Year 2020 / Volume 27 / Number 3

Original

Symptomatic treatment for migraña. Drugs used and related variables. Results of the european survey on work and migraine

Rev. Soc. Esp. Dolor. 2020; 27(3): 178-191 / DOI: 10.20986/resed.2020.3744/2019

Maria Teófila Vicente Herrero, María Victoria Ramírez Iñiguez de la Torre, Elena Ruiz, Luis Reinoso


ABSTRACT

Goals: To know the use of migraine crisis symptomatic treatments in different countries of Europe and the differences observed depending on social and demographic variables.
Material and methods: Cross-sectional observational study by anonymous web survey to 3,342 patients from Spain, Italy, France, Portugal, Ireland, United Kingdom, Germany and other countries of the European Union. Study variables: age, gender, country, type of location, level of studies and rural or urban area. The symptomatic treatments that are collected are: simple analgesics, non-steroidal anti-inflammatory drugs, triptans, other treatments, several treatments, without treatment, ignorance of symptomatic treatment.
Results: For simple analgesics, the largest consumers are between 41-60 years (p < 0.0001). Spain and Germany are the countries with the highest use (p < 0.0001). For the anti-inflammatories, the greatest use is between 21-60 years (p < 0.0001). Spain, Italy and Germany are the countries that make the most use of them (p < 0.0001) and higher consumption in patients with higher education (p < 0.003).
Triptans use shows a relationship with age and gender, greater use between 21-60 years (p < 0.0001) and in women (p < 0.0001). By countries, the highest sintomáconsumption is in Germany, the rest of the European Union countries, Spain and the United Kingdom (p < 0.0001). Greater consumption in patients living in cities with more than 500 inhabitants (p < 0.010) and with medium or higher studies (p < 0.0001). In the group of middle and upper studies, we find, by contrast, the highest percentage of patients who do not know what a symptomatic treatment is (p < 0.0001).
Conclusions: The result varies according each country greatly and they are modified depending on different social and demographic conditions, being the age, gender, rural or urban environment and cultural level the factors that most affect the use of each symptomatic medication for the migraine crisis.



RESUMEN

Objetivos: Conocer el uso de tratamientos sintomáticos para las crisis de migraña en distintos países de Europa y las diferencias que se observan en función de variables sociales y demográficas.
Material y métodos: Estudio observacional transversal mediante encuesta anónima vía web a 3342 pacientes de España, Italia, Francia, Portugal, Irlanda, Reino Unido, Alemania y otros países de la Unión Europea. Variables de estudio: edad género, país, tipo de localidad, nivel de estudios y ámbito rural o urbano. Los tratamientos sintomáticos que se recogen son: analgésicos simples, antinflamatorios no esteroideos, triptanes, otros tratamientos, varios tratamientos, sin tratamiento, desconocimiento de tratamiento sintomático.
Resultados: En analgésicos simples los mayores consumidores están entre 41-60 años (p < 0,0001). España y Alemania son los países con mayor uso (p < 0,0001). El cuanto a los antinflamatorios el mayor uso se da entre 21-60 años (p < 0,0001). España, Italia y Alemania son los países que mayor uso hacen de ellos (p < 0,0001) y mayor consumo en pacientes con estudios superiores (p < 0,003).
El uso de triptanes muestra relación con la edad y el género, mayor uso entre 21-60 años (p < 0,0001) y en mujeres (p < 0,0001). Por países, el mayor consumo es en Alemania, resto de países de Unión Europea, España y Reino Unido (p < 0,0001). Mayor consumo en pacientes que viven en ciudades de más de 500 habitantes (p < 0,010) y con estudios medios o superiores (p < 0,0001). En el grupo de estudios medios y superiores se encuentra por contraste el mayor porcentaje de pacientes que desconocen qué es un tratamiento sintomático (p < 0,0001).
Conclusiones: Existe una gran variabilidad de los resultados en cada país y se modifican en función de distintas condiciones sociales y demográficas, siendo la edad, el género, el ámbito rural o urbano y el nivel cultural los factores que más condicionan el uso de cada medicación sintomática para las crisis de migraña.





Complete Article

Bibliografía

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Tablas y Figuras

Table I

Table II

Tabla III

Table IV

Table V

Table VI

Annex 1

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Instrucciones para citar

Vicente Herrero M, Ramírez Iñiguez de la Torre M, Ruiz E, Reinoso L. Symptomatic treatment for migraña. Drugs used and related variables. Results of the european survey on work and migraine. Rev Soc Esp Dolor 2020; 27(3): 178-191 / DOI: 1020986/resed20203744/2019


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