A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine
PURPOSE: To investigate the association of the two most common bariatric surgical procedures, vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB), with sustained remission from chronic migraine.
MATERIALS AND METHODS: Using IBM MarketScan® research database to examine inpatient and pharmacy claims from 2010 through 2017. A cohort of bariatric patients with chronic migraine was created using inclusion and exclusion criteria. Remission was defined as no refill of first-line migraine medication for 180 days after a patients' medication was expected to run out, and recurrence as medication refill after at least 180 days of remission.
RESULTS: Of 1680 patients in our cohort, 931 (55.4%) experienced remission of migraine. Of these, 462 (49.6%) had undergone VSG, while 469 (50.4%) had undergone RYGB. Patients who underwent RYGB had an 11% (RR = 1.11, 95% CI: 1.05, 1.17) increase in likelihood of remission of migraine and a 20% (RR = 0.80, 95% CI: 0.63, 1.04) decrease in likelihood of recurrence of migraine compared to patients who underwent VSG. Older age group, higher number of medications at time of surgery, and female sex were associated with a decreased likelihood of remission.
CONCLUSION: Type of bariatric procedure, age, number of medications at surgery, and sex were the most important predictors of migraine remission after surgery.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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| Enthalten in: |
Obesity surgery - 31(2021), 5 vom: 10. Mai, Seite 2040-2049 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nudotor, Richard [VerfasserIn] |
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| Anmerkungen: |
Date Completed 19.04.2021 Date Revised 19.04.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s11695-020-05204-w |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM321298322 |
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| 245 | 1 | 2 | |a A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine |
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| 500 | |a Date Revised 19.04.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a PURPOSE: To investigate the association of the two most common bariatric surgical procedures, vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB), with sustained remission from chronic migraine | ||
| 520 | |a MATERIALS AND METHODS: Using IBM MarketScan® research database to examine inpatient and pharmacy claims from 2010 through 2017. A cohort of bariatric patients with chronic migraine was created using inclusion and exclusion criteria. Remission was defined as no refill of first-line migraine medication for 180 days after a patients' medication was expected to run out, and recurrence as medication refill after at least 180 days of remission | ||
| 520 | |a RESULTS: Of 1680 patients in our cohort, 931 (55.4%) experienced remission of migraine. Of these, 462 (49.6%) had undergone VSG, while 469 (50.4%) had undergone RYGB. Patients who underwent RYGB had an 11% (RR = 1.11, 95% CI: 1.05, 1.17) increase in likelihood of remission of migraine and a 20% (RR = 0.80, 95% CI: 0.63, 1.04) decrease in likelihood of recurrence of migraine compared to patients who underwent VSG. Older age group, higher number of medications at time of surgery, and female sex were associated with a decreased likelihood of remission | ||
| 520 | |a CONCLUSION: Type of bariatric procedure, age, number of medications at surgery, and sex were the most important predictors of migraine remission after surgery | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bariatric surgery | |
| 650 | 4 | |a Chronic migraine | |
| 650 | 4 | |a Impact | |
| 700 | 1 | |a Yusuf, Hasiya |e verfasserin |4 aut | |
| 700 | 1 | |a Lasisi, Owulatobi |e verfasserin |4 aut | |
| 700 | 1 | |a Salia, Emmanuella |e verfasserin |4 aut | |
| 700 | 1 | |a Khalifa, Banda |e verfasserin |4 aut | |
| 700 | 1 | |a Abbey, Enoch |e verfasserin |4 aut | |
| 700 | 1 | |a Oduwole, Modupe |e verfasserin |4 aut | |
| 700 | 1 | |a Ayeh, Samuel |e verfasserin |4 aut | |
| 700 | 1 | |a Appiafo, Obeng |e verfasserin |4 aut | |
| 700 | 1 | |a Canner, Joseph |e verfasserin |4 aut | |
| 700 | 1 | |a Scheimann, Ann |e verfasserin |4 aut | |
| 700 | 1 | |a Steele, Kimberley E |e verfasserin |4 aut | |
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