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Article
Open AccessThe relationship between headache-attributed disability and lost productivity: 3 Attack frequency is the dominating variable
In an earlier paper, we examined the relationship between headache-attributed disability, measured as proportion of time in ictal state, and lost productivity. In a linear model, we found positive and signific...
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Article
Open AccessEuropean Headache Federation (EHF) consensus on the definition of effective treatment of a migraine attack and of triptan failure
Triptans are migraine-specific acute treatments. A well-accepted definition of triptan failure is needed in clinical practice and for research. The primary aim of the present Consensus was to provide a definit...
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Article
Open AccessEuropean Headache Federation guideline on the use of monoclonal antibodies targeting the calcitonin gene related peptide pathway for migraine prevention – 2022 update
A previous European Headache Federation (EHF) guideline addressed the use of monoclonal antibodies targeting the calcitonin gene-related peptide (CGRP) pathway to prevent migraine. Since then, randomized contr...
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Article
Open AccessThe Global Campaign turns 18: a brief review of its activities and achievements
The Global Campaign against Headache, as a collaborative activity with the World Health Organization (WHO), was formally launched in Copenhagen in March 2004. In the month it turns 18, we review its activities...
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Article
Open AccessResults of the gErman migraine PatIent Survey on medical Care and prOPhylactic treatment Experience (EPISCOPE)
Migraine affects about 12% of the worldwide population causing substantial personal and societal burden. Yet, migraine remains underdiagnosed and untreated. EPISCOPE was a web-based survey among a German migra...
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Article
Open AccessThe relationship between headache-attributed disability and lost productivity: 2. Empirical evidence from population-based studies in nine disparate countries
Headache disorders are disabling, with major consequences for productivity, yet the literature is silent on the relationship between headache-attributed disability and lost productivity, often erroneously rega...
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Article
Open AccessDiagnosis and management of migraine in ten steps
Migraine is a disabling primary headache disorder that directly affects more than one billion people worldwide. Despite its widespread prevalence, migraine remains under-diagnosed and under-treated. To support...
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Article
Open AccessStructured headache services as the solution to the ill-health burden of headache: 1. Rationale and description
In countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more effi...
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Article
Open AccessBurden and attitude to resistant and refractory migraine: a survey from the European Headache Federation with the endorsement of the European Migraine & Headache Alliance
New treatments are currently offering new opportunities and challenges in clinical management and research in the migraine field. There is the need of homogenous criteria to identify candidates for treatment e...
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Article
Open AccessThe impact of fremanezumab on medication overuse in patients with chronic migraine: subgroup analysis of the HALO CM study
We evaluated the efficacy of fremanezumab, a fully humanized monoclonal antibody that selectively targets calcitonin gene-related peptide, in patients with chronic migraine (CM) with and without medication ove...
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Article
Open AccessAdministrative prevalence and incidence, characteristics and prescription patterns of patients with migraine in Germany: a retrospective claims data analysis
Migraine is a frequent headache disorder with high disease burden. The aims of this study were to determine the administrative prevalence and incidence of migraine in Germany; and to elucidate disease characte...
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Article
Open AccessEuropean headache federation consensus on the definition of resistant and refractory migraine
Despite advances in the management of headache disorders, some patients with migraine do not experience adequate pain relief with acute and preventive treatments. It is the aim of the present document to provi...
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Article
Open AccessMigraine: a major debilitating chronic non-communicable disease in Brazil, evidence from two national surveys
Even though migraine and other primary headache disorders are common and debilitating, major health surveys in Brazil have not included them. We repair this omission by combining data on non-communicable disea...
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Chapter
Barriers to Care
This chapter describes the barriers to effective headache care, high everywhere in the world, and in many places insurmountable by the majority of those needing care. It reports on the largely ineffective ende...
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Chapter
Evaluation: Quality in Headache Services
This chapter sets out a multidimensional definition of quality in the context of headache care, along with a related set of quality indicators currently undergoing evaluation. Both were developed for the purposes...
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Chapter
The Healthcare Solution to Headache
This chapter builds on Chap. 14, describing structured headache services as the healthcare solution to headache.
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Chapter
Dismantling the Barriers
The preceding chapter described the barriers to effective headache care, high as they are, and insurmountable for many. Dismantling them is not an easy task. The Global Campaign against Headache is a response ...
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Article
Open AccessPolarity-specific modulation of pain processing by transcranial direct current stimulation – a blinded longitudinal fMRI study
To enrich the hitherto insufficient understanding regarding the mechanisms of action of transcranial direct current stimulation (tDCS) in pain disorders, we investigated its modulating effects on cerebral pain...
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Article
Open AccessMedication-overuse headache: a widely recognized entity amidst ongoing debate
Medication overuse in primary headache disorders is a worldwide phenomenon and has a role in the chronification of headache disorders. The burden of disease on individuals and societies is significant due to h...
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Article
Open AccessPoor medical care for people with migraine in Europe – evidence from the Eurolight study
Migraine is prevalent everywhere, and disabling. It is also neglected: consequently, it is under-diagnosed and undertreated. We analysed data from the Eurolight study on consultations and utilization of migrai...
