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Indirect cost burden of migraine in the United States.
Hawkins, Kevin; Wang, Sara; Rupnow, Marcia F T.
Affiliation
  • Hawkins K; Thomson Medstat, Cambridge, MA 02140, USA.
J Occup Environ Med ; 49(4): 368-74, 2007 Apr.
Article in En | MEDLINE | ID: mdl-17426520
OBJECTIVE: The purpose of this study was to determine the indirect cost burden associated with migraine. METHODS: Data were obtained from Thomson-Medstat's Health and Productivity Management (HPM) database for the 2002 through 2003 calendar years. The migraine cohort was composed of patients who had a diagnosis of migraine or migraine-specific abortive prescription medication, or both. A control cohort of patients without migraine was matched to patients in the migraine cohort. The average annual indirect burden of illness (BOI) of migraine and a national indirect BOI were estimated. RESULTS: Annual indirect expenditures were significantly higher in the migraine group compared with the control group ($4453 vs $1619; P<0.001). The national annual indirect BOI, excluding presenteeism, was estimated to be $12 billion (mostly attributed to absenteeism). CONCLUSIONS: Migraine imparts a substantial indirect cost burden. Projected to a national level, this amounts to an annual cost to US employers of approximately $12 billion.
Subject(s)
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Collection: 01-internacional Database: MEDLINE Main subject: Employer Health Costs / Health Expenditures / Cost of Illness / Migraine Disorders Type of study: Etiology_studies / Health_economic_evaluation / Incidence_studies / Observational_studies / Risk_factors_studies Limits: Adult / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: J Occup Environ Med Journal subject: MEDICINA OCUPACIONAL / SAUDE AMBIENTAL Year: 2007 Document type: Article Affiliation country: Country of publication:
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Collection: 01-internacional Database: MEDLINE Main subject: Employer Health Costs / Health Expenditures / Cost of Illness / Migraine Disorders Type of study: Etiology_studies / Health_economic_evaluation / Incidence_studies / Observational_studies / Risk_factors_studies Limits: Adult / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: J Occup Environ Med Journal subject: MEDICINA OCUPACIONAL / SAUDE AMBIENTAL Year: 2007 Document type: Article Affiliation country: Country of publication: