The Journal of Headache and Pain

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

The Journal of Headache and Pain Cover Image

Volume 15 Supplement 1

Abstracts from the 4th European Headache and Migraine Trust International Congress: EHMTIC 2014

Open Access

EHMTI-0015. Impact of headache-attributed burden on productivity and quality of life in russia: structured healthcare is urgently needed

  • I Ayzenberg1,
  • Z Katsarava2,
  • V Osipova3,
  • G Tabeeva3,
  • M Chernysh4 and
  • TJ Steiner5
The Journal of Headache and Pain201415(Suppl 1):B3

Published: 18 September 2014


MigrainePrimary HeadacheFunctional DisabilityHeadache DisorderSymptom Burden


Tension-type headache (TTH) and migraine are common, respectively the second and third most prevalent disorders globally. Their direct burdens of recurrent pain and associated symptoms are damaging to quality of life (QoL) and disabling – migraine being the seventh-highest specific cause of disability worldwide.


The study evaluated headache-attributed burden and its impact on productivity and quality of life in Russia. Its purpose was to support recommendations for change.


A countrywide population-based random sample of 2725 biologically unrelated adults in 35 cities and nine rural areas of Russia were interviewed in a door-to-door survey. The structured questionnaire enquired into symptom burden, functional disability, lost productive time and QoL and willingness to pay (WTP) for adequate headache treatment.


Mean lost paid-work days in the previous 3 months were 1.9±4.2, and mean lost household work days 3.4±5.7. The estimated annual indirect cost of primary headache disorders was USD 22.8 billion, accounting for 1.75% of gross domestic product. QoL was reduced by all types of primary headaches. According to WHOQoL-8, it was significantly lower in those with headache on ≥15days/month than in those with episodic headache (24.7±4.6 vs. 28.1±5.0; P<0.05) and lower in those with migraine than in those with TTH (27.1±4.9 vs. 28.8±5.0; P<0.05). Average WTP was sufficient for adequate headache treatment and correlated with illness severity.


Headache is common, burdensome and costly in Russia and, manifestly, poorly mitigated by existing healthcare. Structured healthcare services for headache need to be urgently put in place.

No conflict of interest.

Authors’ Affiliations

Neurology, Ruhr University Bochum St.Josef Hospital, Dortmund, Germany
Neurology, Evangelic Hospital Unna / University of Duisburg-Essen, Unna, Germany
Neurology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia
Sociology, Insitute of Sociology, Moscow, Russia
Neurology, Norwegian University of Science and Technology, Trondheim, Norway


© Ayzenberg et al; licensee Springer. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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