Title: The Burden of Headache in Patients Attending Medicine OPD at a Tertiary Medical Centre (AIIMS Patna)
Authors: Dr M. Sarfuddin Ahmad, Dr Gagan Gunjan, Dr Maya Gopalakrishnan, Dr Ravikirti
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.200
Abstract
Background
Headache is a very common complaint in communities. Primary headache disorders are not only among the commonest disorders in the world but also among the most burdensome, causing considerable morbidity and loss of productivity.1 The Global burden of disease study 2010 (GBD2010) reported tension type headache (TTH) and migraine to be the 2nd and 3rd most prevalent disorders worldwide, but migraine far outweighs TTH as a cause of disability.2 The Global burden disease study 2013 (GBD2013) found migraine to be the 6th highest cause worldwide in terms of years lost due to disability (YLD). Community based studies in India report an observed 1 year prevalence of any headache to be 63.9% which is significantly high compared to global prevalence of any headache. The mean global prevalence is estimated as 14.7%.3 Even in developed countries like USA,UK only half of those identified with migraine had seen a doctor for headache related reasons in the previous 12 months and only two-thirds had been correctly diagnosed.4 In India, there is dearth of focused epidemiological studies on primary headache and its subtypes especially Bihar.
