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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e31817e9157
Original Articles

Labor Productivity in Migraine Patients: Primary Care Contribution to Occupational Medicine

Castillo, Jesús MD; Láinez, Miguel J. A. PhD, MD; Domínguez, Manuel PhD, MD; Palacios, Gemma PhD; Díaz, Silvia PhD; Rejas, Javier MD, PhD

Continued Medical Education
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Objective: To estimate the impact of migraine on labor productivity and health resources utilization in an active population attending Primary Care settings in Spain.

Methods: An observational, cross-sectional, and multicenter study was designed. Productivity, loss workdays equivalents and previous 3-months health resources utilization were calculated.

Results: Four thousand four hundred twenty six patients were evaluated. The migraine group showed the lowest productivity, highest loss workdays equivalents and health resources utilization compared with non-migraine headaches and subjects without headaches (P < 0.05 in all cases). Within the migraine group, lower productivity values were observed in female patients compared to male (64.04 vs 59.69; P < 0.05), while emergency room visits were more frequent for male patients (0.71 vs 076; P < 0.05).

Conclusions: Subjects with migraine showed higher impact on health resources utilization and productivity when evaluated at Primary care level.

©2008The American College of Occupational and Environmental Medicine


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