• Andrea Radtke and Hannelore Neuhauser.
• Department of Neurology, Virchow Klinikum, Charité, Berlin.
• Headache. 2009 Jan 1;49(1):79-89.

ObjectiveTo determine prevalence and burden of headache and migraine in the general population in Germany including patterns of healthcare and medication use.MethodsTelephone interviews were conducted on a representative sample of the general population in Germany aged >or=18 years (n = 7341). Migraine was diagnosed according to the International Headache Society criteria.ResultsOne-year prevalence was: headache 60.2%, migraine 10.6%, nonmigrainous severe headache 24.7% (women 66.6%, 15.6%, and 27.1%; men 53.0%, 5.3%, and 22.2%). Approximately 60% of headache sufferers reported severe headaches, 30% of which were migrainous. Migraineurs reported more often frequent headaches, disability, use of analgesics, and medical consultation than individuals with nonmigrainous severe headaches. Only 42% of migraineurs had consulted a physician and the majority relied exclusively on over-the-counter medication.ConclusionMigraine accounts for a great part of the healthcare impact of headaches in Germany. However, the majority of migraineurs do not seek medical care and may not be optimally treated.

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