Migraine Nurses in Primary Care: Costs and Benefits

Headache
Jan S P van den BergBoudewijn J Kollen

Abstract

We examined the costs and benefits of introducing migraine nurses into primary care. Migraine is one of the most costly neurological diseases. We analyzed data from our earlier nonrandomized cohort study comparing an intervention group of 141 patients, whose care was supported by nurses trained in migraine management, and a control group of 94 patients receiving usual care. Estimates of per-person direct costs were based on nurses' salaries and referrals to neurologists. Indirect costs were estimated as lost productivity, including numbers of days of absenteeism or with <50% productivity at work due to migraine, and notional costs related to lost days of household activities or days of <50% household productivity. Analysis was conducted from the payer's perspective. After 9 months the direct costs were €281.11 in the control group against €332.23 in the intervention group (mean difference -51.12; 95% CI: -113.20-15.56; P = .134); the indirect costs were €1985.51 in the control group against €1631.75 in the intervention group (mean difference 353.75; 95% CI: -355.53-1029.82; P = .334); and total costs were €2266.62 in the control group, against €1963.99 in the intervention group (mean difference 302.64; 95% CI: -433.46-1001.27; ...Continue Reading

References

Mar 1, 1997·Neurology·R B LiptonM von Korff
Aug 9, 2002·Headache·John Edmeads, Joan A Mackell
Dec 4, 2003·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·M KosinskiS Tepper
May 10, 2005·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Patrik Andlin-SobockiJes Olesen
Jan 31, 2007·Neurology·R B LiptonUNKNOWN AMPP Advisory Group
Apr 12, 2007·Journal of Occupational and Environmental Medicine·Kevin HawkinsMarcia F T Rupnow
Dec 29, 2010·Journal of Occupational and Environmental Medicine·Stephen H LandyLisa S Haskins
Dec 1, 2011·The Journal of Headache and Pain·Jun WuPeggy J Wagner
Dec 6, 2011·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·M LindeC Andrée
Jun 3, 2014·The Journal of Headache and Pain·Timothy J SteinerColette Andrée
Oct 22, 2015·Cephalalgia : an International Journal of Headache·Petra VeenstraJs Peter van den Berg

❮ Previous
Next ❯

Citations

Oct 13, 2020·Current Medical Research and Opinion·Valentina PerroneLuca Degli Esposti
Mar 29, 2021·Lancet·Messoud AshinaRichard B Lipton

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Revista clínica española
J L Alfonso Sánchez, V Sanchís-Bayarri Vallant
The American Journal of Managed Care
Brooks CashVictoria Barghout
The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care
Hildegard SeidlRolf Holle
© 2022 Meta ULC. All rights reserved