Summary
This study presents a comprehensive overview of the societal burden of migraine in The Netherlands. We assessed the direct and indirect costs of this disease, and the health status of patients with migraine. We developed the ‘illness and labour’ (I&) questionnaire to collect data on the effect of illness on labour performance 846 migraine patients and 834 controls were selected from the general population. Participants completed an I&L questionnaire as wel l as generic health status questionnaires.
The direct costs of migraine amounted to 134 million Netherlands guilders (NLG) [$US1=NLG1.68, October 1994]. Conservative calculations of the costs of absence from work and reduced productivity at work were NLG264 and NLG277 million per year respectively. Our study did not indicate that migraine caused household productivity losses. The baseline estimate of the total societal costs of migraine in The Netherlands was NLG675 million per year. The assessment of health status showed considerable impairment of psychological and social functioning in migraine patients.
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References
Blau JN. Towards a definition of migraine headache. Lancet 1984; 1–444
Cephalalgia, classification and diagnostic criteria for headache disorders cranial neuralgias and facial pain. An International Journal of Headache, Vol. 8, Suppl. 7. Norwegian University Press, 1988: 1–96
Behrens C, Henke KD. Cost of illness studies: no aid to decision making? Health Policy 1988: 10: 137–41
Hodgson TA. Cost of illness studies: no aid to decision making? Health Policy 1989: 11: 57–60
Shiell A, Gerard K, Donaldson C. Cost of illness studies: an aid to decision making? Health Policy 1987; 8: 317–23
Drummond M. Cost of illness, a major headache? Pharmacoeconomics 1992; 2 (1): 1–4
van Roijen L, Koopmanschap MA, Bonneux L. Costs of illness [in Dutch]. Ned Tijdschr Geneeskd 1992: 136 (2): 74–80
Population month statistics 1989/9. The Hague: Central Bureau for Statistics, 1989
Labour force survey 1990. The Hague: Central Bureau for Statistics, 1990
Central economic plan 1992. The Hague: Central Planning Bureau, 1992
Socio–economic month statistics. The Hague: Central Bureau for Statistics, 1989
Osterhaus JT, Gutterman DL, Plachetka JR. Healthcare resource and lost labour costs of migraine headache in the US. Pharmacoeconomics 1992; 2 (1): 67–76
Harwryslyshyn O. Toward a definition of non–market activities. Rev Income Wealth 1977: 23: 79–96
Essink-Bot ML, Stouthart MEA, Bonsel GJ. Generalizability of valuation on health status. Health Econ 1993; 2: 237–46
Nalional health survey 1989 and 1990. The Hague: Central Bureau of Statistics, 1991
Lindgren B. Costs of illness in Sweden 1964—1975. Lund: Liber, 1981
Koopmanschap MA, van lneveld BM. Towards a new approach for estimating indirect costs of disease. Soc Sci Med 1992; 34 (9): 1005–10
Uncertainties on labour time reduction in the medium term [in Dutch]. Working documenl 14. The Hague: Central Planning Bureau, 1987
Koning J, Tuyl FAWM. The relation between labour time, production and employment [in Dutch]. Rotterdam: Netherlands Economic Institute, 1984
Do we make it work? Research on the relation between active and inactive people [in Dutch]. The Hague: WRR (Scientific Council for Government Affairs), 1977
Herbelei TA, Baumgartner R. Factors affecting response rates to mailed questionnaires: a quantitative analysis of the published literature. Am Sociol Rev 1978: 43: 447–62
Green J. A survey of migraine in England 1975–1976. Headache 1977: 17: 67–8
Research on the prevalence of migraine and headache in the Netherland, [in Dutch]. Nieuwegein: Institute for Psychologic Market Research BV, 1991
Waters WE. The epidemiological enigma of migraine. Int J Epidemiol 1973: 2 (2): 189–94
Diary study on migraine [in Dutch]. Nieuwegein: Institute for Psychologic Market Research BV, 1991
Data from a national study on general practitioners. Utrecht: NIVEL (Dutch Institute for Research in Extramural Health Care), 1992
Data from national registries on hospital admission and hospital days of 1988. Utrecht: SIG (lnformalion Centre on Health Care), 1990
Vademucum. Alphen aan den Rijn: COTG (Central Organisation on Tariffs in Health Care), 1989
Financial overview 1988. Utrecht: Nepharma, 1989
Data on number of patients and consultations by diagnosis of physiotherapy. Utrecht: N1VEL(Dutch Institute for Research in Extramural Health Care), 1987
Von Korff M, Ornel J, Dworkin SF. Grading the severity of chronic pain. Pain 1992 Aug: 50 (2): 133–49
Van Roijen L, Michel BC, Koopmanschap MA, et al. Costs of migraine in the Netherlands: research on the costs of healthcare absence from work and disability. Part I [in Dutch]. Rotterdam: ln slitute for Medical Technology Assesment, Erasmus University, 1993
Björk S, Roos P. Economic aspects of migraine in Sweden. Working paper 8. Lund: Institute for Health Economic, 1991
Cull RE, Wells NEJ, Miocevich ML. The economic cost of migraine. Br J Med Econ 1993; 2: 103–15
Juster FT, Stafford FP. The allocation of time: empirical findings, behavioral models and problems of measurement. J Econ Lit 1991 Jun: xxix: 471–522
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van Roijen, L., Essink-Bot, ML., Koopmanschap, M.A. et al. Societal Perspective on the Burden of Migraine in The Netherlands. Pharmacoeconomics 7, 170–179 (1995). https://doi.org/10.2165/00019053-199507020-00008
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DOI: https://doi.org/10.2165/00019053-199507020-00008