Evidence map›Paper›PMID 37654430›Full record

ArticleFrontiers in neurology2023

Treatment pattern and health care resource utilization for Taiwanese patients with migraine: a population-based study.

Yen-Feng Wang, Shuu-Jiun Wang, Yao Hsien Huang, Yung-Tai Chen, Yu-Chun Yen, Ben-Chang Shia, Ching-Wen Tsai, Hoi-Fong Chan, Tommaso Panni, Grazia Dell'Agnello

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

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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

10 authors at 6 institutions in 2 countries.

Yen-Feng WangDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
Shuu-Jiun WangDepartment of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
Yao Hsien HuangEli Lilly and Company, Indianapolis, IN, United States.
Yung-Tai ChenDepartment of Nephrology, Taipei City Hospital Heping Fuyou Branch, Taipei, Taiwan.
Yu-Chun YenClinical Information Department, Quality Management Center, Taichung Veterans General Hospital, Taichung, Taiwan.
Ben-Chang ShiaGraduate Institute of Business Administration, College of Management, Fu Jen Catholic University, Taipei, Taiwan.
Ching-Wen TsaiHealth Data Analytics and Statistics Center, Office of Data Science, Taipei Medical University, Taipei, Taiwan.
Hoi-Fong ChanEli Lilly and Company, Indianapolis, IN, United States.
Tommaso PanniEli Lilly and Company, Indianapolis, IN, United States.
Grazia Dell'AgnelloEli Lilly and Company, Indianapolis, IN, United States.
Eli Lilly (United States) · USTaipei Veterans General Hospital · TWFu Jen Catholic University · TWTaichung Veterans General Hospital · TWTaipei City Hospital · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Given the substantial disease burden, appropriate and effective management of migraine is a public health priority. To gain insights into real-world migraine management practices in Taiwan, current treatment patterns, costs, and health care resource use were assessed. Methods: This was a retrospective, longitudinal study using the Taiwan National Health Insurance Research Database. Included patients had an initial diagnosis of migraine (defined using International Classification of Diseases codes) between 1 January 2013 and 31 December 2017. Data analyzed included demographics; the use, number, and type of acute and preventive medications; and drug and medical services costs. Data were stratified according to migraine type (chronic [CM] or episodic [EM] migraine). Results: A total of 312,718 patients were included in the analyses: 53,992 (17.3%) had CM and 258,726 (82.7%) had EM. Most patients (81.7%) had used acute and/or preventive medications; acute medications used more frequently than preventive medications (78.0% vs. 20.2%). Acute medications were used by 81.6 and 77.3% of patients with CM and EM, respectively. Commonly used acute medications were acetaminophen (68.8%), ergots (49.4%), and non-steroidal anti-inflammatory drugs (38.4%); the use of triptans (6.0%), tramadol (3.1%), and other opioids (0.2%) was less common. A total of 28.6 and 18.5% of patients with CM and EM, respectively, used preventive medications. Flunarizine (68.9%), propranolol (40.7%), and topiramate (16.0%) were the most commonly used preventive medications. Most patients had used 1-2 acute or preventive medications, with the use of ≥3 acute or preventive medications more common in patients with CM than EM. Average total medical cost Conclusion: These real-world data suggest unmet needs for Taiwanese patients with migraine, including under-utilization of preventive medications and greater costs and health care resource use for patients with CM versus EM. These findings provide important information on treatment patterns, cost, and health care resource use for patients with migraine in Taiwan.

Indexed as

acute medicationchronic migraineepisodic migrainehealth care resource usepreventive medicationreal-worldTaiwan

Identifiers

PMID37654430
PMCPMC10466390
OpenAlexW4385954017

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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.