دورية أكاديمية

Health care resource utilization and costs associated with diagnosed medication overuse headache and potential acute medication overuse in individuals with migraine

التفاصيل البيبلوغرافية
العنوان: Health care resource utilization and costs associated with diagnosed medication overuse headache and potential acute medication overuse in individuals with migraine
المؤلفون: Shewale, Anand R., Brandenburg, Jennifer A., Burslem, Kate, Lipton, Richard B., Doshi, Jalpa A.
المساهمون: AbbVie
المصدر: Cephalalgia ; volume 44, issue 2 ; ISSN 0333-1024 1468-2982
بيانات النشر: SAGE Publications
سنة النشر: 2024
مصطلحات موضوعية: Neurology (clinical), General Medicine
الوصف: Objective Estimate health care resource utilization and costs associated with medication overuse headache and potential acute medication overuse. Methods A retrospective analysis was conducted with Clinformatics Data Mart data (1 January 2019–31 December 2019) that included continuously enrolled commercially insured adults with migraine (International Classification of Diseases, Tenth Revision, Clinical Modification [ICD-10-CM] code G43.xxx). Medication overuse headache was defined as ≥1 inpatient or ≥2 outpatient claims with an ICD-10-CM code G44.41/40 (drug-induced headache). Potential acute medication overuse was defined as possessing sufficient medication for >10 mean treatment days/month for ergots, triptans, opioids, or combination analgesics or >15 mean cumulative days/month for simple prescription analgesics (e.g., acetaminophen, aspirin, other non-opioid analgesics) for >6 consecutive months. All-cause and migraine-related health care resource utilization and costs were compared after adjusting for demographic and clinical characteristics. Results Among 90,017 individuals with migraine, the frequency of medication overuse headache/potential acute medication overuse was 12.6% (diagnosed medication overuse headache: 0.6%; potential acute medication overuse: 12.1%). Adjusted all-cause total costs ($31,235 vs $21,486; difference: $9,749 [ P < 0.001]) and adjusted migraine-related total costs ($9,770 vs $6,207; difference: $3,563 [ P < 0.001]) were higher in the medication overuse headache/potential acute medication overuse group versus those without medication overuse headache/potential acute medication overuse. Conclusions Individuals with diagnosed medication overuse headache/potential acute medication overuse had higher all-cause and migraine-related health care resource utilization and costs versus individuals without medication overuse headache/potential acute medication overuse, suggesting that improved migraine management is needed to reduce associated costs.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/03331024241235139
الإتاحة: https://doi.org/10.1177/03331024241235139Test
حقوق: https://creativecommons.org/licenses/by-nc/4.0Test/
رقم الانضمام: edsbas.DBF9C366
قاعدة البيانات: BASE