ArticleNeurology2022
Characteristics and Gender Differences of Headache in the Veterans Health Administration: A National Cohort Study, Fiscal Year 2008-2019.
Open access · hybridAbstract read
In one paragraph
Article in Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% of its field
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.
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.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- An Evidence Map of the Women Veterans' Health Literature, 2016 to 2023: A Systematic Review.JAMA network open · 2025Pooled it
- Risks of suicide in migraine, non-migraine headache, back, and neck pain: a systematic review and meta-analysis.Frontiers in neurology · 2023Pooled it
- Suicide-related outcomes in veterans with post-traumatic headache: a retrospective cohort study.Lancet regional health. Americas · 2026Article
- Repetitive Blast Exposure Drives Chronic Pain in Female Rats.Journal of neuroscience research · 2025Article
- Article
- Understanding Data and Opportunities Focused on Value: A Single-Center Experience in Headache Care.Neurology. Clinical practice · 2025Article
- Engaging Patients with Headache in the Veterans Health Administration (VHA): ACTIvated Veterans Engagement Group (ACTIVE) to Improve Delivery of Patient-Centered Headache Services.Journal of patient experience · 2025Article
- Self-medication with NSAIDs and purchase of branded and over-the-counter medicines: Analysis of a national survey in Peru.Journal of public health research · 2025Article
- Analysis and 15-Year Projections of the Global Burden of Tension-Type Headache by Sex from 1990 to 2021: A Systematic Review of GBD 2021 Data.Journal of pain research · 2025Article
- The Efficacy of Botulinum Toxin Use in Service Members and Veterans with Migraine and Post-Traumatic Headache Disorders: A Scoping Review.Journal of pain research · 2024Article
- Studying classic psychedelics for the management of headache disorders: Considerations for Veterans.Journal of military, veteran and family health · 2023Article
- Calcitonin Gene-Related Peptide Monoclonal Antibodies and Risk of SARS-CoV-2 Infection and Severe COVID-19 Outcomes Among Veterans With Migraine Disorder.JAMA network open · 2023Article
Corrections and comments
- Commented on by
Authors and funding
18 authors at 1 institution in 1 country.
Jason Jonathon SicoFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY. jason.sico@yale.edu.
Elizabeth K SengFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0002-8938-4949
Kaicheng WangFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.
Melissa SkandersonFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.
Emmanuelle A D SchindlerFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0001-7962-0365
John P NeyFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.
Nancy LorenzeFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0001-5186-2063
Addison KimberFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0001-5305-0966
Hayley LindseyFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0002-4950-0124
Amy S GrinbergFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.
Deena KuruvillaFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0002-1997-5663
Donald S HigginsFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0001-6999-0995
Glenn GrahamFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.
Friedhelm SandbrinkFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0002-3786-7244
Joel ScholtenFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0002-4895-8387
Robert E ShapiroFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.ORCID 0000-0002-7401-0514
Richard B LiptonFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.
Brenda T FentonFrom the Neurology Service (J.J.S., E.A.D.S.), Clinical Epidemiology Research Center (CERC) (J.J.S.), Pain Research (J.J.S., M.S., N.L., A.K., H.L., B.T.F.), Informatics, and Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven; Departments of Neurology (J.J.S., N.L., A.K., H.L., E.A.D.S.), Internal Medicine (J.J.S.), Center for Neuroepidemiological and Clinical Neurological Research (J.J.S., E.A.D.S.), Yale Center for Analytic Sciences (K.W.), Yale School of Medicine, New Haven, CT; Veterans Health Administration Headache Centers of Excellence (HCoE) Research and Evaluation Center (J.J.S., E.K.S., K.W., M.S., E.A.D.S., J.P.N., N.L., A.K., H.L., A.S.G., D.K., B.T.F.), Department of Veterans Affairs, Orange, CT; Yeshiva University (E.K.S.), New York City, NY; Neurology Service (J.P.N.), Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA; Department of Neurology (J.P.N.), Boston University School of Medicine, MA; Westport Headache Institute (D.K.), Westport, CT; Albany Stratton VA Medical Center (D.S.H.), NY; Department of Neurology (G.G.), George Washington University, Washington, DC; Department of Neurology (G.G.), University of California San Francisco School of Medicine, Specialty Care Services (G.G.), Veterans Health Administration Pain Management (F.S.), Opioid Safety and PDMP Program, Department of Veterans Affairs, Washington, DC; Departments of Neurology (F.S.), Physical Medicine and Rehabilitation (J.S.), Veterans Affairs Medical Center, Washington, DC; Department of Neurology (R.E.S.), University of Vermont Medical Center, Burlington, VT; Department of Neurology (R.B.L.), Albert Einstein College of Medicine, Bronx, NY; and Department of Neurology (R.B.L.), Montefiore Medical Center, Bronx, NY.
Neurology, Inc · US
Funding
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9MNCATS NIH HHS UL1 TR001863
Abstract
BACKGROUND AND
objectivesTo determine gender differences in headache types diagnosed, sociodemographic characteristics, military campaign and exposures, and health care utilization among US veterans in the Veterans Health Administration (VHA).
methodsThis study used a retrospective cohort design to examine VHA electronic health record (EHR) data. This cohort includes veterans who had at least 1 visit for any headache between fiscal years 2008 and 2019. Headache diagnoses were classified into 8 categories using
resultsOf the 1,524,960 veterans with headache diagnoses included in the cohort, 82.8% were men. Compared with women, men were more often White (70.4% vs 56.7%), older (52.0 ± 16.8 vs 41.9 ± 13.0 years), with higher rates of traumatic brain injury (2.9% vs 1.1%) and post-traumatic stress disorder (23.7% vs 21.7%), and lower rates of military sexual trauma (3.2% vs 33.7%; DISCUSSION: Among veterans with headache diagnoses, important gender differences exist for men and women veterans receiving headache care within VHA regarding sociodemographic characteristics, headache diagnoses, military exposure, and headache health care utilization. The findings have potential implications for providers and the health care system caring for veterans living with headache.
Indexed as
VeteransVeterans HealthCohort StudiesFemaleHeadacheHumansMaleRetrospective StudiesSex FactorsUnited StatesUnited States Department of Veterans Affairs
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