• Cephalalgia · May 2020

    Annual indirect costs secondary to headache disability in Brazil.

    • Arão Belitardo Oliveira, Luiz Paulo Queiroz, Sampaio Rocha-FilhoPedroP0000-0001-5725-2637Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco (UFPE), Recife, Brazil.Clínica de Cefaleias, Hospital Universitário Oswaldo Cruz, Universidade de Pernambuco (UPE), Recife, Brazil., Elder Machado Sarmento, and Mario Fp Peres.
    • Hospital Israelita Albert Einstein, São Paulo, Brazil.
    • Cephalalgia. 2020 May 1; 40 (6): 597-605.

    BackgroundDisability imposed by headache disorders constitutes an expressive economic burden, mostly from indirect costs due to absenteeism and presenteeism.ObjectiveTo estimate indirect costs from absenteeism and presenteeism due to headache disorders in Brazil.MethodsIn a secondary, descriptive analysis of two nationwide databases, we estimated indirect costs based on headache-related disability and socioeconomic data.ResultsIn the first database analyzed (n = 3838), 12.8% of the employed population with headache disorders missed at least 1 day of work in the last 3 months (mean, 95% CI = 4.2 days [3.7-4.6]). Based on the prevalence of headache disorders, days lost due to headaches and income data, R$ 40.4 billion (Int$ 20 billion) are lost due to headache-related absenteeism annually. For presenteeism, 26.2% of the employed population with headache disorders worked at least 1 day in the last 3 months with 50% reduced productivity (mean, 95% CI = 5.7 days [5.3-6.2]), amounting to R$ 27.3 billion (Int$ 13.5 billion) of financial loss annually. In the other database analysed (n = 205,546), 14,052 (6.8%) respondents missed work/school or household duties in the past 2 weeks due to some disease. Of these, 4.7% attributed their days lost to headaches disorders in the economically active population, which ranked 4th as main cause of days lost due to disease, among 23 common diseases.ConclusionsThe economic burden of headache disorders in Brazil, mostly due to migraine (55.4%), may cost up to R$ 67.6 billion (Int$ 33.5 billion) annually, and headache disorders represent a leading cause of absenteeism due to disease.

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