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
Objective: To evaluate the prevalence, characteristics, and treatment of restless legs syndrome (RLS) in France. Methods: In this population-based survey, face-to-face home interviews were conducted among a random sam...Objective: To evaluate the prevalence, characteristics, and treatment of restless legs syndrome (RLS) in France. Methods: In this population-based survey, face-to-face home interviews were conducted among a random sample of 10,263 French adults. A French translation of the four features defined by the International RLS Study Group in 1995 was used to assess the prevalence of symptoms consistent with a diagnosis of RLS. Data on severity of symptoms and their management were also collected. Results: The 12-month prevalence of RLS symptoms in the French adult population was estimated to be 8.5%(95%CI 8.0%, 9.0%), with a higher prevalence (p < 0.001) observed in women (10.8%) than in men (5.8%). Prevalence increases with age until 64 years and decreases thereafter in both sexes. Half of the identified subjects reported symptoms once a week at least. Symptoms were more severe in subjects reporting symptoms once a week at least compared to subjects with less frequent symptoms. In this group, half of the subjects reported a family history, the age at onset was earlier, and severity of symptoms higher. RLS had been previously diagnosed in only 5.3%of the subjects who reported previous medical diagnosis, and recommended RLS drug treatment was received by 3.4%of the 28.7%currently treated subjects. Conclusions: Restless legs syndrome (RLS) occurred in 10%of women and 5%of men. RLS prevalence decreases after the age of 64. RLS is often underdiagnosed and few subjects receive recommended RLS drug treatment.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.
文摘Objective: To evaluate the prevalence, characteristics, and treatment of restless legs syndrome (RLS) in France. Methods: In this population-based survey, face-to-face home interviews were conducted among a random sample of 10,263 French adults. A French translation of the four features defined by the International RLS Study Group in 1995 was used to assess the prevalence of symptoms consistent with a diagnosis of RLS. Data on severity of symptoms and their management were also collected. Results: The 12-month prevalence of RLS symptoms in the French adult population was estimated to be 8.5%(95%CI 8.0%, 9.0%), with a higher prevalence (p < 0.001) observed in women (10.8%) than in men (5.8%). Prevalence increases with age until 64 years and decreases thereafter in both sexes. Half of the identified subjects reported symptoms once a week at least. Symptoms were more severe in subjects reporting symptoms once a week at least compared to subjects with less frequent symptoms. In this group, half of the subjects reported a family history, the age at onset was earlier, and severity of symptoms higher. RLS had been previously diagnosed in only 5.3%of the subjects who reported previous medical diagnosis, and recommended RLS drug treatment was received by 3.4%of the 28.7%currently treated subjects. Conclusions: Restless legs syndrome (RLS) occurred in 10%of women and 5%of men. RLS prevalence decreases after the age of 64. RLS is often underdiagnosed and few subjects receive recommended RLS drug treatment.
