Higher frequency of medication overuse headache in patients attended by neurologists in Lima, Peru
Views: 532DOI:
https://doi.org/10.48208/HeadacheMed.2021.23Palavras-chave:
Headaches, Medication-Overuse Headache, Chronic Daily HeadachesResumo
Background
The type of medical care received (self-medication and/or medical care provided by a general practitioner or a neurologist) may be associated with differences in the frequency of medication overuse headaches.
Method
This cross-sectional analytical study included 222 records of patients with chronic daily headaches seen at the National Institute of Neurological Sciences Outpatient Unit in Lima, Peru. A pre-designed questionnaire was used to assess and categorize patients with frequent and chronic headaches.
Results
Ninety-four patients (42.34% of those with chronic daily headaches) met the criteria for medication overuse headache. Of these, 19 (28%) self-medicated, 22 (36%) consulted with the general practitioner, and the highest proportion of subjects, 53 (58%), consulted with a neurologist. On bivariate analysis, subjects who had received care from a general practitioner and self-medicated were 38% and 51% less likely to have MOH than the subjects who
received medical care from the neurologist (p=0.012; 95% CI 0.42-0.90 and p=0.001; 95% CI 0.32-0.74). On multivariate analysis adjusting by sociodemographic and clinical factors, the association remained significant in regards to self-medication, but became marginal (p=0.055) in regard to being seen by a general practitioner.
Conclusion
In this study, the frequency of the headache due to overuse of medication was higher in patients attending a neurologist than those attending a general practitioner or self-medicated. This cross-sectional design cannot assess whether this reflects more severe cases looking for specialized care or more medication overuse headaches as a result of inappropriate management.
Downloads
Referências
Toom K, Braschinsky M, Obermann M and Katsarava Z. Secondary headache attributed to exposure to or overuse of a substance. Cephalalgia 2021;41(4):443-452 Doi:10.1177/0333102420942238 DOI: https://doi.org/10.1177/0333102420942238
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38(1):1-211 Doi:10.1177/0333102417738202 DOI: https://doi.org/10.1177/0333102417738202
Goadsby PJ and Boes C. Chronic daily headache. J Neurol Neurosurg Psychiatry 2002;72 Suppl 2(Suppl 2):ii2-ii5 Doi:10.1136/jnnp.72.suppl_2.ii2
Russell MB. Epidemiology and management of medication-overuse headache in the general population. Neurol Sci 2019;40(Suppl 1):23-26 Doi:10.1007/s10072-019-03812-8 DOI: https://doi.org/10.1007/s10072-019-03812-8
Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392(10159):1789-1858 Doi:10.1016/s0140-6736(18)32279-7 DOI: https://doi.org/10.1016/S0140-6736(18)32279-7
Cargnin S, Viana M, Sances G, Tassorelli C and Terrazzino S. A systematic review and critical appraisal of gene polymorphism association studies in medicationoveruse headache. Cephalalgia 2018;38(7):1361-1373 Doi:10.1177/0333102417728244 DOI: https://doi.org/10.1177/0333102417728244
Migliore S, Paolucci M, Quintiliani L, Altamura C, Maffi S, D'Aurizio G, . . . Vernieri F. Psychopathological Comorbidities and Clinical Variables in Patients With Medication Overuse Headache. Front Hum Neurosci 2020;14:571035 Doi:10.3389/fnhum.2020.571035 DOI: https://doi.org/10.3389/fnhum.2020.571035
Bottiroli S, Galli F, Viana M, Sances G and Tassorelli C. Traumatic Experiences, Stressful Events, and Alexithymia in Chronic Migraine With Medication Overuse. Front Psychol 2018;9:704 Doi:10.3389/fpsyg.2018.00704 DOI: https://doi.org/10.3389/fpsyg.2018.00704
Pompili M, Innamorati M, Lamis DA, Serafini G, Ricci F, Migliorati M, . . . Martelletti P. Depression and insomnia are independently associated with satisfaction and enjoyment of life in medication-overuse headache
patients. Int J Psychiatry Med 2016;51(5):442-455 Doi:10.1177/0091217416680804 DOI: https://doi.org/10.1177/0091217416680804
Jonsson P, Linde M, Hensing G and Hedenrud T. Sociodemographic differences in medication use, health-care contacts and sickness absence among individuals with medication-overuse headache. J Headache Pain 2012;13(4):281-290 Doi:10.1007/s10194-012-0432-y DOI: https://doi.org/10.1007/s10194-012-0432-y
