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The Journal of Headache and Pain
Published in: The Journal of Headache and Pain 1/2013

Open Access 01-12-2013 | Consensus article

Improving quality in population surveys of headache prevalence, burden and cost: key methodological considerations

Authors: Timothy J Steiner, Lars Jacob Stovner, Mohammed Al Jumah, Gretchen L Birbeck, Gopalakrishna Gururaj, Rigmor Jensen, Zaza Katsarava, Luiz Paulo Queiroz, Ann I Scher, Redda Tekle-Haimanot, Shuu-Jiun Wang, Paolo Martelletti, Tarun Dua, Somnath Chatterji

Published in: The Journal of Headache and Pain | Issue 1/2013

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Abstract

Population-based studies of headache disorders are important. They inform needs assessment and underpin service policy for a set of disorders that are a public-health priority. On the one hand, our knowledge of the global burden of headache is incomplete, with major geographical gaps; on the other, methodological differences and variable quality are notable among published studies of headache prevalence, burden and cost.
The purpose here was to start the process of developing standardized and better methodology in these studies. An expert consensus group was assembled to identify the key methodological issues, and areas where studies might fail. Members had competence and practical experience in headache epidemiology or epidemiology in general, and were drawn from all WHO world regions. We reviewed the relevant literature, and supplemented the knowledge gathered from this exercise with experience gained from recent Global Campaign population-based studies, not all yet published. We extracted methodological themes and identified issues within them that were of key importance.
We found wide variations in methodology. The themes within which methodological shortcomings had adverse impact on quality were the following: study design; selection and/or definition of population of interest; sampling and bias avoidance; sample size estimation; access to selected subjects (managing and reporting non-participation); case definition (including diagnosis and timeframe); case ascertainment (including diagnostic validation of questionnaires); burden estimation; reporting (methods and results). These are discussed.
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Metadata
Title
Improving quality in population surveys of headache prevalence, burden and cost: key methodological considerations
Authors
Timothy J Steiner
Lars Jacob Stovner
Mohammed Al Jumah
Gretchen L Birbeck
Gopalakrishna Gururaj
Rigmor Jensen
Zaza Katsarava
Luiz Paulo Queiroz
Ann I Scher
Redda Tekle-Haimanot
Shuu-Jiun Wang
Paolo Martelletti
Tarun Dua
Somnath Chatterji
Publication date
01-12-2013
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 1/2013
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1186/1129-2377-14-87

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