A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine
Autor: | Emmanuella L. Salia, Owulatobi Lasisi, Richard D. Nudotor, Kimberley E. Steele, Ann O. Scheimann, Modupe O. Oduwole, Enoch J. Abbey, Obeng Appiafo, Hasiya E. Yusuf, Banda A. A. Khalifa, Samuel K. Ayeh, Joseph K. Canner |
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Rok vydání: | 2021 |
Předmět: |
Sleeve gastrectomy
medicine.medical_specialty Nutrition and Dietetics business.industry Endocrinology Diabetes and Metabolism medicine.medical_treatment 030209 endocrinology & metabolism Pharmacy medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Chronic Migraine Migraine Inclusion and exclusion criteria Cohort Retrospective analysis medicine 030211 gastroenterology & hepatology business Database research |
Zdroj: | Obesity Surgery. 31:2040-2049 |
ISSN: | 1708-0428 0960-8923 |
Popis: | To investigate the association of the two most common bariatric surgical procedures, vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB), with sustained remission from chronic migraine. Using IBM MarketScan® research database to examine inpatient and pharmacy claims from 2010 through 2017. A cohort of bariatric patients with chronic migraine was created using inclusion and exclusion criteria. Remission was defined as no refill of first-line migraine medication for 180 days after a patients’ medication was expected to run out, and recurrence as medication refill after at least 180 days of remission. Of 1680 patients in our cohort, 931 (55.4%) experienced remission of migraine. Of these, 462 (49.6%) had undergone VSG, while 469 (50.4%) had undergone RYGB. Patients who underwent RYGB had an 11% (RR = 1.11, 95% CI: 1.05, 1.17) increase in likelihood of remission of migraine and a 20% (RR = 0.80, 95% CI: 0.63, 1.04) decrease in likelihood of recurrence of migraine compared to patients who underwent VSG. Older age group, higher number of medications at time of surgery, and female sex were associated with a decreased likelihood of remission. Type of bariatric procedure, age, number of medications at surgery, and sex were the most important predictors of migraine remission after surgery. |
Databáze: | OpenAIRE |
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