ArticleBMJ (Clinical research ed.)2011
Magnitude, impact, and stability of primary headache subtypes: 30 year prospective Swiss cohort study.
Article in BMJ (Clinical research ed.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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Who cites it
16 citing papers in PubMed.
- Hallmarks of primary headache: part 2- Tension-type headache.The journal of headache and pain · 2025Review
- The potential to prevent unnecessary emergency department visits by timely diagnosis of migraine-A prospective observational study.PloS one · 2024Observational
- Role of Yoga as Adjunctive Therapy for Migraines: A Narrative Review of the Literature.Cureus · 2023Review
- Brain Energy Deficit as a Source of Oxidative Stress in Migraine: A Molecular Basis for Migraine Susceptibility.Neurochemical research · 2021Review
- [Tension type headaches : Quo vadis?]Schmerz (Berlin, Germany) · 2020Review
- Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys.The journal of headache and pain · 2020Article
- A web-based, branching logic questionnaire for the automated classification of migraine.Cephalalgia : an international journal of headache · 2019Observational
- Article
- Short-term diagnostic stability of probable headache disorders based on the International Classification of Headache Disorders, 3rd edition beta version, in first-visit patients: a multicenter follow-up study.The journal of headache and pain · 2016Article
- Psychiatric comorbidity in childhood and adolescence headache.Current pain and headache reports · 2015Review
- Effect of Yoga on migraine: A comprehensive study using clinical profile and cardiac autonomic functions.International journal of yoga · 2014Article
- Article
- Dihydroergotamine: a review of formulation approaches for the acute treatment of migraine.CNS drugs · 2013Review
- Prevalence and burden of primary headache disorders among a local community in Addis Ababa, Ethiopia.The journal of headache and pain · 2013Article
- Nocebo in headaches: implications for clinical practice and trial design.Current neurology and neuroscience reports · 2012Review
- Role of Yoga as an Adjunct in the Management of Migraine Headache-Current Status and Future Indications.International journal of yogaReview
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo determine the prevalence, impact, and stability of different subtypes of headache in a 30 year prospective follow-up study of a general population sample.
designProspective cohort study.
settingCanton of Zurich, Switzerland.
participants591 people aged 19-20 from a cohort of 4547 residents of Zurich, Switzerland, interviewed seven times across 30 years of follow-up.
main outcome measuresPrevalence of headache; stability of the predominant subtype of headache over time; and age of onset, severity, impact, family history, use of healthcare services, and drugs for headache subtypes.
resultsThe average one year prevalences of subtypes of headache were 0.9% (female:male ratio of 2.8) for migraine with aura, 10.9% (female:male ratio of 2.2) for migraine without aura, and 11.5% (female:male ratio of 1.2) for tension-type headache. Cumulative 30 year prevalences of headache subtypes were 3.0% for migraine with aura, 36.0% for migraine without aura, and 29.3% for tension-type headache. Despite the high prevalence of migraine without aura, most cases were transient and only about 20% continued to have migraine for more than half of the follow-up period. 69% of participants with migraine and 58% of those with tension-type headache manifested the same predominant subtype over time. However, the prospective stability of the predominant headache subtypes was quite low, with substantial crossover among the subtypes and no specific ordinal pattern of progression. A gradient of severity of clinical correlates and service use was present across headache subtypes; the greatest effect was for migraine with aura followed by migraine without aura, and then tension-type headache and unclassified headaches.
conclusionsThese findings highlight the importance of prospective follow-up of people with headache. The substantial longitudinal overlap among subtypes of headache shows the developmental heterogeneity of headache syndromes. Studies of the causes of headache that apply diagnostic nomenclature based on distinctions between discrete headache subtypes may not capture the true nature of headache in the general population.
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