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Chronic daily headache in adolescents: an 8-year follow-up study.
Neurology. 2009 Aug 11; 73(6):416-22.Neur

Abstract

OBJECTIVE

To assess the long-term outcome of a community-based adolescent cohort with chronic daily headache (CDH).

METHODS

A field sample of 122 adolescents aged 12-14 years with CDH was established in 2000 (baseline) with short-term follow-up studies in 2001 and 2002. In 2008, the cohort was re-interviewed by physicians via telephone to determine the headache profile for the past year, including Migraine Disability Assessment (MIDAS), a headache disability questionnaire. Presence of CDH was defined as >or=15 headache days/month, average >or=4 hours/day for >3 months. Outcome measures included headache frequency, MIDAS score, and presence of CDH in 2008.

RESULTS

A total of 103 subjects (26 male/77 female, mean age 21.6 +/- 0.9 years) completed the study (response rate 84.4%). The average monthly headache frequency was 4.7 +/- 6.0 (0-30) days. Twenty-eight (27.2%) subjects had moderate or severe headache disability (MIDAS >or=11). Twelve (12%) subjects met CDH criteria, with chronic migraine (n = 10, 83%) as the most common subtype. Two (2%) subjects overused medications. From 2000 to 2008, the frequencies of migraine diagnoses were fairly consistent in this cohort. Presence of migraine at baseline predicted poorer outcome of all 3 measures. Additionally, CDH onset <13 years old, duration >or=2 years, and medication overuse predicted either higher headache frequencies or presence of CDH in 2008.

CONCLUSIONS

This long-term follow-up study revealed a marked decline in the frequency of chronic daily headache (CDH). However, one fourth of patients still had significant headache disability. Migraine history was a major factor in evolution of CDH into young adulthood. Early onset and longer duration of CDH implied a protracted disease course.

Authors+Show Affiliations

Department of Neurology, National Yang-Ming University School of Medicine, Taipei, Taiwan. sjwang@vghtpe.gov.twNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19605771

Citation

Wang, Shuu-Jiun, et al. "Chronic Daily Headache in Adolescents: an 8-year Follow-up Study." Neurology, vol. 73, no. 6, 2009, pp. 416-22.
Wang SJ, Fuh JL, Lu SR. Chronic daily headache in adolescents: an 8-year follow-up study. Neurology. 2009;73(6):416-22.
Wang, S. J., Fuh, J. L., & Lu, S. R. (2009). Chronic daily headache in adolescents: an 8-year follow-up study. Neurology, 73(6), 416-22. https://doi.org/10.1212/WNL.0b013e3181ae2377
Wang SJ, Fuh JL, Lu SR. Chronic Daily Headache in Adolescents: an 8-year Follow-up Study. Neurology. 2009 Aug 11;73(6):416-22. PubMed PMID: 19605771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic daily headache in adolescents: an 8-year follow-up study. AU - Wang,Shuu-Jiun, AU - Fuh,Jong-Ling, AU - Lu,Shiang-Ru, Y1 - 2009/07/15/ PY - 2009/7/17/entrez PY - 2009/7/17/pubmed PY - 2009/9/11/medline SP - 416 EP - 22 JF - Neurology JO - Neurology VL - 73 IS - 6 N2 - OBJECTIVE: To assess the long-term outcome of a community-based adolescent cohort with chronic daily headache (CDH). METHODS: A field sample of 122 adolescents aged 12-14 years with CDH was established in 2000 (baseline) with short-term follow-up studies in 2001 and 2002. In 2008, the cohort was re-interviewed by physicians via telephone to determine the headache profile for the past year, including Migraine Disability Assessment (MIDAS), a headache disability questionnaire. Presence of CDH was defined as >or=15 headache days/month, average >or=4 hours/day for >3 months. Outcome measures included headache frequency, MIDAS score, and presence of CDH in 2008. RESULTS: A total of 103 subjects (26 male/77 female, mean age 21.6 +/- 0.9 years) completed the study (response rate 84.4%). The average monthly headache frequency was 4.7 +/- 6.0 (0-30) days. Twenty-eight (27.2%) subjects had moderate or severe headache disability (MIDAS >or=11). Twelve (12%) subjects met CDH criteria, with chronic migraine (n = 10, 83%) as the most common subtype. Two (2%) subjects overused medications. From 2000 to 2008, the frequencies of migraine diagnoses were fairly consistent in this cohort. Presence of migraine at baseline predicted poorer outcome of all 3 measures. Additionally, CDH onset <13 years old, duration >or=2 years, and medication overuse predicted either higher headache frequencies or presence of CDH in 2008. CONCLUSIONS: This long-term follow-up study revealed a marked decline in the frequency of chronic daily headache (CDH). However, one fourth of patients still had significant headache disability. Migraine history was a major factor in evolution of CDH into young adulthood. Early onset and longer duration of CDH implied a protracted disease course. SN - 1526-632X UR - https://www.unboundmedicine.com/medline/citation/19605771/Chronic_daily_headache_in_adolescents:_an_8_year_follow_up_study_ L2 - http://www.neurology.org/cgi/pmidlookup?view=long&amp;pmid=19605771 DB - PRIME DP - Unbound Medicine ER -