Impact of headache on sickness absence and utilisation of medical services: a Danish population study.

Abstract

Study objective-The aim was to study the extent and type of health service utilisation, medication habits, and sickness absence due to the primary headaches.Design-This was a cross sectional epidemiological survey of headache disorders in a general population. Headache was diagnosed according to a structured interview and a neurological examination using the criteria of the International Headache Society.Setting As a family doctor, the general practitioner plays a key role in the Danish health service, being the first link in the chain of services rendered by the health system. Hospital admission and access to private specialist services require referral by the general practitioner.In 1989 in the Copenhagen County, the general practitioner/population ratio was approximately 1/1600, the full time private specialist/population ratio approximately 1/5200, and the dentist/ population ratio approximately 1/1700. The general practioner ratio corresponds to the average for the whole ofDenmark, while the latter two ratios are higher. The 600 000 inhabitants of the district are served by three fully specialised hospitals with approximately 800 beds each. Methods SUBJECTS AND INVITATIONThe study population and the methods used have been described in detail elsewhere.' In summary, the participation rate was 76% and the examined population comprises 740 randomly selected 25-64 year old persons, 387 men and 353 women, living in the western part of Copenhagen County.The Glostrup Population Studies,

Prevalência e custos indiretos das cefaléias em uma empresa brasileira

“…5 . Apenas 16% dos pacientes com CTT procuram atendimento, contra 56% dos enxaquecosos (procuram especialista: 16% na enxaqueca e 4% na CTT) 12 . Nos EUA, 2/3 dos enxaquecosos nunca procuraram um médico 13 .…”

“…Entre 740 indivíduos estudados na Dinamarca, 43% dos enxaquecosos e 12% dos indivíduos com CTT perderam pelo menos um dia inteiro de trabalho durante o ano (mais comum: 1-7 dias). Para cada 1000 habitantes a enxaqueca tende a produzir 270 dias perdidos de trabalho por ano 12 . Cerca de 10% dos funcionários, no presente estudo disseram que suas crises prejudicam o trabalho.…”

Tension–type headache in 40–year-olds: a Danish population–based sample of 4000

“…This is probably due to the often mild symptoms and the fact that most people rarely consult their physician due to tension-type headache [3,4]. However, the high prevalence and the considerable socioeconomic impact render tension-type headache to be a type of headache which should not be ignored [3,4].…”

“…This is probably due to the often mild symptoms and the fact that most people rarely consult their physician due to tension-type headache [3,4]. However, the high prevalence and the considerable socioeconomic impact render tension-type headache to be a type of headache which should not be ignored [3,4]. For instance tension-type headache causes 3 times more work absence than migraine, as tension-type headache causes 820 days of work absence per year per 1000 people from the general population, while migraine only causes 270 days of work absence [3].…”

“…However, the high prevalence and the considerable socioeconomic impact render tension-type headache to be a type of headache which should not be ignored [3,4]. For instance tension-type headache causes 3 times more work absence than migraine, as tension-type headache causes 820 days of work absence per year per 1000 people from the general population, while migraine only causes 270 days of work absence [3]. Furthermore, about 2%-3% of the general population suffers from daily or nearly daily tensiontype headache, which causes a high burden for those affected, their families and friends as well as society [5][6][7].…”