Chronic daily headache in a primary care population: Prevalence and headache impact test scores
Chronic daily headache in a primary care population: Prevalence and headache impact test scores
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DOI：
10.1111/j.1526-4610.2007.00647.x
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发表时间：
2007-01-01
期刊：
影响因子：
5
通讯作者：
Linville, Julie C.
中科院分区：
文献类型：
--
作者：
Coeytaux, Remy R.;Linville, Julie C.
背景。-基于人群的调查估计，一般社区中慢性每日头痛（CDH）的患病率约为4%。然而，在美国的初级保健机构中，CDH在患者中的患病率尚不清楚。目的：评估初级保健患者人群中CDH的患病率和相关的痛苦负担。-对某学术性家庭医学中心随机抽取的1500名成年患者进行横断面调查。结果测量包括自我报告的头痛频率和头痛影响测试分数。- 853例（57%）患者完成问卷调查。受访者的平均年龄为49岁（SD = 16），年龄范围为18 - 94岁。226名（58%）患者报告在过去的一个月里有过一次或更多的严重头痛。74例（9%）患者报告与CDH一致的头痛频率，定义为在过去一个月内头痛出现15天或更长时间。24名CDH患者（32%）认为他们的医生都不知道他们头痛，或者不确定他们的医生是否意识到他们的头痛，21名患者（28%）报告说他们不需要医生治疗他们的头痛。-与普通社区相比，初级保健患者人群中CDH的患病率更高。相当大比例的CDH患者没有将头痛告知其保健提供者。鉴于在开发治疗偏头痛的有效药物方面取得的进展，以及越来越多的证据表明药物是导致CDH的一个原因，鼓励患者向其保健提供者告知其头痛情况，并鼓励提供者识别经常头痛的患者，可能是适当的。
Background.-Population-based surveys estimate the prevalence of chronic daily headache (CDH) in the general community to be approximately 4%. The prevalence of CDH among patients seen in the primary care setting in the United States, however, is unknown.Purpose.-To estimate the prevalence and associated burden of suffering of CDH in a primary care patient population.Methods.-Cross-sectional survey of a randomly selected sample of 1500 adult patients in an academic Family Medicine Center was done. Outcome measures include self-reported headache frequency and Headache Impact Test scores.Results.-Completed questionnaires were returned by 853 (57%) patients. The mean age of respondents was 49 years (SD = 16), with a range of 18 to 94 years. Two hundred ninety-six (58%) patients reported having had 1 or more severe headaches in the past month. Seventy-four (9%) patients reported a frequency of headache consistent with CDH, defined as the occurrence of headache 15 or more days in the past month. Twenty-four patients (32%) with CDH either believed that none of their doctors know that they experienced headaches or were not sure if their doctors were aware of their headaches, and 21 (28%) reported that they have not needed a doctor's care for their headaches.Conclusions.-The prevalence of CDH is greater among a primary care patient population compared to the general community. A substantial proportion of patients with CDH do not bring their headaches to the attention of their health-care providers. In light of the advances in the development of effective medications for migraines and the growing body of evidence implicating medications as a contributing cause of CDH, it may be appropriate to encourage patients to inform their health-care providers about their headaches and to encourage providers to identify patients with frequent headaches.