Table 5.
Efficacy | |
Efficacy of medications, migraine |
ASA 1 g = 0.39 [30] Sumatriptan 50 mg = 0.35 [22] Amitriptyline 100 mg daily = 0.44 [23] |
Efficacy of medications, TTH |
ASA 1 g = 0.75 (expert opinion) Paracetamol 1 g = 0.59 [31] Amitriptyline 100 mg daily = 0.3 (expert opinion) |
Efficacy of withdrawal, MOH | Efficacy = reverted to migraine 85%*2/3 + reverted to TTH 85%*1/3 + unchanged but off medications 15% (expert opinion) |
Uptake | |
Uptake of medications, migraine |
ASA 1 g = 0.635 (expert opinion) Sumatriptan 50 mg = 0.005 (expert opinion) Amitriptyline 100 mg = 0.007 (expert opinion) |
Uptake of medications, TTH |
Analgesic ASA 1 g = 0.1 (expert opinion) Paracetamol 1 g = 0.456 (expert opinion) Amitriptyline 100 mg = 0 (expert opinion) |
Treatment efficacy (weighted by medications uptake) | |
Efficacy*uptake calculations |
One medication = [proportion with effect] * [effect] * [uptake]; Combination of two medications = [(proportion with effect)medication A * (effect)medication A * (uptake)medication A] + [(proportion with effect)medication B * (effect)medication B * (uptake)medication B] |
Healthy life years (HLYs) | |
HLYs untreated = DW * proportion of time with headache (= number/year * duration in years); HLYs treated = HLYs untreated - HLY gained from treatment; HLYs gained = HLYs untreated * efficacy; Total HLYs gained per person = sum of (gains from each treatment * probability of having each treatment) HLYs gained across the population = HLY gained per person affected * prevalence. | |
HLYs MOH treated = unchanged in 15% + migraine treated HLYs in 2/3*42.5% + TTH treated HLYs in 1/3*42.5%. |