OBJECTIVE: To obtain information on migraine and its impact on the family, particularly on the healthcare utilization and productivity of family members without migraine. STUDY DESIGN: Retrospective study using linked medical and pharmacy claims data that allowed identification of families and individuals with migraine. PATIENTS AND METHODS: Families with at least 1 migraineur were matched with up to 3 nonmigraineur families on employer, age of migraineur, number of family members, sex, and index date quarter. For a subset of employees, data on short- and long-term disability as well as absenteeism also were evaluated to determine the impact of migraine on these indirect costs. RESULTS: The total healthcare costs of a family with a migraineur were 70% higher than those of the nonmigraine family, with most of the difference concentrated in outpatient costs. The impact of having a migraineur in the family persisted even after controlling for other disorders and demographics in a multivariate model. Total healthcare costs per family depended on which family member was the migraineur, and were about dollars 600 higher when the sole migraineur was a child versus a parent and almost dollars 2500 higher when both a parent and child were affected (compared with families in which the sole migraineur was a child). Work absence days, short-term disability, and workman's compensation days all were higher among migraine families than among families without a migraineur. CONCLUSION: Migraine families incur far higher direct and indirect healthcare costs than nonmigraine families, with variation depending on which family member is the clinically detected migraineur.
OBJECTIVE: To obtain information on migraine and its impact on the family, particularly on the healthcare utilization and productivity of family members without migraine. STUDY DESIGN: Retrospective study using linked medical and pharmacy claims data that allowed identification of families and individuals with migraine. PATIENTS AND METHODS: Families with at least 1 migraineur were matched with up to 3 nonmigraineur families on employer, age of migraineur, number of family members, sex, and index date quarter. For a subset of employees, data on short- and long-term disability as well as absenteeism also were evaluated to determine the impact of migraine on these indirect costs. RESULTS: The total healthcare costs of a family with a migraineur were 70% higher than those of the nonmigraine family, with most of the difference concentrated in outpatient costs. The impact of having a migraineur in the family persisted even after controlling for other disorders and demographics in a multivariate model. Total healthcare costs per family depended on which family member was the migraineur, and were about dollars 600 higher when the sole migraineur was a child versus a parent and almost dollars 2500 higher when both a parent and child were affected (compared with families in which the sole migraineur was a child). Work absence days, short-term disability, and workman's compensation days all were higher among migraine families than among families without a migraineur. CONCLUSION:Migraine families incur far higher direct and indirect healthcare costs than nonmigraine families, with variation depending on which family member is the clinically detected migraineur.
Authors: Matthew J Khayata; Samantha Farley; J Kelly Davis; Christoph P Hornik; Bryce B Reeve; Aruna Rikhi; Amy A Gelfand; Christina L Szperka; Shirley Kessel; Tara Pezzuto; Alex Hammett; Monica E Lemmon Journal: Headache Date: 2022-05-06 Impact factor: 5.311
Authors: Andrew D Hershey; Scott W Powers; Christopher S Coffey; Dixie D Eklund; Leigh Ann Chamberlin; Leslie L Korbee Journal: Headache Date: 2013-04-17 Impact factor: 5.887
Authors: L C Newman; R K Cady; S Landy; P O'Carroll; W J Kwong; S P Burch; A C Nelsen; S A McDonald Journal: Int J Clin Pract Date: 2008-12 Impact factor: 2.503