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Table 6 Migraine costs (population estimates)

From: Structured headache services as the solution to the ill-health burden of headache. 2. Modelling effectiveness and cost-effectiveness of implementation in Europe: methodology

 

Luxembourg

N = 124,713

Russia

N = 18,122,512

Spain

N = 10,772,263

Cost (euros)

1-year estimate

Cost (euros)

5-year estimate

Cost (euros)

1-year estimate

Cost (euros)

5-year estimate

Cost (euros)

1-year estimate

Cost (euros)

5-year estimate

CURRENT CARE: NO CONSUMER EDUCATION OR HEALTH-CARE PROFESSIONAL TRAINING

 Primary analysis

  Medications

   acute non-specific ASA 1 g

7568

35,364

855,296

3,996,867

508,399

2,375,791

   acute-specific sumatriptan 50 mg

3635

16,986

1,207,420

5,642,371

251,626

1,175,870

   prophylaxis amitriptyline 100 mg/day

695

3249

195,304

912,670

20,816

97,276

   Total medications

11,898

55,599

2,258,020

10,551,908

780,841

3,648,937

  Health-care provision

   GP visits

1,868,796

6,153,787

133,597,931

493,496,811

185,508,849

725,403,433

   specialist visits

708,809

708,809

126,073,602

126,073,602

125,445,228

125,445,229

   MRI

361,613

361,613

77,008,823

77,008,823

73,240,116

73,240,116

   Total health-care provision

2,939,218

7,224,209

336,680,356

696,579,236

384,194,193

924,088,778

  Secondary analyses

   Total lost productivity

120,885,706

564,908,477

2,045,525,786

9,558,904,021

4,136,426,354

19,329,847,995

   Sensitivity analysis: disability accounts for 20% lost productivity

24,177,141

112,981,695

409,105,157

1,911,780,804

827,285,271

3,865,969,599

TARGET CARE: WITH CONSUMER EDUCATION AND HEALTH-CARE PROFESSIONAL TRAINING

 Primary analysis

  Medications

   acute non-specific ASA 1 g

16,564

77,405

1,498,933

7,004,632

370,931

1,733,392

   acute-specific sumatriptan 50 mg

153,854

718,974

50,269,478

234,913,251

10,313,113

48,193,995

   prophylaxis amitriptyline 100 mg/day

30,050

140,425

7,857,564

36,719,020

899,802

4,204,845

   Total medications

200,468

936,804

59,625,975

278,636,903

11,583,846

54,132,232

  Health-care provision

  GP visits

4,357,297

12,893,134

373,410,366

1,104,912,154

399,420,967

1,181,876,886

  specialist visits

611,042

611,042

74,160,942

74,160,942

46,119,569

46,119,569

   MRI

62,347

62,347

9,059,861

9,059,861

5,385,303

5,385,303

  Total health-care provision

5,030,686

13,566,523

456,631,169

1,188,132,957

450,925,839

1,233,381,758

 Secondary analyses

  Total lost productivity

5,431,622

373,419,228

1,296,237,360

6,057,419,858

2,621,228,447

12,249,208,158

  Sensitivity analysis: disability accounts for 20% lost productivity

1,086,324

74,683,846

259,247,472

1,211,483,972

524,245,689

2,449,841,632