| A socioeconomic analysis of surgical treatment of migraine headaches. | |
| | |
MedLine Citation:
|
PMID: 22183497 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: This study is meant to compare the direct and indirect cost of migraine headache care before and after migraine surgery and to evaluate any postoperative changes in patient participation in daily activities. METHODS: Eighty-nine patients enrolled in a migraine surgery clinical trial completed the Migraine-Specific Quality-of-Life Questionnaire, the Migraine Disability Assessment questionnaire, and a financial cost report preoperatively and 5 years postoperatively. RESULTS: Mean follow-up was 63.0 months (range, 56.9 to 72.6 months). Migraine medication expenses were reduced by a median of $1997.26 annually. Median cost reduction for alternative treatment expenses was $450 annually. Patients had a median of three fewer annual primary care visits for the migraine headache treatment, resulting in a median cost reduction of $320 annually. Patients missed a median of 8.5 fewer days of work or childcare annually postoperatively, with a median regained income of $1525. The median total cost spent on migraine headache treatment was $5820 per year preoperatively, declining to $900 per year postoperatively. Total median cost reduction was $3949.70 per year postoperatively. The mean surgical cost was $8378. Significant improvements were demonstrated in all aspects of the Migraine-Specific Quality-of-Life Questionnaire and the Migraine Disability Assessment questionnaire. CONCLUSIONS: Surgical deactivation of migraine trigger sites has proven to be effective for the treatment of severe migraine headache. This study illustrates that the surgical treatment is a cost-effective modality, reducing direct and indirect costs. Patients may also expect improvements in the performance of and increased participation in activities of daily living. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. |
| | |
Authors:
|
Carey Faber; Ryan M Garcia; Janine Davis; Bahman Guyuron |
Related Documents
:
|
21602067 - Bristow-latarjet and bankart: a comparative study of shoulder stabilization in 185 shou... 22095957 - Effect of the wish-type hip brace on functional mobility in patients with osteoarthriti... 21993187 - Prognostic value of intraventricular bleeding in spontaneous intraparenchymal cerebral ... 22007347 - Cardioembolic but not other stroke subtypes predict mortality independent of stroke sev... 8466067 - Postoperative pulmonary complications. epidural analgesia using bupivacaine and opioids... 22969227 - Efficacy of a therapeutic strategy for eradication of helicobacter pylori infection. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Plastic and reconstructive surgery Volume: 129 ISSN: 1529-4242 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 2012 Apr |
Date Detail:
|
Created Date: 2012-04-02 Completed Date: 2012-06-13 Revised Date: 2012-09-10 |
Medline Journal Info:
|
Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 871-7 Citation Subset: AIM; IM |
Affiliation:
|
Department of Plastic Surgery of University of Texas Southwestern Medical Center, TX, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Cost of Illness Costs and Cost Analysis Disability Evaluation Female Humans Male Middle Aged Migraine Disorders / economics*, surgery* Quality of Life Questionnaires Trigger Points / surgery United States Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The free gracilis muscle flap in achilles tendon coverage and reconstruction.
Next Document: Long-term Results following a Cranial Hydroxyapatite Prosthesis implantation in a large Skull Defect...