Migraine: epidemiology and systems of care

Messoud Ashina, Zaza Katsarava, Thien Phu Do, Dawn C. Buse, Patricia Pozo-Rosich, Aynur Özge, Abouch V. Krymchantowski, Elena R. Lebedeva, Krishnamurthy Ravishankar, Shengyuan Yu, Simona Sacco, Sait Ashina, Samaira Younis, Timothy J. Steiner, Richard B. Lipton

Research output: Contribution to journalReview articlepeer-review

207 Scopus citations


Migraine is a neurovascular disorder that affects over 1 billion people worldwide. Its widespread prevalence, and associated disability, have a range of negative and substantial effects not only on those immediately affected but also on their families, colleagues, employers, and society. To reduce this global burden, concerted efforts are needed to implement and improve migraine care that is supported by informed health-care policies. In this Series paper, we summarise the data on migraine epidemiology, including estimates of its very considerable burden on the global economy. First, we present the challenges that continue to obstruct provision of adequate care worldwide. Second, we outline the advantages of integrated and coordinated systems of care, in which primary and specialist care complement and support each other; the use of comprehensive referral and linkage protocols should enable continuity of care between these systems levels. Finally, we describe challenges in low and middle-income countries, including countries with poor public health education, inadequate access to medication, and insufficient formal education and training of health-care professionals resulting in misdiagnosis, mismanagement, and wastage of resources.

Original languageEnglish (US)
Pages (from-to)1485-1495
Number of pages11
JournalThe Lancet
Issue number10283
StatePublished - Apr 17 2021

ASJC Scopus subject areas

  • Medicine(all)


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