TY - JOUR

T1 - Migraine

T2 - epidemiology and systems of care

AU - Ashina, Messoud

AU - Katsarava, Zaza

AU - Do, Thien Phu

AU - Buse, Dawn C.

AU - Pozo-Rosich, Patricia

AU - Özge, Aynur

AU - Krymchantowski, Abouch V.

AU - Lebedeva, Elena R.

AU - Ravishankar, Krishnamurthy

AU - Yu, Shengyuan

AU - Sacco, Simona

AU - Ashina, Sait

AU - Younis, Samaira

AU - Steiner, Timothy J.

AU - Lipton, Richard B.

N1 - Publisher Copyright: © 2021 Elsevier Ltd

PY - 2021/4/17

Y1 - 2021/4/17

N2 - Migraine is a neurovascular disorder that affects over 1 billion people worldwide. Its widespread prevalence, and associated disability, have a range of negative and substantial effects not only on those immediately affected but also on their families, colleagues, employers, and society. To reduce this global burden, concerted efforts are needed to implement and improve migraine care that is supported by informed health-care policies. In this Series paper, we summarise the data on migraine epidemiology, including estimates of its very considerable burden on the global economy. First, we present the challenges that continue to obstruct provision of adequate care worldwide. Second, we outline the advantages of integrated and coordinated systems of care, in which primary and specialist care complement and support each other; the use of comprehensive referral and linkage protocols should enable continuity of care between these systems levels. Finally, we describe challenges in low and middle-income countries, including countries with poor public health education, inadequate access to medication, and insufficient formal education and training of health-care professionals resulting in misdiagnosis, mismanagement, and wastage of resources.

AB - Migraine is a neurovascular disorder that affects over 1 billion people worldwide. Its widespread prevalence, and associated disability, have a range of negative and substantial effects not only on those immediately affected but also on their families, colleagues, employers, and society. To reduce this global burden, concerted efforts are needed to implement and improve migraine care that is supported by informed health-care policies. In this Series paper, we summarise the data on migraine epidemiology, including estimates of its very considerable burden on the global economy. First, we present the challenges that continue to obstruct provision of adequate care worldwide. Second, we outline the advantages of integrated and coordinated systems of care, in which primary and specialist care complement and support each other; the use of comprehensive referral and linkage protocols should enable continuity of care between these systems levels. Finally, we describe challenges in low and middle-income countries, including countries with poor public health education, inadequate access to medication, and insufficient formal education and training of health-care professionals resulting in misdiagnosis, mismanagement, and wastage of resources.

U2 - 10.1016/S0140-6736(20)32160-7

DO - 10.1016/S0140-6736(20)32160-7

M3 - Journal article

C2 - 33773613

AN - SCOPUS:85103971972

VL - 397

SP - 1485

EP - 1495

JO - The Lancet

JF - The Lancet

SN - 0140-6736

IS - 10283

ER -