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Erschienen in: Current Pain and Headache Reports 2/2019

01.02.2019 | Episodic Migraine (S. Nahas, Section Editor)

Unique Considerations for Special Populations in Episodic Migraine: the Underserved

verfasst von: Umer Najib, Melissa Moore, David Watson

Erschienen in: Current Pain and Headache Reports | Ausgabe 2/2019

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Abstract

Purpose of Review

People with migraine disease face many challenges, and these challenges can be magnified when someone is part of an “underserved” population. We set out to examine various categories of “underserved” populations, consider the unique challenges faced by these groups, and discuss mechanisms to mitigate these challenges as much as possible.

Recent Findings

Very little research has been performed to specifically evaluate underserved populations related to people with migraine disease. Recent research has shown the overall limitations of limited numbers of physicians with specialty training in headache disorders, and the socioeconomic implications of migraine disease have long been reported.

Summary

Even the definition of “underserved” is not completely clear. We undertook to define this concept in the setting of migraine disease, breaking into different categories, including financial, geographic, and cultural/racial. Each underserved population has both shared and unique challenges, and in reality, given the paucity of medical expertise throughout the United States, one could make the argument that nearly all people with migraine disease are at risk for being underserved. In the future, epidemiologic as well as therapeutic research should incorporate analyses of these and any other underserved population to improve the application of study results across broad and varied populations whose commonality, in many cases, ends with sharing the same disease.
Literatur
1.
Zurück zum Zitat Bigal ME, Lipton RB, Winner P, Reed ML, Diamond S, Stewart WF. Migraine in adolescents – association with socioeconomic status and family history. Neurology. 2007;69:16–25.CrossRef Bigal ME, Lipton RB, Winner P, Reed ML, Diamond S, Stewart WF. Migraine in adolescents – association with socioeconomic status and family history. Neurology. 2007;69:16–25.CrossRef
4.
Zurück zum Zitat • Mauser ED, Rosen NL. So many migraines, so few subspecialists: analysis of the geographic location of United Council for Neurologic Subspecialties (UCNS) certified headache subspecialists compared to United States headache demographics. Headache. 2014;54:1347–57 An excellent evaluation of the distribution of headache medicine certified specialists and the overall inadequacy in number. CrossRef • Mauser ED, Rosen NL. So many migraines, so few subspecialists: analysis of the geographic location of United Council for Neurologic Subspecialties (UCNS) certified headache subspecialists compared to United States headache demographics. Headache. 2014;54:1347–57 An excellent evaluation of the distribution of headache medicine certified specialists and the overall inadequacy in number. CrossRef
7.
Zurück zum Zitat Migraine Research Foundation. Migraine fact sheet. New York: MRF; 2016. Migraine Research Foundation. Migraine fact sheet. New York: MRF; 2016.
8.
Zurück zum Zitat Bonafede M, Sapra S, Shah N, Tepper S, Cappell K, Desai P. Direct and indirect healthcare resource utilization and costs among migraine patients in the United States. Headache. 2018;58(5):700–14.CrossRef Bonafede M, Sapra S, Shah N, Tepper S, Cappell K, Desai P. Direct and indirect healthcare resource utilization and costs among migraine patients in the United States. Headache. 2018;58(5):700–14.CrossRef
9.
Zurück zum Zitat Hawkins K, Wang S, Rupnow MF. Indirect cost burden of migraine in the United States. J Occup Environ Med. 2007;49:368–74.CrossRef Hawkins K, Wang S, Rupnow MF. Indirect cost burden of migraine in the United States. J Occup Environ Med. 2007;49:368–74.CrossRef
10.
