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Identifying the
multimorbidities in CM-MOH patients could aid in better management of patients
at risk of increased healthcare needs.
The multimorbidity in patients with medication
chronic migraine (CM) with an overuse headache (MOH) increase the risk of
CM/MOH chronification and interrupts its management, as per a recently
published study in the journal, Acta
Neurologica Scandinavica. Multimorbidity involved the concurrence of minimum two chronic
disease states at the same time in the same person. The cardiovascular and psychiatric were the
major comorbidities occurred in patients with CM. The study addressed the
effect and rate of these comorbidities among CM patients with MOH.
A comparison of patients with and without
multimorbidity was conducted for the quality of life (QoL), disability and
clinical and demographic variables. The patients with multimorbidity were also
assessed for relapse into CM, higher likelihood to attend the emergency room
and needed further withdrawal management by one year.
A total 194 patients selected for the study; out
of which 32% were with multimorbidity conditions and 61% with single
morbidities such as endocrine (13%), circulatory (18%) and mental (34%) issues.
Higher headache frequency, disability and lower QoL were found among patients
with multimorbidity accompanied by lower employment rates, lower education and
older age. After adjusting gender, years of education, headache frequency and
age, the people in multimorbidity group were more likely to attend ER, use more
barbiturates/opioids, undergo another withdrawal by one year and relapse into
CM. Therefore it is very crucial to recognize and manage these multimorbidities
on time.
Acta Neurologica Scandinavica
Multimorbidity in patients with chronic migraine and medication overuse headache
Domenico D'Amico et al.
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