Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania
Abstract
:1. Introduction
2. Materials and Methods
2.1. Part 1—Headache and Sociodemographic Characteristics of First-Time Consultations to the Headache Clinic
2.2. Part 2—Assessment of Routine Headache Management by Primary Health Care Providers
2.3. Data Evaluation and Statistics
2.4. Evaluation of Data from First-Time Consultations to the Headache Clinic
2.5. Statistics of Data from First-Time Consultations to the Headache Clinic
2.6. Evaluation and Statistics of Survey Responses from General Practitioners
3. Results
3.1. Part 1—Demographic and Headache Characteristics of First-Time Outpatient Consultations
3.2. Part 1—Influence of Sociodemographic Factors on Headache Frequency
3.3. Part 1—Disability and Quality of Life in First-Time Outpatient Consultations
3.4. Part 2—Treatment Patterns in Primary Care
4. Discussion
4.1. Comparison to Headache Treatment in Urban Areas of Germany and Internationally
4.2. Disability and Quality of Life in First-Time Outpatient Consultations
4.3. Standard of Headache Care Provided by General Practitioners in the Study Population
4.4. Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Migraine | Tension-Type Headache | Cluster Headache | Other Primary, Sedcondary Headache or Facial Pain Syndromes | |||||
---|---|---|---|---|---|---|---|---|
Number of patients | 116 | 15 | 10 | 21 | ||||
Age | 43.4 ± 16.3 | 52.0 ± 20.3 | 54.67 ± 14.6 | 53.33 ± 15.8 | ||||
Gender | 86% female | 64% female | 33% female | 67% female | ||||
Headache days per month | 14.57 ± 7.6 | 23.42 ± 7.7 | 22.67 ± 8.7 | 24.75 ± 8.2 | ||||
Headache duration in years | 19.39 ± 13.4 | 4.75 ± 4.3 | 22.33 ± 15.8 | 7.36 ± 11.5 | ||||
Marital status | Single | 31% | Single | 36% | Single | 22% | Single | 16% |
Married | 50% | Married | 43% | Married | 56% | Married | 42% | |
Widowed | 1% | Widowed | 7% | Widowed | 11% | Widowed | 0% | |
Divorced | 16% | Divorced | 7% | Divorced | 11% | Divorced | 21% | |
Number of children | 1.4 ± 1.2 | 2 ± 0.8 | 1.8 ± 1.5 | 1.9 ± 1.1 | ||||
Living situation | Alone | 17% | Alone | 43% | Alone | 11% | Alone | 23% |
Shared flat | 21% | Shared flat | 21% | Shared flat | 33% | Shared flat | 31% | |
Partner | 48% | Partner | 29% | Partner | 56% | Partner | 31% | |
Family | 9% | Family | 0% | Family | 0% | Family | 0% | |
Work status | Employed | 35% | Employed | 36% | Employed | 33% | Employed | 36% |
Retired | 19% | Retired | 36% | Retired | 33% | Retired | 32% | |
Student | 14% | Student | 7% | Student | 0% | Student | 5% | |
Unemployed | 7% | Unemployed | 0% | Unemployed | 11% | Unemployed | 5% | |
Others | 14% | Others | 0% | Others | 0% | Others | 0% |
Anxiety | Depression | Fatigue | Sleep Disturbance | Physical Functioning | Social Functioning | Pain Interference | Global Quality of Life | |
---|---|---|---|---|---|---|---|---|
PROMIS T-Score (Median) | 55.8 * | 53.9 * | 56.1 * | 56.1 * | 45.3 * | 44.2 * | 63.8 ** | 45.1 * |
PROMIS T-Score (IQR: 25–75%) | 51.2–61.4 | 49–61.8 | 51–62.7 | 48.4–61.7 | 37–56.9 | 40.5–50 | 58.5–66.6 | 40.3–50 |
Current Study | Urban Cohort [4] | |
---|---|---|
Period of data acquisition | August 2018–December 2019 | 2010–2018 |
Number of included patients | 162 | 1935 |
Age | 46.1 ± 17.0 years | 37.3 ± 13.3 |
Gender (female) | 78.1% | 81.6% |
Percentage of migraineurs with chronic migraine | 22.0% | 29.1% |
Headache days/month | 16.8 ± 8.2 | 12.1 ± 9.6 |
Rate of patients with medication-overuse headache | 17.0% | 9.2% |
Rate of patients NOT receiving preventatives according to guidelines | 39% | 34% |
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Thiele, A.; Strauß, S.; Angermaier, A.; Klehr, L.; Bartsch, L.; Kronenbuerger, M.; Schmidt, S.; Fleischmann, R. Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania. Brain Sci. 2021, 11, 839. https://doi.org/10.3390/brainsci11070839
Thiele A, Strauß S, Angermaier A, Klehr L, Bartsch L, Kronenbuerger M, Schmidt S, Fleischmann R. Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania. Brain Sciences. 2021; 11(7):839. https://doi.org/10.3390/brainsci11070839
Chicago/Turabian StyleThiele, Anne, Sebastian Strauß, Anselm Angermaier, Lara Klehr, Luise Bartsch, Martin Kronenbuerger, Sein Schmidt, and Robert Fleischmann. 2021. "Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania" Brain Sciences 11, no. 7: 839. https://doi.org/10.3390/brainsci11070839
APA StyleThiele, A., Strauß, S., Angermaier, A., Klehr, L., Bartsch, L., Kronenbuerger, M., Schmidt, S., & Fleischmann, R. (2021). Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania. Brain Sciences, 11(7), 839. https://doi.org/10.3390/brainsci11070839