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      Prevalence and burden of headache disorders in Lithuania and their public-health and policy implications: a population-based study within the Eurolight Project.

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          Abstract

          The Eurolight project assessed the impact of headache disorders in ten EU countries, using the same structured questionnaire but varying sampling methods. In Lithuania, sample selection employed methods in line with consensus recommendations for population-based burden-of-headache studies.

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          The global burden of headache: a documentation of headache prevalence and disability worldwide.

          LJ Stovner, K. Hagen, R. Jensen … (2007)
          This study, which is a part of the initiative 'Lifting The Burden: The Global Campaign to Reduce the Burden of Headache Worldwide', assesses and presents all existing evidence of the world prevalence and burden of headache disorders. Population-based studies applying International Headache Society criteria for migraine and tension-type headache, and also studies on headache in general and 'chronic daily headache', have been included. Globally, the percentages of the adult population with an active headache disorder are 46% for headache in general, 11% for migraine, 42% for tension-type headache and 3% for chronic daily headache. Our calculations indicate that the disability attributable to tension-type headache is larger worldwide than that due to migraine. On the World Health Organization's ranking of causes of disability, this would bring headache disorders into the 10 most disabling conditions for the two genders, and into the five most disabling for women.
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            The impact of headache in Europe: principal results of the Eurolight project

            Timothy Steiner, Lars Jacob Stovner, Zaza Katsarava … (2014)
            Background European data, at least from Western Europe, are relatively good on migraine prevalence but less sound for tension-type headache (TTH) and medication-overuse headache (MOH). Evidence on impact of headache disorders is very limited. Eurolight was a data-gathering exercise primarily to inform health policy in the European Union (EU). This manuscript reports personal impact. Methods The study was cross-sectional with modified cluster sampling. Surveys were conducted by structured questionnaire, including diagnostic questions based on ICHD-II and various measures of impact, and are reported from Austria, France, Germany, Italy, Lithuania, Luxembourg, Netherlands, Spain and United Kingdom. Different methods of sampling were used in each. The full methodology is described elsewhere. Results Questionnaires were analysed from 8,271 participants (58% female, mean age 43.4 y). Participation-rates, where calculable, varied from 10.6% to 58.8%. Moderate interest-bias was detected. Unadjusted lifetime prevalence of any headache was 91.3%. Gender-adjusted 1-year prevalences were: any headache 78.6%; migraine 35.3%; TTH 38.2%, headache on ≥15 d/mo 7.2%; probable MOH 3.1%. Personal impact was high, and included ictal symptom burden, interictal burden, cumulative burden and impact on others (partners and children). There was a general gradient of probable MOH > migraine > TTH, and most measures indicated higher impact among females. Lost useful time was substantial: 17.7% of males and 28.0% of females with migraine lost >10% of days; 44.7% of males and 53.7% of females with probable MOH lost >20%. Conclusions The common headache disorders have very high personal impact in the EU, with important implications for health policy.
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              Lifting the burden: The global campaign against headache.

              T. J. Steiner (2004)
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J Headache Pain
                Title: The journal of headache and pain
                Publisher: Springer Nature
                ISSN (Electronic): 1129-2377
                ISSN (Print): 1129-2369
                Publication date (Electronic): Dec 2017
                Volume: 18
                Issue: 1
                Affiliations
                [1 ] Lithuanian University of Health Sciences, Kaunas, Lithuania.
                [2 ] Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU Norwegian University of Science and Technology, Trondheim, NO-7941, Norway.
                [3 ] Norwegian Advisory Unit on Headache, St Olavs University Hospital, Trondheim, Norway.
                [4 ] Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
                [5 ] Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU Norwegian University of Science and Technology, Trondheim, NO-7941, Norway. t.steiner@imperial.ac.uk.
                [6 ] Division of Brain Sciences, Imperial College London, London, UK. t.steiner@imperial.ac.uk.
                Article
                Publisher Item ID: 10.1186/s10194-017-0759-5
                DOI: 10.1186/s10194-017-0759-5
                PMC ID: 5418170
                PubMed ID: 28474253
                SO-VID: 371de09c-868b-4a65-9aed-72f5e833034b
                History

                Keywords: Burden,Disability,Global campaign against headache,Health policy,Lithuania,Lost productivity,Medication-overuse headache,Migraine,Population-based study,Public health,Tension-type headache
                Data availability:
                Keywords: Burden, Disability, Global campaign against headache, Health policy, Lithuania, Lost productivity, Medication-overuse headache, Migraine, Population-based study, Public health, Tension-type headache

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