Zurück zum Zitat Bloudek LM, Stokes M, Buse DC, Wilcox TK, Lipton RB, Goadsby PJ, et al. Cost of healthcare for patients with migraine in five European countries: results from the International Burden of Migraine Study (IBMS). J Headache Pain. 2012;13:361–78.CrossRef Bloudek LM, Stokes M, Buse DC, Wilcox TK, Lipton RB, Goadsby PJ, et al. Cost of healthcare for patients with migraine in five European countries: results from the International Burden of Migraine Study (IBMS). J Headache Pain. 2012;13:361–78.CrossRef
11.
Zurück zum Zitat Schultz AB, Chen CY, Edington DW. The cost and impact of health conditions on presenteeism to employers: a review of the literature. PharmacoEconomics. 2009;27:365–78.CrossRef Schultz AB, Chen CY, Edington DW. The cost and impact of health conditions on presenteeism to employers: a review of the literature. PharmacoEconomics. 2009;27:365–78.CrossRef
12.
Zurück zum Zitat Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W. Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med. 2004;46(4):398–412.CrossRef Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W. Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med. 2004;46(4):398–412.CrossRef
13.
Zurück zum Zitat Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: figures and trends from government health studies. Headache. 2018;58(4):496–505.CrossRef Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: figures and trends from government health studies. Headache. 2018;58(4):496–505.CrossRef
14.
Zurück zum Zitat Friedman BW, Serrano D, Reed M, Diamond M, Lipton RB. Use of the emergency department for severe headache. A population-based study. Headache. 2009;49:21–30.CrossRef Friedman BW, Serrano D, Reed M, Diamond M, Lipton RB. Use of the emergency department for severe headache. A population-based study. Headache. 2009;49:21–30.CrossRef
15.
Zurück zum Zitat Wilper A, Woolhandler S, Himmelstein D, Nardin R. Impact of insurance status on migraine care in the United States: a population-based study. Neurology. 2010;74:1178–83.CrossRef Wilper A, Woolhandler S, Himmelstein D, Nardin R. Impact of insurance status on migraine care in the United States: a population-based study. Neurology. 2010;74:1178–83.CrossRef
16.
Zurück zum Zitat • Loder S, Sheikh HU, Loder E. The prevalence, burden, and treatment of severe, frequent, and migraine headaches in US minority populations: statistics from national survey studies. Headache. 2015;55:214–28 A good evaluation of migraine disease prevalence in minorities in the US. CrossRef • Loder S, Sheikh HU, Loder E. The prevalence, burden, and treatment of severe, frequent, and migraine headaches in US minority populations: statistics from national survey studies. Headache. 2015;55:214–28 A good evaluation of migraine disease prevalence in minorities in the US. CrossRef
17.
Zurück zum Zitat Luan Erfe BM, Siddiqui KA, Schwamm LH, Kirwan C, Nunes A, Mejia NI. Professional medical interpreters influence the quality of acute ischemic stroke care for patients who speak languages other than English. J Am Heart Assoc. 2017;6(9):e006175.CrossRef Luan Erfe BM, Siddiqui KA, Schwamm LH, Kirwan C, Nunes A, Mejia NI. Professional medical interpreters influence the quality of acute ischemic stroke care for patients who speak languages other than English. J Am Heart Assoc. 2017;6(9):e006175.CrossRef
18.
Zurück zum Zitat Tschurtz BA, Koss RG, Kupka NJ, Williams SC. Language services in hospitals: discordance in availability and staff use. J Healthc Manag. 2011;56:403–17.CrossRef Tschurtz BA, Koss RG, Kupka NJ, Williams SC. Language services in hospitals: discordance in availability and staff use. J Healthc Manag. 2011;56:403–17.CrossRef
19.
Zurück zum Zitat Hsieh E. Not just “getting by”: factors influencing providers’ choice of interpreters. J Gen Intern Med. 2015;30:75–82.CrossRef Hsieh E. Not just “getting by”: factors influencing providers’ choice of interpreters. J Gen Intern Med. 2015;30:75–82.CrossRef
Metadaten
Titel
Unique Considerations for Special Populations in Episodic Migraine: the Underserved
verfasst von
Umer Najib
Melissa Moore
David Watson
Publikationsdatum
01.02.2019
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 2/2019
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-019-0749-1

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