Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/41650 |
Resumo: | Introduction: Accessibility of treatment with monoclonal antibodies targeting the calcitonin gene-related peptide (CGRP) signaling pathway is impeded by regulatory restrictions. Affected individuals may seek out other services including non-pharmacological therapies. Thus, we found it timely to ascertain the use of non-pharmacological therapies in individuals with treatment-resistant migraine eligible for and naïve to treatment with CGRP-signaling targeting monoclonal antibodies. Methods: We conducted a single-center cross-sectional observational study of patients eligible for and naïve to treatment with monoclonal antibodies targeting CGRP or its receptor. We recorded demographical information (gender, age, educational level, employment status, and income), disease burden (frequency of headache days and migraine days), previous use of preventive pharmacological medications for migraine, and use of non-pharmacological therapies over the past 3 months including frequency of interventions, costs, and patient-reported assessment of efficacy on a 6-point scale (0: no efficacy, 5: best possible efficacy). Results: We included 122 patients between 17 June 2019 and 6 January 2020; 101 (83%) were women and the mean age was 45.2 ± 13.3 years. One-third (n = 41 [34%]) had used non-pharmacological therapy within the past 3 months. Among these participants, the median frequency of different interventions was 1 (IQR: 1–2), the median number of monthly visits was 2.3 (IQR: 1.3–4), mean and median monthly costs were 1,086 ± 1471, and 600 (IQR: 0–1200) DKK (1 EUR = ~7.5 DKK), respectively, and median patient-reported assessment of the efficacy of interventions was 2 (IQR: 0–3). Conclusion: Even in a high-income country with freely accessible headache services and universal healthcare coverage, there was a non-negligible direct cost in parallel with low satisfaction for non-pharmacological therapies among patients at a tertiary headache center. |
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Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational studyAcupunctureChiropracticComplementary and alternative medicineHeadacheMigraineOsteopathyPhysical therapyReflexologyIntroduction: Accessibility of treatment with monoclonal antibodies targeting the calcitonin gene-related peptide (CGRP) signaling pathway is impeded by regulatory restrictions. Affected individuals may seek out other services including non-pharmacological therapies. Thus, we found it timely to ascertain the use of non-pharmacological therapies in individuals with treatment-resistant migraine eligible for and naïve to treatment with CGRP-signaling targeting monoclonal antibodies. Methods: We conducted a single-center cross-sectional observational study of patients eligible for and naïve to treatment with monoclonal antibodies targeting CGRP or its receptor. We recorded demographical information (gender, age, educational level, employment status, and income), disease burden (frequency of headache days and migraine days), previous use of preventive pharmacological medications for migraine, and use of non-pharmacological therapies over the past 3 months including frequency of interventions, costs, and patient-reported assessment of efficacy on a 6-point scale (0: no efficacy, 5: best possible efficacy). Results: We included 122 patients between 17 June 2019 and 6 January 2020; 101 (83%) were women and the mean age was 45.2 ± 13.3 years. One-third (n = 41 [34%]) had used non-pharmacological therapy within the past 3 months. Among these participants, the median frequency of different interventions was 1 (IQR: 1–2), the median number of monthly visits was 2.3 (IQR: 1.3–4), mean and median monthly costs were 1,086 ± 1471, and 600 (IQR: 0–1200) DKK (1 EUR = ~7.5 DKK), respectively, and median patient-reported assessment of the efficacy of interventions was 2 (IQR: 0–3). Conclusion: Even in a high-income country with freely accessible headache services and universal healthcare coverage, there was a non-negligible direct cost in parallel with low satisfaction for non-pharmacological therapies among patients at a tertiary headache center.Veritati - Repositório Institucional da Universidade Católica PortuguesaRundblad, LucasCullum, Christopher KjaerSacco, SimonaGil-Gouveia, RaquelUludüz, DeryaDo, Thien PhuAmin, Faisal Mohammad2023-07-12T07:24:38Z2022-07-132022-07-13T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/41650eng2673-561X10.3389/fpain.2022.93518385163639506PMC932604435910264info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-25T01:39:16Zoai:repositorio.ucp.pt:10400.14/41650Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:34:53.682801Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study |
title |
Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study |
spellingShingle |
Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study Rundblad, Lucas Acupuncture Chiropractic Complementary and alternative medicine Headache Migraine Osteopathy Physical therapy Reflexology |
title_short |
Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study |
title_full |
Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study |
title_fullStr |
Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study |
title_full_unstemmed |
Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study |
title_sort |
Use of non-pharmacological therapies in individuals with migraine eligible for treatment with monoclonal antibodies targeting Calcitonin Gene-Related Peptide (CGRP)-signaling: a single-center cross-sectional observational study |
author |
Rundblad, Lucas |
author_facet |
Rundblad, Lucas Cullum, Christopher Kjaer Sacco, Simona Gil-Gouveia, Raquel Uludüz, Derya Do, Thien Phu Amin, Faisal Mohammad |
author_role |
author |
author2 |
Cullum, Christopher Kjaer Sacco, Simona Gil-Gouveia, Raquel Uludüz, Derya Do, Thien Phu Amin, Faisal Mohammad |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Rundblad, Lucas Cullum, Christopher Kjaer Sacco, Simona Gil-Gouveia, Raquel Uludüz, Derya Do, Thien Phu Amin, Faisal Mohammad |
dc.subject.por.fl_str_mv |
Acupuncture Chiropractic Complementary and alternative medicine Headache Migraine Osteopathy Physical therapy Reflexology |
topic |
Acupuncture Chiropractic Complementary and alternative medicine Headache Migraine Osteopathy Physical therapy Reflexology |
description |
Introduction: Accessibility of treatment with monoclonal antibodies targeting the calcitonin gene-related peptide (CGRP) signaling pathway is impeded by regulatory restrictions. Affected individuals may seek out other services including non-pharmacological therapies. Thus, we found it timely to ascertain the use of non-pharmacological therapies in individuals with treatment-resistant migraine eligible for and naïve to treatment with CGRP-signaling targeting monoclonal antibodies. Methods: We conducted a single-center cross-sectional observational study of patients eligible for and naïve to treatment with monoclonal antibodies targeting CGRP or its receptor. We recorded demographical information (gender, age, educational level, employment status, and income), disease burden (frequency of headache days and migraine days), previous use of preventive pharmacological medications for migraine, and use of non-pharmacological therapies over the past 3 months including frequency of interventions, costs, and patient-reported assessment of efficacy on a 6-point scale (0: no efficacy, 5: best possible efficacy). Results: We included 122 patients between 17 June 2019 and 6 January 2020; 101 (83%) were women and the mean age was 45.2 ± 13.3 years. One-third (n = 41 [34%]) had used non-pharmacological therapy within the past 3 months. Among these participants, the median frequency of different interventions was 1 (IQR: 1–2), the median number of monthly visits was 2.3 (IQR: 1.3–4), mean and median monthly costs were 1,086 ± 1471, and 600 (IQR: 0–1200) DKK (1 EUR = ~7.5 DKK), respectively, and median patient-reported assessment of the efficacy of interventions was 2 (IQR: 0–3). Conclusion: Even in a high-income country with freely accessible headache services and universal healthcare coverage, there was a non-negligible direct cost in parallel with low satisfaction for non-pharmacological therapies among patients at a tertiary headache center. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-13 2022-07-13T00:00:00Z 2023-07-12T07:24:38Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/41650 |
url |
http://hdl.handle.net/10400.14/41650 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2673-561X 10.3389/fpain.2022.935183 85163639506 PMC9326044 35910264 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799132075549261824 |