Migraine-attributed burden, impact and disability, and migraine-impacted quality of life

Migraine-attributed burden, impact, disability and migraine-impacted quality of life are important concepts in clinical management, clinical and epidemiological research, and health policy, requiring clear and agreed definitions. We aimed to formulate concise and precise definitions of these concept...

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Bibliographic Details
Authors: Steiner, Timothy J|||0000-0002-1882-4337, Terwindt, Gisela|||0000-0003-3140-6882, Katsarava, Zaza|||0000-0002-9932-1159, Pozo-Rosich, Patricia|||0000-0003-0796-4702, Gantenbein, Andreas R|||0000-0001-5686-0200, Roche, Sarah L, Dell'Agnello, Grazia, Tassorelli, Cristina|||0000-0003-1513-2113
Format: article
Publication Date:2022
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:268514
Online Access:https://ddd.uab.cat/record/268514
https://dx.doi.org/urn:doi:10.1177/03331024221110102
Access Level:Open access
Keyword:Migraine
Burden
Impact
Disability
Quality of life
Definitions
Delphi
Expert consensus
Description
Summary:Migraine-attributed burden, impact, disability and migraine-impacted quality of life are important concepts in clinical management, clinical and epidemiological research, and health policy, requiring clear and agreed definitions. We aimed to formulate concise and precise definitions of these concepts by expert consensus. We searched the terms migraine-attributed burden, impact, disability and migraine-impacted quality of life in Embase and Medline from 1974 and 1946 respectively. We followed a Delphi process to reach consensus on definitions. We found widespread conflation of concepts and inconsistent terminology within publications. Following three Delphi rounds, we defined migraine-attributed burden as "the summation of all negative consequences of the disease or its diagnosis"; migraine-attributed impact as "the effect of the disease, or its diagnosis, on a specified aspect of life, health or wellbeing"; migraine-attributed disability as "physical, cognitive and mental incapacities imposed by the disease"; and migraine-impacted quality of life as "the subjective assessment by a person with the disease of their general wellbeing, position and prospects in life". We complemented each definition with a detailed description. These definitions and descriptions should foster consistency and encourage more appropriate use of currently available quantifying instruments and aid the future development of others