Estimation of the Economic Burden and Labor Impact of Migraine in Spain: Results from the Spanish Atlas of Migraine Survey 2018

Irimia, P. ; Garrido-Cumbrera, M. ; Santos-Lasaosa, S. (Universidad de Zaragoza) ; Colomina, I. ; Leon, F.J. ; Blanch, C. ; Pozo-Rosich, P.

Resumen: P170
Objectives: To estimate the average annual cost per patient and theimpact on work t of migraine in Spain.
Material and Method: This is a prospective, online, anonymous, cross-sectional survey, conducted between June and September2017, promoted by the Spanish Association of Patients with Headache(AEPAC) within the framework of the Spanish Atlas of Migraine2018. People who completed the survey answered questions in relationto their migraine. A distinction was made between chronic migraine(CM) and episodic migraine (EM), considering the monthlyheadache days declared by patients. The economic burden of migrainewas evaluated: direct health costs (including visits to specialists, medical tests, emergency visits, hospital admissions andmedication), indirect costs (lost labor productivity), and those assumedby the migraineur. The labor consequences of migraine overthe last year were analyzed. Chi-square and Mann- Whitney testswere used as contrast tests. Ethics Approval: A central ethics reviewboard approved the study design.
Results: 1, 281 people with migraine participated in the survey, 34.2%with CM, 88.2% women, with an average age of 37.3 (SD 11.5). Thedirect health costs for the last year were estimated at €3, 847.29 forCM and €964.19 for EM (p<0, 001). The costs assumed by the patientin the last year were €1, 609.89 for CM and €878.04 for EM (p<0.001).The indirect cost was estimated at €7, 464.83 for CM and €3, 199.15for EM (p <0.001). The total average cost per patient/year rised to€12, 922.01 for CM and €5, 041.41 for EM (p<0.001). Regarding the jobstatus: 62.2% with EM and 49.0% with CM were working, 2.6% withEM and 9.1% with CM were on sick leave and 12.2% with EM and16.8% with CM were unemployed (p <0.05). In the last year, becauseof migraine, 17.8% of patients with EM and 27.2% with CM (p<0.01)requested days of leave or leave of absence, and reduced their workinghours 8.5% with EM and 11.1% CM (p=0.270). Labor efficiencywas reduced in 61.1% of patients with EM and 65.7% with CM(p=0.257).
Conclusion: Migraine represents an important economic burden inSpain, particularly in patients with CM. Migraine causes importantproductivity losses resulting from absenteeism, presentism, decreasingthe working hours and the probabilities to keep working, and itsimpact is significantly greater in CM.

Idioma: Inglés

Año: 2018

Publicado en: The Journal of headache and pain 19, Suppl. 1 (2018), P170 [1 pp]
ISSN: 1129-2369

Originalmente disponible en: Texto completo de la revista

Factor impacto JCR: 3.918 (2018)

Categ. JCR: CLINICAL NEUROLOGY rank: 46 / 199 = 0.231 (2018) - Q1 - T1
Categ. JCR: NEUROSCIENCES rank: 79 / 266 = 0.297 (2018) - Q2 - T1

Factor impacto SCIMAGO: 1.106 - Anesthesiology and Pain Medicine (Q1) - Neurology (clinical) (Q1) - Medicine (miscellaneous) (Q1)

Tipo y forma: Comunicación congreso (Versión definitiva)

Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)