J Clin Outcomes Manage
A migraine disease management program in the primary care setting: impact on patient quality of life and productivity loss
Kwong WJ, Landy SH, Braverman-Panza J, Rosen JH, Hutchinson S, Burch SP
Abstract Objective: To assess the impact of a migraine care program on patient health-related quality of life and productivity loss associated with migraine. Design: Prospective observational study. Patients and setting: 1126 consecutive consulting patients who screened positive for migraine in 27 primary care clinics. Measurements: Patients completed questionnaires, including the Headache Impact Test (HIT-6), the Migraine-Specific Quality of Life Questionnaire (MSQ), and items related to migraine-associated time lost from work/school and nonwork activities at the beginning and end of the study. Results: 258 migraine patients completed the study. Mean age of participants was 41 years; 85% were white and 77% were women. The percentage of patients whose HIT-6 total score reflected substantial or very severe headache impact was 75.3% at study entry compared with 68.8% at study end (P < 0.05). Mean changes from baseline also reflected improvement (P < 0.05) for the MSQ Role Function-Restrictive domain. Mean lost time equivalents from work/school and nonwork activities were lower in the 3 months after the migraine care program (5.7 ? 11.9 days ) than during the 3 months before study entry (8.7 ? 15.8 days; P < 0.05). Conclusion: The migraine care program in primary care was associated with reductions in headache impact and lost work/school productivity and activity time in patients with migraine and improvements in certain aspects of health-related quality of life.
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