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Published in: The Journal of Headache and Pain 1/2022

Open Access 01-12-2022 | Migraine | Research

A study to investigate the prevalence of headache disorders and migraine among people registered in a health insurance association in Japan

Authors: Fumihiko Sakai, Koichi Hirata, Hisaka Igarashi, Takao Takeshima, Takeo Nakayama, Hiromi Sano, Hiroyuki Kondo, Yoshiyuki Shibasaki, Nobuyuki Koga

Published in: The Journal of Headache and Pain | Issue 1/2022

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Abstract

Background

Migraine is a chronic disease characterized by episodic headache attacks. No recent studies have, however been conducted on the epidemiology of migraine or the treatment landscape in Japan. This study was conducted as a fact-finding survey using medical claims data and an online survey on migraine and headaches, conducted among members of health insurance associations with the objective of gaining an understanding of migraine prevalence and the treatment status in Japan.

Methods

The study methodology utilized a unique approach of combined data sources. The data sources used in this study are medical claims data and linked online survey data provided by DeSC Healthcare Inc (DeSC). The primary outcomes (from survey responses) were: the overall number and proportion of migraine patients; and the overall prevalence of migraine, stratified by age and sex. The secondary outcomes (from survey responses) were use of medical care; and clinical features/headache symptoms. The analysis population included all individuals who had response data for surveys conducted by DeSC. The online survey data and medical claims data were summarized.

Results

The data population comprised 21,480 individuals. On the basis of the survey results, including probable cases, the overall prevalence of migraine was 3.2%. The highest prevalence of migraine was observed in patients aged 30–39 years. The prevalence of migraine in women was 4.4 times higher than in men. The percentage of migraine patients who had not been seen by a doctor was 81.0%. More than 80% of patients were taking over-the-counter drugs and 6.1% took prescription medicines only. Approximately 52.9% of patients considered that the intensity of pain symptoms was severe. Moreover, the majority of patients (72.9%) considered that the impairment of daily life activities was of moderate or severe degree.

Conclusions

In Japan, the percentage of people with migraine who did not receive medical attention is as high as 80%. Additionally, the majority of patients tend to endure symptoms and continue with everyday activities. With innovative treatment approaches becoming available it is necessary to disseminate information that migraine is not a simple headache but an illness that requires medical treatment and consultation.
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Literature
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go back to reference Headache Clinical Practice Guideline Development Committee (2021) Clinical practice guideline for headache disorders 2021. Japanese Society of Neurology, Japanese Headache Society, and Japanese Society of Neurological Therapeutics (eds). Igaku-Shoin, Tokyo. p 23 and p 143 Headache Clinical Practice Guideline Development Committee (2021) Clinical practice guideline for headache disorders 2021. Japanese Society of Neurology, Japanese Headache Society, and Japanese Society of Neurological Therapeutics (eds). Igaku-Shoin, Tokyo. p 23 and p 143
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go back to reference Takeshima T, Sakai F, Suzuki N, Shimizu T, Igarashi H, Araki N et al (2015) A simple migraine screening instrument: validation study in Japan. Japanese Journal of Headache 42(1):134–144 Takeshima T, Sakai F, Suzuki N, Shimizu T, Igarashi H, Araki N et al (2015) A simple migraine screening instrument: validation study in Japan. Japanese Journal of Headache 42(1):134–144
Metadata
Title
A study to investigate the prevalence of headache disorders and migraine among people registered in a health insurance association in Japan
Authors
Fumihiko Sakai
Koichi Hirata
Hisaka Igarashi
Takao Takeshima
Takeo Nakayama
Hiromi Sano
Hiroyuki Kondo
Yoshiyuki Shibasaki
Nobuyuki Koga
Publication date
01-12-2022
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 1/2022
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1186/s10194-022-01439-3

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