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

  • I Ayzenberg
  • Z Katsarava
  • V Osipova
  • G Tabeeva
  • M Chernysh
  • TJ Steiner
Open Access
Meeting abstract


Migraine Primary Headache Functional Disability Headache Disorder Symptom Burden 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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.

Copyright information

© 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.

Authors and Affiliations

  • I Ayzenberg
    • 1
  • Z Katsarava
    • 2
  • V Osipova
    • 3
  • G Tabeeva
    • 3
  • M Chernysh
    • 4
  • TJ Steiner
    • 5
  1. 1.NeurologyRuhr University Bochum St.Josef HospitalDortmundGermany
  2. 2.NeurologyEvangelic Hospital Unna / University of Duisburg-EssenUnnaGermany
  3. 3.NeurologyI.M. Sechenov First Moscow State Medical UniversityMoscowRussia
  4. 4.SociologyInsitute of SociologyMoscowRussia
  5. 5.NeurologyNorwegian University of Science and TechnologyTrondheimNorway

Personalised recommendations