Population-Based Health Utility Assessment of Migraine Headache Symptoms before and after Surgical Intervention
| Autor: | Oren Tessler, Matthew J. Bartow, Radbeh Torabi, Jacob P. Veith, Ian R. Wisecarver, Lynn Bourn, William G. Austen, Kenneth Briley |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Health utility Migraine Disorders Population Population based 030230 surgery Severity of Illness Index Neurosurgical Procedures 03 medical and health sciences Disability Evaluation 0302 clinical medicine Quality of life Intervention (counseling) medicine Humans Postoperative Period education Pain Measurement education.field_of_study business.industry Evidence-based medicine Middle Aged medicine.disease Decompression Surgical Treatment Outcome Migraine 030220 oncology & carcinogenesis Preoperative Period Physical therapy Quality of Life Surgery Female Self Report Headaches medicine.symptom business |
| Zdroj: | Plastic and reconstructive surgery. 145(1) |
| ISSN: | 1529-4242 |
| Popis: | BACKGROUND Approximately 30 million Americans suffer from migraine headaches. The primary goals of this study are to (1) use Migraine-Specific Symptoms and Disability criteria and Migraine Headache Index to describe the symptomatic improvement following decompressive surgery for refractory migraines, and (2) use the average Migraine Headache Index preoperatively and postoperatively for health utility assessment from a healthy patient's perspective. METHODS The Migraine-Specific Symptoms and Disability criteria and the Migraine Headache Index were used to characterize migraine symptoms in the authors' patient population before and after decompressive surgery. Healthy individuals were randomized to a scenario in which they assumed either the preoperative or postoperative average patient symptom profile described by the authors' migraine patients. Health utility assessments were used to quantify the evaluation of health states the authors' patients experienced before and after surgical migraine therapy. RESULTS Twenty-five patients underwent surgery for migraine headaches. The Migraine-Specific Symptoms and Disability questionnaire showed a significant decrease in both frequency of headaches per month (p < 0.0001) and overall pain score (p = 0.007). The Migraine Headache Index demonstrated a statistically significant improvement (p = 0.03). Healthy individuals in the preoperative group had significantly lower utility scores compared with the postoperative group in all of the health utility assessments completed for migraine symptoms. CONCLUSION This is the first study to use health utility assessments to attest the efficacy of decompressive therapy by demonstrating the population perspective, which perceived a significant improvement in quality of life following the surgical treatment of migraines in the authors' patients. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, IV. |
| Databáze: | OpenAIRE |
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