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Migraine: epidemiology and systems of care

The Lancet (British edition), 2021-04, Vol.397 (10283), p.1485-1495 [Peer Reviewed Journal]

2021 Elsevier Ltd ;Copyright © 2021 Elsevier Ltd. All rights reserved. ;COPYRIGHT 2021 Elsevier B.V. ;2021. Elsevier Ltd ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(20)32160-7 ;PMID: 33773613

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Title:
Migraine: epidemiology and systems of care
Author: Ashina, Messoud ; Katsarava, Zaza ; Do, Thien Phu ; Buse, Dawn C ; Pozo-Rosich, Patricia ; Özge, Aynur ; Krymchantowski, Abouch V ; Lebedeva, Elena R ; Ravishankar, Krishnamurthy ; Yu, Shengyuan ; Sacco, Simona ; Ashina, Sait ; Younis, Samaira ; Steiner, Timothy J ; Lipton, Richard B
Subjects: Age ; Education ; Epidemiology ; Estimates ; Global economy ; Headache ; Headaches ; Health care ; Health care reform ; Health policy ; Migraine ; Older people ; Public health ; Socioeconomic factors ; Teenagers ; Training ; Womens health
Is Part Of: The Lancet (British edition), 2021-04, Vol.397 (10283), p.1485-1495
Description: 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.
Publisher: England: Elsevier Ltd
Language: English
Identifier: ISSN: 0140-6736
EISSN: 1474-547X
DOI: 10.1016/S0140-6736(20)32160-7
PMID: 33773613
Source: ProQuest One Psychology
ProQuest Central

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Migraine: epidemiology and systems of care

2021 Elsevier Ltd ;Copyright © 2021 Elsevier Ltd. All rights reserved. ;COPYRIGHT 2021 Elsevier B.V. ;2021. Elsevier Ltd ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(20)32160-7 ;PMID: 33773613

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