A Population-health Approach to Characterizing Migraine by Comorbidity: Results from the Mindfulness and Migraine Cohort Study

Overview

Journal Cephalalgia

Specialties Neurology
Psychiatry

Date 2022 Jun 1

PMID 35642092

Authors

Sylvia Ek Sudat

Alice S Jacobson

Andrew L Avins

Richard B Lipton

Alice R Pressman

Affiliations

Soon will be listed here.

Abstract

Background: The heterogeneity of migraine has been reported extensively, with identified subgroups usually based on symptoms. Grouping individuals with migraine and similar comorbidity profiles has been suggested, however such segmentation methods have not been tested using real-world clinical data.

Objective: To gain insights into natural groupings of patients with migraine using latent class analysis based on electronic health record-determined comorbidities.

Methods: Retrospective electronic health record data analysis of primary-care patients at Sutter Health, a large open healthcare system in Northern California, USA. We identified migraine patients over a five-year time period (2015-2019) and extracted 29 comorbidities. We then applied latent class analysis to identify comorbidity-based natural subgroups.

Results: We identified 95,563 patients with migraine and found seven latent classes, summarized by their predominant comorbidities and population share: fewest comorbidities (61.8%), psychiatric (18.3%), some comorbidities (10.0%), most comorbidities - no cardiovascular (3.6%), vascular (3.1%), autoimmune/joint/pain (2.2%), and most comorbidities (1.0%). We found minimal demographic differences across classes.

Conclusion: Our study found groupings of migraine patients based on comorbidity that have the potential to be used to guide targeted treatment strategies and the development of new therapies.

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