Comorbid pain and migraine chronicity: The Chronic Migraine Epidemiology and Outcomes Study
OBJECTIVE:To identify patterns of noncephalic pain comorbidity in people with episodic migraine (EM;
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| Veröffentlicht in: | Neurology 2017-08, Vol.89 (5), p.461-468 |
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| container_title | Neurology |
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| creator | Scher, Ann I Buse, Dawn C Fanning, Kristina M Kelly, Amanda M Franznick, Dana A Adams, Aubrey M Lipton, Richard B |
| description | OBJECTIVE:To identify patterns of noncephalic pain comorbidity in people with episodic migraine (EM; |
| doi_str_mv | 10.1212/WNL.0000000000004177 |
| format | Article |
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METHODS:Data from the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study, a prospective, web-based study with cross-sectional modules embedded in a longitudinal design, were analyzed at baseline and the 3-month follow-up. Relationships between the number of noncephalic pain sites and 3-month onset of CM or persistent CM were assessed.
RESULTS:Of 8,908 eligible respondents, 8,139 (91.4%) had EM and 769 (8.6%) had CM at baseline. At 3 months, the incidence of CM among those with baseline EM was 3.4%. When adjusted for demographics and headache-day frequency, the odds of CM onset among those with baseline EM increased by 30% (95% confidence interval [CI] 1.21–1.40, p < 0.001) for each additional noncephalic pain site at baseline. Among those with CM at baseline, 50.1% had persistent CM at the 3-month follow-up. After adjustment for demographics, individuals with CM were 15% (95% CI 1.07–1.25, p < 0.001) more likely to have persistent CM for each additional noncephalic pain site at baseline.
CONCLUSIONS:These results suggest that noncephalic pain may be a marker for headache chronicity that could be used to identify people with EM at risk of the onset of CM and people with CM at risk of persistent CM.</description><identifier>ISSN: 0028-3878</identifier><identifier>EISSN: 1526-632X</identifier><identifier>DOI: 10.1212/WNL.0000000000004177</identifier><identifier>PMID: 28679597</identifier><language>eng</language><publisher>United States: American Academy of Neurology</publisher><subject>Adult ; Chronic Disease ; Comorbidity ; Cross-Sectional Studies ; Female ; Follow-Up Studies ; Humans ; Internet ; Logistic Models ; Longitudinal Studies ; Male ; Migraine Disorders - complications ; Migraine Disorders - epidemiology ; Multivariate Analysis ; Pain - complications ; Pain - epidemiology ; Prospective Studies ; Risk Factors ; Socioeconomic Factors</subject><ispartof>Neurology, 2017-08, Vol.89 (5), p.461-468</ispartof><rights>2017 American Academy of Neurology</rights><rights>Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.</rights><rights>Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology. 2017 American Academy of Neurology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a4347-831a88e60140531d8ef050b09576423fdd435aa7d12f561be0bb28a2ba5a80233</citedby><cites>FETCH-LOGICAL-a4347-831a88e60140531d8ef050b09576423fdd435aa7d12f561be0bb28a2ba5a80233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28679597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scher, Ann I</creatorcontrib><creatorcontrib>Buse, Dawn C</creatorcontrib><creatorcontrib>Fanning, Kristina M</creatorcontrib><creatorcontrib>Kelly, Amanda M</creatorcontrib><creatorcontrib>Franznick, Dana A</creatorcontrib><creatorcontrib>Adams, Aubrey M</creatorcontrib><creatorcontrib>Lipton, Richard B</creatorcontrib><title>Comorbid pain and migraine chronicity: The Chronic Migraine Epidemiology and Outcomes Study</title><title>Neurology</title><addtitle>Neurology</addtitle><description>OBJECTIVE:To identify patterns of noncephalic pain comorbidity in people with episodic migraine (EM; <15 headache-days per month) and chronic migraine (CM; ≥15 headache-days per month) and to examine whether the presence of noncephalic pain is an indicator for the 3-month onset or persistence of CM.
METHODS:Data from the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study, a prospective, web-based study with cross-sectional modules embedded in a longitudinal design, were analyzed at baseline and the 3-month follow-up. Relationships between the number of noncephalic pain sites and 3-month onset of CM or persistent CM were assessed.
RESULTS:Of 8,908 eligible respondents, 8,139 (91.4%) had EM and 769 (8.6%) had CM at baseline. At 3 months, the incidence of CM among those with baseline EM was 3.4%. When adjusted for demographics and headache-day frequency, the odds of CM onset among those with baseline EM increased by 30% (95% confidence interval [CI] 1.21–1.40, p < 0.001) for each additional noncephalic pain site at baseline. Among those with CM at baseline, 50.1% had persistent CM at the 3-month follow-up. After adjustment for demographics, individuals with CM were 15% (95% CI 1.07–1.25, p < 0.001) more likely to have persistent CM for each additional noncephalic pain site at baseline.
