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The methodology of population surveys of headache prevalence burden and cost: Principles and recommendations from the Global Campaign against Headache

机译:头痛发生率负担和费用的人口调查方法:全球抗头痛运动的原则和建议

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摘要

The global burden of headache is very large, but knowledge of it is far from complete and needs still to be gathered. Published population-based studies have used variable methodology, which has influenced findings and made comparisons difficult. Among the initiatives of the Global Campaign against Headache to improve and standardize methods in use for cross-sectional studies, the most important is the production of consensus-based methodological guidelines. This report describes the development of detailed principles and recommendations. For this purpose we brought together an expert consensus group to include experience and competence in headache epidemiology and/or epidemiology in general and drawn from all six WHO world regions. The recommendations presented are for anyone, of whatever background, with interests in designing, performing, understanding or assessing studies that measure or describe the burden of headache in populations. While aimed principally at researchers whose main interests are in the field of headache, they should also be useful, at least in parts, to those who are expert in public health or epidemiology and wish to extend their interest into the field of headache disorders. Most of all, these recommendations seek to encourage collaborations between specialists in headache disorders and epidemiologists. The focus is on migraine, tension-type headache and medication-overuse headache, but they are not intended to be exclusive to these. The burdens arising from secondary headaches are, in the majority of cases, more correctly attributed to the underlying disorders. Nevertheless, the principles outlined here are relevant for epidemiological studies on secondary headaches, provided that adequate definitions can be not only given but also applied in questionnaires or other survey instruments.
机译:全球性的头痛负担非常大,但是对它的了解还远远不够,需要收集。已发表的基于人群的研究使用了可变方法,这影响了研究结果并使比较变得困难。在全球抗头痛运动旨在改善和标准化横断面研究方法的举措中,最重要的是制定基于共识的方法指南。该报告描述了详细的原则和建议的制定。为此,我们召集了一个专家共识小组,包括来自世卫组织所有六个区域的一般性头痛流行病学和/或流行病学方面的经验和能力。提出的建议适用于任何背景,对设计,执行,理解或评估可衡量或描述人群头痛负担的研究感兴趣的人。虽然主要针对主要关注头痛领域的研究人员,但它们也至少对部分公共卫生或流行病学专家并希望将其兴趣扩展到头痛疾病领域的人员有用。最重要的是,这些建议旨在鼓励头痛疾病专家和流行病学家之间的合作。重点是偏头痛,紧张型头痛和药物滥用型头痛,但它们并不旨在排除这些偏头痛。在大多数情况下,由继发性头痛引起的负担更正确地归因于潜在的疾病。但是,这里概述的原理与继发性头痛的流行病学研究有关,只要不仅可以给出适当的定义,而且可以将其应用于问卷或其他调查工具中即可。

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