Evidence map›Paper›PMID 35076091›Full record

ArticleHeadache2022

Diagnosis, consultation, treatment, and impact of migraine in the US: Results of the OVERCOME (US) study.

Richard B Lipton, Robert A Nicholson, Michael L Reed, Andre B Araujo, Dena H Jaffe, Douglas E Faries, Dawn C Buse, Robert E Shapiro, Sait Ashina, M Janelle Cambron-Mellott and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Headache, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 2 pooled it
17.3field-weighted citation impact, top 1% 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

81 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.

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21 more citing papers are in PubMed but not listed here.

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

12 authors at 5 institutions in 1 country.

Richard B LiptonDepartment of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.
Robert A NicholsonEli Lilly and Company, Indianapolis, Indiana, USA.ORCID 0000-0002-2725-9739
Michael L ReedVedanta Research, Chapel Hill, North Carolina, USA.
Andre B AraujoEli Lilly and Company, Indianapolis, Indiana, USA.
Dena H JaffeKantar, Tel Aviv, Israel.
Douglas E FariesEli Lilly and Company, Indianapolis, Indiana, USA.
Dawn C BuseDepartment of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.
Robert E ShapiroDepartment of Neurological Sciences, Larner College of Medicine, University of Vermont, Burlington, Vermont, USA.
Sait AshinaDepartment of Neurology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
M Janelle Cambron-MellottKantar, New York, New York, USA.
John C RowlandKantar, New York, New York, USA.
Eric M PearlmanEli Lilly and Company, Indianapolis, Indiana, USA.
Eli Lilly (United States) · USAlbert Einstein College of Medicine · USKantar Health (United States) · USBeth Israel Deaconess Medical Center · USUniversity of Vermont · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe ObserVational survey of the Epidemiology, tReatment and Care of MigrainE (OVERCOME; United States) study is a multicohort, longitudinal web survey that assesses symptomatology, consulting, diagnosis, treatment, and impact of migraine in the United States.

backgroundRegularly updating population-based views of migraine in the United States provides a method for assessing the quality of ongoing migraine care and identifying unmet needs.

methodsThe OVERCOME (US) 2018 migraine cohort involved: (I) creating a demographically representative sample of US adults using quota sampling (n = 97,478), (II) identifying people with active migraine in the past year via a validated migraine diagnostic questionnaire and/or self-reported medical diagnosis of migraine (n = 24,272), and (III) assessing consultation, diagnosis, and treatment of migraine (n = 21,143). The current manuscript evaluated whether those with low frequency episodic migraine (LFEM; 0-3 monthly headache days) differed from other categories on outcomes of interest.

resultsAmong the migraine cohort (n = 21,143), 19,888 (94.1%) met our International Classification of Headache Disorders, 3rd edition-based case definition of migraine and 12,905 (61.0%) self-reported a medical diagnosis of migraine. Respondents' mean (SD) age was 42.2 (15.0) years; 15,697 (74.2%) were women. Having at least moderate disability was common (n = 8965; 42.4%) and around half (n = 10,783; 51.0%) had consulted a medical professional for migraine care in the past year. Only 4792 (22.7%) of respondents were currently using a triptan. Overall, 8539 (40.4%) were eligible for migraine preventive medication and 3555 (16.8%) were currently using migraine preventive medication. Those with LFEM differed from moderate and high frequency episodic migraine and chronic migraine on nearly all measures of consulting, diagnosis, and treatment.

conclusionThe OVERCOME (US) 2018 cohort revealed slow but steady progress in diagnosis and preventive treatment of migraine. However, despite significant impact among the population, many with migraine have unmet needs related to consulting for migraine, migraine diagnosis, and getting potentially beneficial migraine treatment. Moreover, it demonstrated the heterogeneity and varying unmet needs within episodic migraine.

Indexed as

Migraine DisordersAdultCohort StudiesFemaleHumansLongitudinal StudiesMalePersons with DisabilitiesReferral and ConsultationSelf ReportSerotonin 5-HT1 Receptor AgonistsSurveys and QuestionnairesTryptaminesUnited StatesSerotonin 5-HT1 Receptor AgonistsTryptaminesdiagnosisepisodic migraineheadachemigrainetreatmentunmet need

Identifiers

PMID35076091
PMCPMC9305407
OpenAlexW4210696369

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.