Internal Med Medical News about chronic daily headache (CDH), Migraine Disability Assessment (MIDAS), headache disability

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Recommendations on the use of 18F-FDG PET in oncology

3. Gene expression signatures, clinicopathological features, and individualized therapy in breast cancer

4. AHA Guidelines on Cardiac CT for Assessing Coronary Artery Disease

5. Rapid correction of low vitamin D status in nursing home residents

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Chronic daily headache in adolescents. An 8-year follow-up study
Neurology, 07/21/09

Wang S–J et al. – Long–term follow–up showed marked decline in frequency of chronic daily headache (CDH), but significant headache disability persisted in 25% of pts. Migraine history was a major factor in evolution of CDH into young adulthood. Early onset and longer duration of CDH implied a protracted disease course.

Methods

Study of long–term outcome of a community–based adolescent cohort with CDH
Field sample of 122 adolescents age 12–14 yrs with CDH in 2000 (baseline) with short–term follow–up studies in 2001 and 2002
Re–interview via telephone of cohort in 2008 by physicians for headache profile in past yr
Headache disability questionnaire: Migraine Disability Assessment (MIDAS)
CDH presence defined as ±15 headache days/mo, average ≥4 hrs/day for >3 mo
Outcome measures: headache frequency, MIDAS score, and presence of CDH in 2008

Results

Total of 103 subjects (26 male/77 female, mean age 21.6 ± 0.9 yrs) completed study (response rate 84.4%)
Average monthly headache frequency: 4.7 ± 6.0 (0–N30) days
Moderate or severe headache disability (MIDAS ≥11) for 28 subjects (27.2%)
CDH criteria met by 12 subjects (12%)
Most common subtype: chronic migraine in 10 subjects (83%)
Medication overuse by 2 subjects (2%)
Fairly consistent frequencies of migraine diagnoses from 2000–2008
Presence of migraine at baseline predicted poorer outcome of all 3 measures
CDH onset at age ≤13 yrs, duration ≥2 yrs and medication overuse predicted either higher headache frequencies or presence of CDH in 2008