Treatment costs and indirect costs of cluster headache: A health economics analysis

Gaul, Charly; Finken, Julia; Biermann, Janine; Mostardt, Sarah; Diener, Hans‐Christoph; Müller, Oliver; Wasem, Jürgen; Neumann, Anja

doi:10.1177/0333102411425866

Cited by 73 publications

(94 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Solomon et al found that patients with CH had significantly lower rates of social activity compared with patients with migraines, in line with our findings [16]. Indirect costs from work disability and lower participation caused by CH impose a significant socioeconomic burden on patients and society [17, 18]. …”

Section: Discussionsupporting

confidence: 90%

Impact of cluster headache on employment status and job burden: a prospective cross-sectional multicenter study

et al. 2018

View full text Add to dashboard Cite

BackgroundCluster headaches (CH) are recurrent severe headaches, which impose a major burden on the life of patients. We investigated the impact of CH on employment status and job burden.MethodsThe study was a sub-study of the Korean Cluster Headache Registry. Patients with CH were enrolled from September 2016 to February 2018 from 15 headache clinics in Korea. We also enrolled a headache control group with age-sex matched patients with migraine or tension-type headache. Moreover, a control group including individuals without headache complaints was recruited. All participants responded to a questionnaire that included questions on employment status, type of occupation, working time, sick leave, reductions in productivity, and satisfaction with current occupation. The questionnaire was administered to participants who were currently employed or had previous occupational experience.ResultsWe recruited 143 patients with CH, 38 patients with other types of headache (migraine or tension-type headache), and 52 headache-free controls. The proportion of employees was lower in the CH group compared with the headache and headache-free control groups (CH: 67.6% vs. headache controls: 84.2% vs. headache-free controls: 96.2%; p = 0.001). The CH group more frequently experienced difficulties at work and required sick leave than the other groups (CH: 84.8% vs. headache controls: 63.9% vs. headache-free controls: 36.5%; p < 0.001; CH: 39.4% vs. headache controls: 13.9% vs. headache-free controls: 3.4%; p < 0.001). Among the patients with CH, sick leave was associated with younger age at CH onset (25.8 years vs. 30.6 years, p = 0.014), severity of pain rated on a visual analogue scale (9.3 vs. 8.8, p = 0.008), and diurnal periodicity during the daytime (p = 0.003). There were no significant differences with respect to the sick leave based on sex, age, CH subtypes, and CH recurrence.ConclusionsCH might be associated with employment status. Most patients with CH experienced substantial burdens at work.Electronic supplementary materialThe online version of this article (10.1186/s10194-018-0911-x) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionsupporting

confidence: 90%

Impact of cluster headache on employment status and job burden: a prospective cross-sectional multicenter study

et al. 2018

View full text Add to dashboard Cite

show abstract

“…However, these studies have all used either generic QoL scales such as the SF-36, or migraine-specific scales that may not necessarily be able to capture the true effects of CH, and may therefore be underestimating the actual impact of the disorder on QoL. Indeed, some instruments specifically ask about suffering in the past four weeks, thus ECH sufferers out of a bout would rate low scores on these scales, even though they may be severely impaired during a bout [9]. Hence, these measures may not provide a true reflection of the actual impairment.…”

Section: Discussionmentioning

confidence: 99%

The development and validation of the Cluster Headache Quality of life scale (CHQ)

et al. 2016

View full text Add to dashboard Cite

BackgroundCluster headache (CH) is a rare, excruciating and highly disabling primary headache disorder. Using non cluster headache specific measures, previous studies have shown that CH has a significant negative impact on patients’ quality of life (QoL), but a CH-specific QoL scale is currently unavailable. Thus, the objective of this study was to develop and validate a CH-specific QoL scale.MethodsBased on a literature review, semi-structured patient interviews and expert panel consultation, we produced a 54-item questionnaire, which was pre-tested in a sample of CH patients and subsequently reduced to 47 items. The revised scale was then administered to CH sufferers attending a tertiary headache clinic and those registered with a patient group. A total of 406 completed questionnaires were received. To assess test-retest reliability, a subsample (N = 56) completed the scale on a second occasion, two weeks after the first. Standard statistical methods were used to analyse the data for validity and reliability.ResultsItem reduction and exploratory factor analysis led to 28-items, grouped into four subscales labelled “restriction of activities of daily living”, “impact on mood and interpersonal relationships”, “pain and anxiety”, and “lack of vitality”. The final CH-specific QoL scale, the CHQ, demonstrated satisfactory internal consistency (Cronbach’s alpha > 0.9) and test-retest reliability (intraclass correlation coefficient > 0.8), with good internal construct validity between subscales (range 0.52–0.75) and convergent validity with other QoL measures.ConclusionsWe have developed and validated the first patient-reported outcome measure of QoL specifically for CH sufferers, which may be used to monitor QoL in clinical care and research.

show abstract

“…Les patients souffrant d'AVF chronique et d'AVF épisodique en période active ont une perte de productivité plus importante que les patients souffrant d'AVF en dehors des périodes douloureuses et que les migraineux (grade C) [18]. Dans une étude mono-centrique de 179 patients suivis dans un centre tertiaire allemand, les coûts directs moyens sur 6 mois ont été estimés à 5963 D et sont apparus corrélés positivement à la fréquence des crises (grade C) [21]. Ce même travail a montré que 13,4 % de ces patients étaient dans l'incapacité de travailler [21].…”

Section: Comorbidité Psychiatriqueunclassified

“…Dans une étude mono-centrique de 179 patients suivis dans un centre tertiaire allemand, les coûts directs moyens sur 6 mois ont été estimés à 5963 D et sont apparus corrélés positivement à la fréquence des crises (grade C) [21]. Ce même travail a montré que 13,4 % de ces patients étaient dans l'incapacité de travailler [21]. Cet impact professionnel a été également mis en évidence au Danemark avec 30 % d'absentéisme professionnel chez les patients souffrant d'AVF (grade C) [19] et aux États-Unis avec près de 20 % des patients souffrant d'AVF déclarant une perte d'emploi secondaire à leur maladie (grade C) [8].…”

Section: Comorbidité Psychiatriqueunclassified

Recommandations pour le diagnostic et le traitement de l’algie vasculaire de la face

Donnet

Demarquay

Ducros

et al. 2015

Douleurs : Evaluation - Diagnostic - Traitement

View full text Add to dashboard Cite

Treatment costs and indirect costs of cluster headache: A health economics analysis

Abstract: CH leads to major socioeconomic impact on patients as well as society due to direct healthcare costs and indirect costs caused by loss of working capacity.

Cited by 73 publications

References 24 publications

Impact of cluster headache on employment status and job burden: a prospective cross-sectional multicenter study

Impact of cluster headache on employment status and job burden: a prospective cross-sectional multicenter study

The development and validation of the Cluster Headache Quality of life scale (CHQ)

Recommandations pour le diagnostic et le traitement de l’algie vasculaire de la face

Contact Info

Product

Resources

About