CONCLUSIONS:These results suggest that noncephalic pain may be a marker for headache chronicity that could be used to identify people with EM at risk of the onset of CM and people with CM at risk of persistent CM.</description><subject>Adult</subject><subject>Chronic Disease</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Internet</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Migraine Disorders - complications</subject><subject>Migraine Disorders - epidemiology</subject><subject>Multivariate Analysis</subject><subject>Pain - complications</subject><subject>Pain - epidemiology</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><issn>0028-3878</issn><issn>1526-632X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtLxDAUhYMoOj7-gUiXbqp5NE3qQpDBF4y6UFFwEdLmdhptmzFplfn3VkdFXZhNcjnfOTdwENomeI9QQvfvLid7-MdJiBBLaEQ4TeOU0ftlNMKYyphJIdfQegiPGA-iyFbRGpWpyHgmRuhh7Brnc2uimbZtpFsTNXbqhzdEReVdawvbzQ-imwqi8WKOLr6A45k10FhXu-n8w3rVd4VrIETXXW_mm2il1HWArc97A92eHN-Mz-LJ1en5-GgS64QlIpaMaCkhxSTBnBEjocQc5zjjIk0oK41JGNdaGEJLnpIccJ5TqWmuuZaYMraBDhe5sz5vwBTQdl7XauZto_1cOW3Vb6W1lZq6F8U5ywSjQ8DuZ4B3zz2ETjU2FFDXugXXB0UykgqcUZEOaLJAC-9C8FB-ryFYvfeihl7U314G287PL36bvooYALkAXl3dgQ9Pdf8KXlWg6676P_sNTraaww</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Scher, Ann I</creator><creator>Buse, Dawn C</creator><creator>Fanning, Kristina M</creator><creator>Kelly, Amanda M</creator><creator>Franznick, Dana A</creator><creator>Adams, Aubrey M</creator><creator>Lipton, Richard B</creator><general>American Academy of Neurology</general><general>Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170801</creationdate><title>Comorbid pain and migraine chronicity: The Chronic Migraine Epidemiology and Outcomes Study</title><author>Scher, Ann I ; Buse, Dawn C ; Fanning, Kristina M ; Kelly, Amanda M ; Franznick, Dana A ; Adams, Aubrey M ; Lipton, Richard B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a4347-831a88e60140531d8ef050b09576423fdd435aa7d12f561be0bb28a2ba5a80233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Chronic Disease</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Internet</topic><topic>Logistic Models</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Migraine Disorders - complications</topic><topic>Migraine Disorders - epidemiology</topic><topic>Multivariate Analysis</topic><topic>Pain - complications</topic><topic>Pain - epidemiology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scher, Ann I</creatorcontrib><creatorcontrib>Buse, Dawn C</creatorcontrib><creatorcontrib>Fanning, Kristina M</creatorcontrib><creatorcontrib>Kelly, Amanda M</creatorcontrib><creatorcontrib>Franznick, Dana A</creatorcontrib><creatorcontrib>Adams, Aubrey M</creatorcontrib><creatorcontrib>Lipton, Richard B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scher, Ann I</au><au>Buse, Dawn C</au><au>Fanning, Kristina M</au><au>Kelly, Amanda M</au><au>Franznick, Dana A</au><au>Adams, Aubrey M</au><au>Lipton, Richard B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comorbid pain and migraine chronicity: The Chronic Migraine Epidemiology and Outcomes Study</atitle><jtitle>Neurology</jtitle><addtitle>Neurology</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>89</volume><issue>5</issue><spage>461</spage><epage>468</epage><pages>461-468</pages><issn>0028-3878</issn><eissn>1526-632X</eissn><abstract>OBJECTIVE:To identify patterns of noncephalic pain comorbidity in people with episodic migraine (EM; <15 headache-days per month) and chronic migraine (CM; ≥15 headache-days per month) and to examine whether the presence of noncephalic pain is an indicator for the 3-month onset or persistence of CM.
METHODS:Data from the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study, a prospective, web-based study with cross-sectional modules embedded in a longitudinal design, were analyzed at baseline and the 3-month follow-up. Relationships between the number of noncephalic pain sites and 3-month onset of CM or persistent CM were assessed.
RESULTS:Of 8,908 eligible respondents, 8,139 (91.4%) had EM and 769 (8.6%) had CM at baseline. At 3 months, the incidence of CM among those with baseline EM was 3.4%. When adjusted for demographics and headache-day frequency, the odds of CM onset among those with baseline EM increased by 30% (95% confidence interval [CI] 1.21–1.40, p < 0.001) for each additional noncephalic pain site at baseline. Among those with CM at baseline, 50.1% had persistent CM at the 3-month follow-up. After adjustment for demographics, individuals with CM were 15% (95% CI 1.07–1.25, p < 0.001) more likely to have persistent CM for each additional noncephalic pain site at baseline.
CONCLUSIONS:These results suggest that noncephalic pain may be a marker for headache chronicity that could be used to identify people with EM at risk of the onset of CM and people with CM at risk of persistent CM.</abstract><cop>United States</cop><pub>American Academy of Neurology</pub><pmid>28679597</pmid><doi>10.1212/WNL.0000000000004177</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Adult Chronic Disease Comorbidity Cross-Sectional Studies Female Follow-Up Studies Humans Internet Logistic Models Longitudinal Studies Male Migraine Disorders - complications Migraine Disorders - epidemiology Multivariate Analysis Pain - complications Pain - epidemiology Prospective Studies Risk Factors Socioeconomic Factors |
| title | Comorbid pain and migraine chronicity: The Chronic Migraine Epidemiology and Outcomes Study |
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