Shand B, Goicochea MT, Valenzuela R, Fadic R, Jensen R, Tassorelli C and Nappi G. Clinical and Demographical Characteristics of Patients with Medication Overuse Headache in Argentina and Chile: Analysis of the Latin American Section of COMOESTAS Project. J Headache Pain 2015;16:83 Doi:10.1186/s10194-015-0561-1 DOI: https://doi.org/10.1186/s10194-015-0561-1
Find NL, Terlizzi R, Munksgaard SB, Bendtsen L, Tassorelli C, Nappi G, . . . Jensen R. Medication overuse headache in Europe and Latin America: general demographic and clinical characteristics, referral pathways and national distribution of painkillers in a descriptive, multinational, multicenter study. J Headache Pain 2015;17:20 Doi:10.1186/s10194-016-0612-2 DOI: https://doi.org/10.1186/s10194-016-0612-2
Viana M, De Icco R, Allena M, Sances G, Højland JR, Katsarava Z, . . . Tassorelli C. Clinical Subtypes of Medication Overuse Headache - Findings From a Large Cohort. Headache 2019;59(9):1481-1491 Doi:10.1111/head.13641 DOI: https://doi.org/10.1111/head.13641
Chen PK and Wang SJ. Medication Overuse and Medication Overuse Headache: Risk Factors, Comorbidities, Associated Burdens and Nonpharmacologic and Pharmacologic Treatment Approaches. Curr Pain Headache Rep 2019;23(8):60 Doi:10.1007/s11916-019-0796-7 DOI: https://doi.org/10.1007/s11916-019-0796-7
Mohseni N, Togha M, Arzaghi SM, Nekooie S, Tafti MF and Fatehi F. Personality Traits and Anxiety and Depressive Disorders in Patients With Medication-Overuse Headache Versus Episodic Migraine. Prim Care
Companion CNS Disord 2017;19(6):17m02188 Doi:10.4088/PCC.17m02188 DOI: https://doi.org/10.4088/PCC.17m02188
Peck KR, Roland MM and Smitherman TA. Factors Associated With Medication-Overuse Headache in Patients Seeking Treatment for Primary Headache. Headache 2018;58(5):648-660 Doi:10.1111/head.13294 DOI: https://doi.org/10.1111/head.13294
Lundqvist C, Gossop M, Russell MB, Straand J and Kristoffersen ES. Severity of Analgesic Dependence and Medication-overuse Headache. J Addict Med 2019;13(5):346-353 Doi:10.1097/adm.0000000000000504 DOI: https://doi.org/10.1097/ADM.0000000000000504
Jay GW and Barkin RL. Primary Headache Disorders-Part 2: Tension-type headache and medication overuse headache. Dis Mon 2017;63(12):342-367 Doi:10.1016/j.disamonth.2017.05.001 DOI: https://doi.org/10.1016/j.disamonth.2017.05.001
Guo S, Shalchian S, Gérard P, Küper M, Katsarava Z, Ashina M and Schoenen J. Prevalence of right-to-left shunts on transcranial Doppler in chronic migraine and medication-overuse headache. Cephalalgia 2014;34(1):37-41 Doi:10.1177/0333102413497600 DOI: https://doi.org/10.1177/0333102413497600
The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013;33(9):629-808 Doi:10.1177/0333102413485658 DOI: https://doi.org/10.1177/0333102413485658
López Martínez MDV, Pareja Román J, Jiménez Hernández MD, Maestu Unturbe C and Ramírez-Castillejo MDC. Chronic Migraine with Medication Overuse: Clinical Pattern and Evolution from a Retrospective Cohort in Seville, Spain. SN Compr Clin Med 2020;2(9):1514-1525 Doi:10.1007/s42399-020-00424-8 DOI: https://doi.org/10.1007/s42399-020-00424-8
Viana M, Bottiroli S, Sances G, Ghiotto N, Allena M, Guaschino E, . . . Tassorelli C. Factors associated to chronic migraine with medication overuse: A crosssectional study. Cephalalgia 2018;38(14):2045-2057 Doi:10.1177/0333102418761047 DOI: https://doi.org/10.1177/0333102418761047
Kristoffersen ES, Benth J, Straand J, Russell MB and Lundqvist C. Validity of self-reported assessment of Severity of Dependence Scale in Medication-Overuse Headache. Scand J Pain 2019;19(4):837-841 Doi:10.1515/sjpain-2019-0022 DOI: https://doi.org/10.1515/sjpain-2019-0022
Eichler GS, Cochin E, Han J, Hu S, Vaughan TE, Wicks P, . . . Devenport J. Exploring Concordance of Patient-
Reported Information on PatientsLikeMe and Medical Claims Data at the Patient Level. J Med Internet Res
;18(5):e110 Doi:10.2196/jmir.5130 DOI: https://doi.org/10.2196/jmir.5130
Downloads
- PDF (English) 244
- HTML (English) 28
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2021 María Elena Novoa, Carlos Alberto Bordini
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
