Evidence map›Paper›PMID 31023215›Full record

ArticleThe journal of headache and pain2019

The burden of headache disorders in the Eastern Mediterranean Region, 1990-2016: findings from the Global Burden of Disease study 2016.

Kia Vosoughi, Lars Jacob Stovner, Timothy J Steiner, Maziar Moradi-Lakeh, Seyed-Mohammad Fereshtehnejad, Farshad Farzadfar, Pouria Heydarpour, Reza Malekzadeh, Mohsen Naghavi, Mohammad Ali Sahraian and 7 more

Open access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
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

17 authors at 7 institutions in 7 countries.

Kia VosoughiPreventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Lars Jacob StovnerDepartment of Neuromedicine and Movement Science (INB), Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Timothy J SteinerDepartment of Neuromedicine and Movement Science (INB), Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Maziar Moradi-LakehPreventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran. moradilakeh.m@iums.ac.ir.
Seyed-Mohammad FereshtehnejadDivision of Neurology, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Farshad FarzadfarNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Pouria HeydarpourMultiple Sclerosis Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Reza MalekzadehDigestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Mohsen NaghaviDepartment of Health Metrics Sciences, University of Washington, Seattle, WA, USA.
Mohammad Ali SahraianMultiple Sclerosis Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Sadaf G SepanlouDigestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Arash Tehrani-BanihashemiPreventive Medicine and Public Health Research Center, Social Health Institute, Iran University of Medical Sciences, Tehran, Iran.
Reza MajdzadehKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Valery L FeiginDepartment of Health Metrics Sciences, University of Washington, Seattle, WA, USA.
Theo VosDepartment of Health Metrics Sciences, University of Washington, Seattle, WA, USA.
Ali H MokdadDepartment of Health Metrics Sciences, University of Washington, Seattle, WA, USA.
Christopher J L MurrayDepartment of Health Metrics Sciences, University of Washington, Seattle, WA, USA.
Tehran University of Medical Sciences · IRInstitute for Health Metrics and Evaluation · USIran University of Medical Sciences · IRNorwegian University of Science and Technology · NOJohns Hopkins University · USUniversity of Ottawa · CAUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUsing the findings of the Global Burden of Disease Study (GBD), we report the burden of primary headache disorders in the Eastern Mediterranean Region (EMR) from 1990 to 2016.

methodsWe modelled headache disorders using DisMod-MR 2.1 Bayesian meta-regression tool to ensure consistency between prevalence, incidence, and remission. Years lived with disability (YLDs) were calculated by multiplying prevalence and disability weight (DW) of migraine and tension-type headache (TTH). We assumed primary headache disorders as non-fatal, so their YLD is equal to disability-adjusted life years (DALYs).

resultsMigraine and TTH were the second and twentieth leading causes of YLDs in EMR. Between 1990 and 2016, the absolute YLD numbers of migraine and TTH increased from 2.3 million (95% uncertainty interval (UI): 1.5-3.2) to 4.7 million (95%UI: 3-6.5) and from 383 thousand (95%UI: 240-562) to 816 thousand (95%UI: 516-1221), respectively. During the same period, age-standardised YLD rates of migraine and TTH in EMR increased by 0.7% and 2.5%, respectively, in comparison to a small decrease in the global rates (0.2% decrease in migraine and TTH). The bulk of burden due to headache occurred in the 30-49 year age group, with a peak at ages 35-44 years. The age-standardised YLD rates of both headache disorders were higher in women with female to male ratio of 1.69 for migraine and 1.38 for TTH. All countries of the EMR except for Somalia and Djibouti had higher age-standardised YLD rates for migraine and TTH in compare to the global rates. Libya and Saudi Arabia had the highest increase in age-standardised YLD rates of migraine and TTH, respectively.

conclusionThe findings of this study show that primary headache disorders are a major and a growing cause of disability in EMR. Since 1990, burden of primary headache disorders has constantly been higher in EMR compared to rest of the world, which indicates that health systems in EMR must focus further on developing and implementing preventive and management strategies to control headache.

Indexed as

AdultBayes TheoremFemaleGlobal Burden of DiseaseGlobal HealthHeadache DisordersHumansMaleMediterranean RegionMiddle AgedPersons with DisabilitiesPrevalenceQuality-Adjusted Life YearsBurdenDisability-adjusted life years (DALYs)Eastern Mediterranean region (EMR)Global burden of disease study (GBD)MigrainePrevalencePrimary headacheTension-type headacheYears lived with disability (YLDs)

Identifiers

PMID31023215
PMCPMC6734477
OpenAlexW2946814943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.