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 - Copyright © 2021 Elsevier Ltd. All rights reserved.
PY - 2021
Y1 - 2021
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.
KW - Continuity of Patient Care
KW - Developing Countries
KW - Disabled Persons/psychology
KW - Global Health
KW - Health Policy
KW - Humans
KW - Migraine Disorders/drug therapy
KW - Prevalence
KW - Primary Health Care
KW - Referral and Consultation
UR - http://www.scopus.com/inward/record.url?scp=85103971972&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(20)32160-7
DO - 10.1016/S0140-6736(20)32160-7
M3 - Review
C2 - 33773613
SN - 0140-6736
VL - 397
SP - 1485
EP - 1495
JO - The Lancet
JF - The Lancet
IS - 10283
ER -