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People with Cluster headaches take 2X more days of sick leave – Feb 2020


Sickness absence and disability pension days in patients with cluster headache and matched references

Christina Sjöstrand, MD, PhD, Kristina Alexanderson, PhD, Pontus Josefsson, MSc, and Anna Steinberg, MD, PhD
Neurology May 26, 2020 94 (21) e2213-e2221 https://doi.org/10.1212/WNL.0000000000009016

To determine whether patients with cluster headache have more sickness absence and disability pension days compared to matched references and possible associations with sociodemographic characteristics.

Methods
We performed a registry study of all patients who had received specialized health care for cluster headache (ICD-10 code G44.0) aged 16–64 years and living in Sweden in 2010 (n = 3,240; 34% women) and matched references from the total population (n = 16,200) regarding their sickness absence and disability pension days in 2010.

Results
Mean number of sickness absence days in 2010 was 16.13 (95% confidence interval, 14.05–18.20) among patients with cluster headache and 6.54 (5.97–7.11) among references. When combining sickness absence and disability pension days, patients with cluster headache had 63.15 (58.84–67.45) days, references 34.08 (32.59–35.57) days. Among patients, women had twice as many sickness absence days than men: 23.71 (19.36–28.06) vs 12.41 (10.19–14.63).
When adding disability pension days, those numbers were 83.71 (75.57–91.84) vs 52.56 (47.62–57.51). Patients with cluster headache had significantly more sickness absence days in all ages compared to the reference group. Patients with elementary education had more sickness absence/disability pension days (85.88 [75.34–96.42]) compared to those with high school (64.89 [58.82–70.97]) and college/university (41.42 [34.70–48.15]) education.

Conclusion
This nationwide study shows that patients with cluster headache have significantly more sickness absence and disability pension days compared to matched references. Furthermore, among patients, women had more sickness absence and disability pension days than men.


16 citations of this study as of June 2024

Google Scholar

  • Current treatment options for cluster headache: limitations and the unmet need for better and specific treatments—a consensus article - Sept 2023 FREE PDF Neither Vitamin D nor Magnesium were mentioned
  • The economic and personal burden of cluster headache: a controlled cross-sectional study - May 2022 FREE PDF
    • "Even in remission, nine times as many episodic patients rated their health as poor/very poor compared to controls (9% vs 1%, p = 0.002). For chronic patients, the odds of rating health as good/very good were ten times lower compared to controls (OR:10.10, 95%CI:5.29–18.79. p < 0.001) and three times lower compared to episodic patients in remission (OR:3.22, 95%CI:1.90–5.47, p < 0.001). Additionally, chronic cluster headache patients were 5 times more likely to receive disability pension compared to episodic (OR:5.0, 95%CI:2.3–10.9, p < 0.001). The mean direct annual costs amounted to 9,158€ and 2,763€ for chronic and episodic patients, respectively (p < 0.001). "

VitaminDWiki – Headache contains

48 Headache pages

Cluster Headache, etc.

21+ VitaminDWiki pages have MIGRAINE in the title
This list is automatically updated

Items found: 22
Title Modified
Migraine Headache duration and intensity reduced by 50,000 IU vitamin D every two week plus probiotics – RCT Oct 2024 14 Oct, 2024
Cluster and Migraine headache treatment protocol - Sept 2023 29 Sep, 2023
Migraine and Vitamin D 16 Jul, 2023
Migraine risk reduced 30% if have lots of Zinc - Jan 2023 18 Jan, 2023
Migraines have low vitamin D, Migraines plus Restless Leg have far lower vitamin D (no surprise) – Dec 2021 07 Dec, 2021
Migraine Headache association with poor gut – Feb 2020 25 Feb, 2021
Migraine headaches treated by Vitamin D – meta-analysis Jan 2021 16 Jan, 2021
Migraine headaches reduced with 50,000 IU vitamin D weekly – RCT July 2015 14 Jan, 2021
Why Do Multiple Sclerosis and Migraine Coexist – Jan 2020 28 Jan, 2020
Migraines in youths with low Vitamin D wonderfully treated by Vitamin D – June 2019 12 Jul, 2019
Migraines may be due to lack of lack of Magnesium in half of sufferers – May 2012 25 Oct, 2018
Migraine headache 5X less likely if optimal level of vitamin D – Oct 2018 21 Oct, 2018
Migraine headaches cut in half by 4,000 IU of vitamin D – RCT Sept 2018 06 Sep, 2018
Chronic migraine headaches 1.4 X more likely with low vitamin D – July 2018 05 Jul, 2018
Migraines double the risk of strokes (both are associated with low vitamin D) – Jan 2018 01 Feb, 2018
Vitamin D and Migraine – Nov 2010 06 Sep, 2016
Acute Migraine 35 times more likely if low Magnesium levels – May 2016 12 Jun, 2016
Migraine headaches quickly reduced with Magnesium – Meta-analysis Jan 2016 02 Jun, 2016
Childhood migraine in Vitamin D deficient children reduced 6X by addition of daily 5,000 IU and amitriptyline – April 2014 03 Mar, 2015
Migraine in children reduced with vitamin D supplementation – April 2014 10 Apr, 2014
Migraine more common with high vitamin D, perhaps because of low Magnesium – March 2013 04 Aug, 2013
Migraine headaches associated with low vitamin D, 4,000 IU often helps – review Aug 2019 No value for &#039;modification_date_major&#039;

VitaminDWiki – Headache has the following on metals and migraines

Compared blood levels of 25 people with migraines to 25 people without GreenMedInfo

Metal MigraineNo Migraine Migraine Ratio
Cadmium 0.36 ug0.09 ug 4X MORE if increase
Iron0.97 ug0.48 ug2X MORE if increase
Lead1.48 ug0.78 ug 2X MORE if increase
Magnesium*10.6 ug34.5 ug 3.5X LESS if increase
Zinc* 0.24 ug 5.77 ug 24X LESS if increase
  • Note: Both Zinc and Magnesium increase the activation of the Vitamin D Receptor, which allows more vitamin D into cells

Also

Image

  • Zinc somewhat reduced Migraine in RCT - Sept 2020

Zinc supplementation affects favorably the frequency of migraine attacks: a double-blind randomized placebo-controlled clinical trial https://doi.org/10.1186/s12937-020-00618-9 FREE PDF