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The Journal of Headache and Pain

Official Journal of the "European Headache Federation" and of "Lifting The Burden - The Global Campaign against Headache"

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Open Access

Economic impact of primary headaches in Turkey: a university hospital based study: part II

  • N. Karlı1Email author,
  • M. Zarifoğlu1,
  • M. Ertafş2,
  • S. Saip3,
  • V. Öztürk4,
  • Ş. Bıçakçı5,
  • C. Boz6,
  • D. Selçuki7,
  • A. Oğuzhanoğlu8,
  • M. Neyal9,
  • A. Siva3,
  • C. İrkeç10,
  • H. Kaleağası11,
  • T. Kansu12,
  • Y. Sarıca5,
  • N. Taşdemir13 and
  • N. Uzuner14
The Journal of Headache and Pain20067:273

Received: 27 January 2006

Accepted: 27 February 2006

Published: 15 March 2006


This study was planned to investigate the economic impact of headache on Turkish headache sufferers attending a tertiary care outpatient headache clinic.

A total of 937 headache patients were included in this study and questioned using a questionnaire for the profile of patients and headache, quality of life of patients and economic impact of headache. The median total direct cost was found to be 88.0 USD and the median total cost was 160.7 USD. The drug treatment cost was the highest item followed by the specialist outpatient care cost. The average lost and inefficient work/school days was 1.5 (0–45) and 8.4 (0–100) days for one year.

It was shown that loss of productivity was higher for migraine without aura group when compared with the episodic and chronic tension–type headache groups. The results of this nationwide university hospital based study methshowed that headache, especially migraine, has considerable economic impact on patients.

Key words

HeadacheTensiontype headacheMigraineEconomic impactLoss of work days


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