Introduction. A survey (NOEMIE, Nouvel Observatoire Epid′emiologique de la Mi graine en Entreprise) was carried out in France in 17 occupational healthcare un its in order toidentify subjects suffering from migraine ...Introduction. A survey (NOEMIE, Nouvel Observatoire Epid′emiologique de la Mi graine en Entreprise) was carried out in France in 17 occupational healthcare un its in order toidentify subjects suffering from migraine headache with the aim o f guiding them towards a healthcare program. The data collected in the participa ting units are presented. Methods and patients. NOEMIE was a national cross sec tional, observational, multicentric study with a 6 month follow up. Two groups of migraine sufferers (according to IHS criteria) were included and divided int o two groups: subjects already managed for their migraine (group A) and subjects who had not sought healthcare for migraine for more than 12 months (group B). T he main objective was to evaluate changes in the quality of life score (QVM) 6 months later. Results. At inclusion, the two groups were comparable for demogra phic features, history of migraine, and disease severity. A significant differen ce was observed between the two groups for frequency of attacks, disease managem ent, and evaluation of treatment efficacy and of quality of life. At 6 months, patient satisfaction and quality of life were significantly improved (6 to W point improvement). For the 4753 reported attacks, 12.4 percent of the patients in group A required sick leave versus 10.9 percent in group B.Frequency of sick leave was considerably improved in both groups. Conclusion. By identifying subje cts suffering from migraine headache who had not sought specific medical care an d advising them to seek medical management, the employee healthcare units improv ed the subjectsquality of life, promoted adequate medical management and red uced occupational consequences of migraine headache.展开更多
文摘Introduction. A survey (NOEMIE, Nouvel Observatoire Epid′emiologique de la Mi graine en Entreprise) was carried out in France in 17 occupational healthcare un its in order toidentify subjects suffering from migraine headache with the aim o f guiding them towards a healthcare program. The data collected in the participa ting units are presented. Methods and patients. NOEMIE was a national cross sec tional, observational, multicentric study with a 6 month follow up. Two groups of migraine sufferers (according to IHS criteria) were included and divided int o two groups: subjects already managed for their migraine (group A) and subjects who had not sought healthcare for migraine for more than 12 months (group B). T he main objective was to evaluate changes in the quality of life score (QVM) 6 months later. Results. At inclusion, the two groups were comparable for demogra phic features, history of migraine, and disease severity. A significant differen ce was observed between the two groups for frequency of attacks, disease managem ent, and evaluation of treatment efficacy and of quality of life. At 6 months, patient satisfaction and quality of life were significantly improved (6 to W point improvement). For the 4753 reported attacks, 12.4 percent of the patients in group A required sick leave versus 10.9 percent in group B.Frequency of sick leave was considerably improved in both groups. Conclusion. By identifying subje cts suffering from migraine headache who had not sought specific medical care an d advising them to seek medical management, the employee healthcare units improv ed the subjectsquality of life, promoted adequate medical management and red uced occupational consequences of migraine headache.
