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Table 3 MOH sub-diagnosis in relation to primary headache diagnosis

From: Medication overuse headache in Europe and Latin America: general demographic and clinical characteristics, referral pathways and national distribution of painkillers in a descriptive, multinational, multicenter study

Primary headache diagnosis

Acute analgesics

Denmark

Germany

Italy

Spain

Argentina

Chile

Europe

Latin America

P-value

Total

N

 

38

81

97

43

91

86

259

177

 

436

Migraine

Ergotamines

5.3

1.2

4.1

2.3

81.3

62.8

3.1

72.3

<0.001*

31.2

Triptans

55.3

37.0

47.4

16.3

4.4

8.1

40.2

6.2

<0.001*

26.4

Simple analgesics

26.3

60.5

29.9

79.1

26.4

34.9

47.1

30.5

0.001*

40.4

Opioids

5.3

6.2

0.0

0.0

0.0

0.0

2.7

0.0

0.045

1.6

Combination-analgesics

18.4

21.0

21.6

4.7

3.3

62.8

18.1

32.2

0.001*

23.9

Poly-overuse

5.3

2.5

3.1

4.7

0.0

1.2

3.5

0.6

0.54

2.3

N

 

33

2

1

15

7

2

51

9

 

60

TTH

Ergotamines

0.0

0.0

0.0

6.7

100.0

100.0

2.0

100.0

<0.001*

16.7

Triptans

0.0

0.0

0.0

6.7

0.0

0.0

2.0

0.0

1.00

1.7

Simple analgesics

81.8

50.0

100.0

86.7

42.9

0.0

82.4

33.3

0.005

75.0

Opioids

3.0

0.0

0.0

0.0

0.0

0.0

2.0

0.0

1.00

1.7

Combination-analgesics

36.4

100.0

0.0

13.3

0.0

50.0

31.4

11.1

0.42

28.3

Poly-overuse

3.0

0.0

0.0

0.0

0.0

0.0

2.0

0.0

1.00

1.7

N

 

54

18

19

34

28

20

125

48

 

173

Migraine and TTH

Ergotamines

3.7

0.0

0.0

14.7

14.3

40.0

5.6

66.7

<0.001*

22.5

Triptans

33.3

22.2

15.8

11.8

3.6

5.0

23.2

4.2

0.003*

17.9

Simple analgesics

38.9

66.7

63.2

79.4

35.7

55.0

57.6

43.8

0.13

53.8

Opioids

3.7

0.0

0.0

0.0

0.0

0.0

1.6

0.0

1.00

1.2

Combination-analgesics

51.9

22.2

21.1

11.8

3.6

45.0

32.0

20.8

0.19

28.9

Poly-overuse

1.9

0.0

10.5

2.9

0.0

0.0

3.2

0.0

0.58

2.3

  1. Percentage of patients with specific MOH sub-diagnosis related to primary headache diagnosis. Number of each group are included in the table. Migraine includes forms with aura, without aura and chronic forms. TTH (Tension Type Headache) includes episodic and chronic forms. p-values correspond to comparison between Europe and Latin America. *p < 0.05