Evidence map›Paper›PMID 38255711›Full record

ArticleLife (Basel, Switzerland)2024

Treatment Patterns for and Characteristics of Headache in Children and Adolescents Aged 6-17 Years in Japan: A Retrospective Cross-Sectional and Longitudinal Analysis of Health Insurance Claims Data.

Masahito Katsuki, Yasuhiko Matsumori, Taisuke Ichihara, Yuya Yamada, Shin Kawamura, Kenta Kashiwagi, Akihito Koh, Tetsuya Goto, Kazuma Kaneko, Naomichi Wada and 1 more

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 5 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

11 authors at 1 institution in 1 country.

Masahito KatsukiDepartment of Neurosurgery, Suwa Red Cross Hospital, Suwa 392-0027, Japan.ORCID 0000-0002-0192-5430
Yasuhiko MatsumoriSendai Headache and Neurology Clinic, Sendai 982-0014, Japan.
Taisuke IchiharaJapan System Techniques Co., Ltd. (JAST), Minato-ku 108-8288, Japan.
Yuya YamadaJapan System Techniques Co., Ltd. (JAST), Minato-ku 108-8288, Japan.
Shin KawamuraDepartment of Neurosurgery, Itoigawa General Hospital, Itoigawa 941-0006, Japan.
Kenta KashiwagiDepartment of Neurology, Itoigawa General Hospital, Itoigawa 941-0006, Japan.
Akihito KohDepartment of Neurosurgery, Itoigawa General Hospital, Itoigawa 941-0006, Japan.
Tetsuya GotoDepartment of Neurosurgery, Suwa Red Cross Hospital, Suwa 392-0027, Japan.
Kazuma KanekoHeadache Outpatient, Suwa Red Cross Hospital, Suwa 392-0027, Japan.
Naomichi WadaDepartment of Neurosurgery, Suwa Red Cross Hospital, Suwa 392-0027, Japan.
Fuminori YamagishiDepartment of Surgery, Itoigawa General Hospital, Itoigawa 941-0006, Japan.
Suwa Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the prescription patterns for patients aged 6-17 years with headaches in the REZULT database.

methodsWe cross-sectionally investigated (Study 1) the pattern of prescription and the proportion of triptan overprescription (≥30 tablets/90 d of triptans) among patients diagnosed with headaches in 2020. Next, we longitudinally studied patients (Study 2) for more than two years from the initial headache diagnosis (July 2010 to April 2022). The number of prescribed tablets was counted every 90 days.

resultsIn Study 1, headache diagnoses were assigned to 62,568 of 543,628 (11.51%) patients, and 1524 of 62,568 (2.44%) patients received acute medication. Single nonsteroidal anti-inflammatory drugs and triptans were prescribed to 620/624 (99.36%) and 5/624 (0.80%) of patients aged 6-11 years, respectively, and 827/900 (91.89%) and 91/900 (10.11%) of patients aged 12-17 years, respectively. Triptan overprescription was observed in 11/96 (11.46%) patients, and 5/11 (45.45%) of those patients received prophylactic medication. In Study 2, 80,756/845,470 (9.55%) patients aged 6-17 years were diagnosed with headaches that persisted for at least two years. Over two years, 44/80,756 (0.05%) patients were overprescribed triptans, and 3408/80,756 (4.22%) patients were prescribed prophylaxis on at least one occasion.

conclusionsBased on real-world data, the appropriate use of prophylactic treatment is still problematic. Overprescription of triptans was observed, although the number of patients was small.

Indexed as

acute mediationsmedication overuse headachemigrainepediatrictriptans

Identifiers

PMID38255711
PMCPMC10820976
OpenAlexW4390673142

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.