Evidence map›Paper›PMID 26382855›Full record

ArticleThe journal of headache and pain2015

Clinical and Demographical Characteristics of Patients with Medication Overuse Headache in Argentina and Chile: Analysis of the Latin American Section of COMOESTAS Project.

Beatriz Shand, Maria Teresa Goicochea, Raul Valenzuela, Ricardo Fadic, Rigmor Jensen, Cristina Tassorelli, Giuseppe Nappi, COMOESTAS CONSORTIUM

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07568496 (Greater Occipital Nerve Block for Migraine With Medication Overuse Headache), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07568496 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Greater Occipital Nerve Block for Migraine With Medication Overuse Headache

TypeinterventionalSponsorMahidol UniversityRan2026 to 2028Enrolled130ConditionsMigraine Disorders, Medication Overuse Headache, Greater Occipital Nerve BlockArmsLidocaine 2% and Methylprednisolone 80 mg, Placebo
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Unveiling the Public Economic Burden of Migraine in Argentina.Journal of health economics and outcomes research · 2025
    Article
  6. Review
  7. Article
  8. Medication overuse headache: a review of current evidence and management strategies.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Review
  9. High rates of (treated) hypothyroidism among chronic migraine patients consulting a specialized headache clinic: are we missing something?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  10. Insomnia in neurological diseases.Neurological research and practice · 2021
    Article
  11. Article
  12. Article
  13. Review
  14. Medication-overuse headache: a perspective review.Therapeutic advances in drug safety · 2016
    Review
  15. Article
  16. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 4 countries.

Beatriz ShandDepartment of Neurology, Pontificia Universidad Católica of Chile, Santiago, Chile. bshand@uc.cl.
Maria Teresa GoicocheaIntegral Pain Centre, Fundación para la Lucha contra las Enfermedades Neurológicas Infantiles (FLENI), Buenos Aires, Argentina. mtgoicochea@fleni.org.ar.
Raul ValenzuelaDepartment of Neurology, Pontificia Universidad Católica of Chile, Santiago, Chile. rvalen@med.puc.cl.
Ricardo FadicDepartment of Neurology, Pontificia Universidad Católica of Chile, Santiago, Chile. rfadic@med.puc.cl.
Rigmor JensenDanish Headache Centre, Glostrup Amtssygehuset, University of Copenhagen, Copenhagen, Denmark. rigmor.jensen@regionh.dk.
Cristina TassorelliHeadache Science Centre, C. Mondino National Neurological Institute, Pavia, Italy. cristina.tassorelli@mondino.it.
Giuseppe NappiHeadache Science Centre, C. Mondino National Neurological Institute, Pavia, Italy. giuseppe.nappi@mondino.it.
COMOESTAS CONSORTIUM
Pontificia Universidad Católica de Chile · CLFondazione Istituto Neurologico Nazionale Casimiro Mondino · ITFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia · ARUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the characteristics of Medication Overuse Headache (MOH) in Latin American (LA) are scarce. Here we report the demographic and clinical features of the MOH patients from Argentina and Chile enrolled in the multinational COMOESTAS project in the period 2008-2010.

methodsThe LA population was formed by 240 MOH subjects, 110 from Chile and 130 from Argentina, consecutively attending the local headache centres. In each centre, specifically trained neurologist interviewed and confirmed the diagnosis according to the ICHD-II criteria. A detailed history was collected on an electronic patient record form.

resultsThe mean patient age was 38.6 years, with a female/male ratio of 8:2. The mean time since onset of the primary headache was 21 years, whereas duration of MOH was 3.9 years. The primary headache was migraine without aura in 77.5 % and migraine with aura in 18.8 %. Forty two % of the patients self-reported emotional stress associated with the chronification of headache; 43.8 % reported insomnia. The most overused medications were acute drug combinations containing ergotamine (70 %), NSAIDs (33.8 %) and triptans (5.4 %).

conclusionThough little described, MOH is present also in LA, where it affects mostly women, in the most active decades of life. Some differences emerge as regards the demographic and clinical characteristics of MOH in this population as compared to Europe or Northern America. What seems more worrying about MOH in Argentina and Chile is that most patients overuse ergotamine, a drug that may cause serious adverse events when used chronically. These findings once more underscore the importance of properly diagnose and treat MOH.

Indexed as

AdolescentAdultAgedAnalgesicsAnti-Inflammatory Agents, Non-SteroidalArgentinaChileElectronic Health RecordsFemaleHeadache Disorders, SecondaryHumansMaleMiddle AgedMigraine DisordersPrescription Drug OveruseSleep Initiation and Maintenance DisordersAnalgesicsAnti-Inflammatory Agents, Non-SteroidalTryptaminesChronic headacheErgotamineMedication Overuse Headache (MOH)

Identifiers

PMID26382855
PMCPMC4573742
OpenAlexW2147949413

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.