, 12.6{\%} in men). Most subjects with PM (82{\%}) did not meet the associated symptom criteria for migraine. HRQoL was reduced in the PM, SM, and all migraine (AM; SM and PM pooled together) groups compared with controls. The proportion of subjects with high disability was elevated in PM (13{\%}), SM (31{\%}), and AM (22{\%}) groups vs controls (3.7{\%}; < 0.0001). Conclusions: Within a health plan, probable migraine is a prevalent form of migraine, with symptom and epidemiologic profiles that overlap with strict migraine. Although strict migraine prevalence was consistent with previous studies, a probable migraine prevalence higher than previously reported was found, perhaps reflecting a difference between health plan and population samples.",
author = "Patel, {N. V.} and Bigal, {M. E.} and Kolodner, {K. B.} and C. Leotta and Lafata, {J. E.} and Lipton, {Richard B.}",
year = "2004",
month = "10",
day = "26",
language = "English (US)",
volume = "63",
pages = "1432--1438",
journal = "Neurology",
issn = "0028-3878",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

TY - JOUR

T1 - Prevalence and impact of migraine and probable migraine in a health plan

AU - Patel, N. V.

AU - Bigal, M. E.

AU - Kolodner, K. B.

AU - Leotta, C.

AU - Lafata, J. E.

AU - Lipton, Richard B.

PY - 2004/10/26

Y1 - 2004/10/26

N2 - Background: A large number of headache sufferers with features of migraine fail to meet criteria for strict migraine (SM; migraine with or without aura) but do meet criteria for probable migraine (PM). Objectives: To estimate the prevalence of PM, to compare the epidemiologic profiles of SM and PM, and to assess the disability and impact on the health-related quality of life (HRQoL) of these patients. Methods: Computer-assisted telephone interviews in a sample recruited from a mixed model health maintenance organization were used. SM, PM, and control subjects were identified. Also assessed were demographic features, disability, HRQoL, and depression. Results: The 1-year prevalence for SM was 14.7% (19.2% in women and 6.6% in men); for PM, it was 14.6% (15.9% in women, 12.6% in men). Most subjects with PM (82%) did not meet the associated symptom criteria for migraine. HRQoL was reduced in the PM, SM, and all migraine (AM; SM and PM pooled together) groups compared with controls. The proportion of subjects with high disability was elevated in PM (13%), SM (31%), and AM (22%) groups vs controls (3.7%; < 0.0001). Conclusions: Within a health plan, probable migraine is a prevalent form of migraine, with symptom and epidemiologic profiles that overlap with strict migraine. Although strict migraine prevalence was consistent with previous studies, a probable migraine prevalence higher than previously reported was found, perhaps reflecting a difference between health plan and population samples.

AB - Background: A large number of headache sufferers with features of migraine fail to meet criteria for strict migraine (SM; migraine with or without aura) but do meet criteria for probable migraine (PM). Objectives: To estimate the prevalence of PM, to compare the epidemiologic profiles of SM and PM, and to assess the disability and impact on the health-related quality of life (HRQoL) of these patients. Methods: Computer-assisted telephone interviews in a sample recruited from a mixed model health maintenance organization were used. SM, PM, and control subjects were identified. Also assessed were demographic features, disability, HRQoL, and depression. Results: The 1-year prevalence for SM was 14.7% (19.2% in women and 6.6% in men); for PM, it was 14.6% (15.9% in women, 12.6% in men). Most subjects with PM (82%) did not meet the associated symptom criteria for migraine. HRQoL was reduced in the PM, SM, and all migraine (AM; SM and PM pooled together) groups compared with controls. The proportion of subjects with high disability was elevated in PM (13%), SM (31%), and AM (22%) groups vs controls (3.7%; < 0.0001). Conclusions: Within a health plan, probable migraine is a prevalent form of migraine, with symptom and epidemiologic profiles that overlap with strict migraine. Although strict migraine prevalence was consistent with previous studies, a probable migraine prevalence higher than previously reported was found, perhaps reflecting a difference between health plan and population samples.

UR - http://www.scopus.com/inward/record.url?scp=7044274093&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=7044274093&partnerID=8YFLogxK

M3 - Article

C2 - 15505161

AN - SCOPUS:7044274093

VL - 63

SP - 1432

EP - 1438

JO - Neurology

JF - Neurology

SN - 0028-3878

IS - 8

ER -