Scientists studied comorbidities among patients with a cluster headache

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Scientists studied comorbidities among patients with a cluster headache

The comorbidities associated with a cluster headache (CH) showed a distinct pattern which is not completely consonant with “classic” CH explained in the medical literature as per a study was done by the researchers of MCPHS University College of Pharmacy and Harvard Medical School. However, it is hard to separate conditions that are genuinely comorbid with CH from those that misdiagnoses. On the basis of study results, dental or sinus are the issues that occur among CH patients frequently.

As the evidence present to govern Comorbidity burden of patients with CH is very limited, this population-based study aimed to identify comorbid conditions in a cohort of CH patients via using electronic health record information by headache experts. Charts of unique patients searched by headache authorities above an 11-year period, and a set of matched controls were diagnosed and examined. Three categories; Unconfirmed CH, Definite CH and no CH were established. The selected comorbidities assessed for prevalence and to find statistically significant differences among the patients.
A total of 170 patients with free text or CD diagnosis of cluster headache were identified. Out of these, 15 patients were excluded due to their association with partners employees. Seventy-Five patients found to had definite, 22 had Unconfirmed and 58 with inaccurate diagnosis due to data entry errors. The average age and time from CH beginning to the diagnosis of the patients with definite CH was 43.4 years and 12.7 years, respectively. Men suffered from definite CH were more as compared to women. The average estimate of yearly outpatient AND emergency department visits of definite CH patients was 25.4 and 4.5, respectively, compared with 6.9 and 1.1 in controls. Out of the 55 observed conditions, four were statistically considerably more prevalent (depression, dental disorders, deviated septum and smoking) and other four were less prevalent (musculoskeletal/orthopaedic problems, skin conditions, diabetes and “other gastrointestinal diagnoses”) among definite CH patients as compared to controls.
In this extensive population-based study, very less number of patients were recognized who met strict diagnostic criteria for CH.


The Journal of Headache and Pain

Link to the source:

Original title of article:

The comorbidity burden of patients with cluster headache: a population-based study


Shivang Joshi et al.

Exploratory, Cluster Headache, Head, Population-based Study
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