Hongyuan Chu

58083954200

Publications - 1

Global, regional, and national burden of headache disorders, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023

Sharareh Eskandarieh Andre Faro Giuseppina Affinito Yaser Mohammed Al-Worafi Abhishek Anil Mohammad Amin Aalipour Hiba Jawdat Barqawi Dariush Abtahi Danish Ahmad Jalal Arabloo Syed Shujait Ali Karem H. Alzoubi Yasser Bustanji Salahdein Aburuz Khursheed Aurangzeb Qorinah Estiningtyas Sakilah Adnani Deldar Morad Abdulah Qorinah Estiningtyas Sakilah Adnani Richard Gyan Aboagye Mohammad Mahdi Bastan Sonu Bhaskar Mohammad Al-Wardat Ganiyu Adeniyi Amusa Demelash Areda Mahsa Asadi Anar Sait Ashina Joseph Uy Almazan Negar Sadat Ahmadi Mohammad Ahmmad Mahmoud Al Zoubi Mohammed Usman Ali Andreas Kattem Husøy Yvonne Yiru Xu Jaimie D. Steinmetz Samir Abu Rumeileh Obed Adonteng-Kissi Ali Ahmed Sawsan Alabbad Yazan Al-Ajlouni Ashraf Alhumaidi Gelana Fekadu Hasan Aalruz Shahzaib Ahmed Jasvinder Singh Bhatti Luis Alberto Cámera C. J. Sanjay Natalia Cruz-Martins Edoardo Caronna Ana Paula Carvalho-E-Silva Jeetendra Bhandari Patrick R. Ching Hongyuan Chu Josielli Comachio Bijit Biswas Arian Azadnia Aleksandr Y. Aravkin Youngoh Bae Sandip Chakraborty Rehana Basri Jina Behjati Mohammad Asghari-Jafarabadi Daniela Contreras Omid Dadras Gurjit Kaur Bhatti Rajbir Bhatti Emanuele D'Amico Anh Kim Dang Lucio D'Anna Bruno Bizzozero-Peroni Archith Boloor Meriem Boukhiam Sindhura Deekonda Pouria Delbari Andreas K. Demetriades Emina Dervišević Lamiaa Labieb Mahmoud Ebraheim Ebrahim Eini Michael Ekholuenetale Vijay Kumar Chattu Razieh Bahreini Maryam Bemanalizadeh Anis Ahmad Chaudhary Xiaochen Dai Vinoth Gnana Chellaiyan Devanbu Amol S. Dhane Bibha Dhungel Joseph Uy Almazan Sohrab Amiri Montaha Al-Iede David B. Anderson Mohammed Albashtawy Fadwa Naji Alhalaiqa Asma Ahmed Ahmed Y. Azzam Soham Bandyopadhyay C. J. Sanjay Natalia Cruz-Martins Valery L. Feigin Azadeh Bashiri Najim Z. Alshahrani Awais Altaf Xueting Ding Huyen Phuc Do Ojas Prakashbhai Doshi Siddhartha Dutta

Publication Name: Lancet Neurology

Publication Date: 2025-12-01

Volume: 24

Issue: 12

Page Range: 1005-1015

Description:

Background: The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2023 estimates health loss from migraine, tension-type headache, and medication-overuse headache. This study presents updated results on headache-attributed burden from 1990 to 2023, along with clinical and public health implications. Methods: Data on the prevalence, incidence, or remission of migraine, tension-type headache, and medication-overuse headache were extracted from published population-based studies. We used hierarchical Bayesian meta-regression modelling to estimate global, regional, and country-level prevalence of headache disorders. For the first time in GBD 2023, age-specific and sex-specific estimates of time in symptomatic state were applied by meta-analysing individual participant data from 41 653 individuals from the general populations of 18 countries from all parts of the world. Disability weights were applied to calculate years lived with disability (YLDs). Since medication-overuse headache is a sequela of a mistreated primary headache (due to medication overuse), its burden was reattributed to migraine or tension-type headache, informed by a meta-analysis of three longitudinal studies. Findings: In 2023, 2·9 billion individuals (95% uncertainty interval 2·6–3·1) were affected by headache disorders, with a global age-standardised prevalence of 34·6% (31·6–37·5) and a YLD rate of 541·9 (373·4–739·9) per 100 000 population, with 487·5 (323·0–678·8) per 100 000 population attributed to migraine. The prevalence rates of these headache disorders have remained stable over the past three decades. YLD rates due to headache disorders were more than twice as high in females (739·9 [511·2–1011·5] per 100 000) as in males (346·1 [240·4–481·8] per 100 000). Medication-overuse headache contributed 58·9% of the YLD estimates for tension-type headache in males and 56·1% in females, as well as 22·6% of the YLD estimates for migraines in males and 14·1% in females. Interpretation: Headache disorders, in particular migraine, continue to be a major global health challenge, emphasising the need for effective management and prevention strategies. Much headache-attributed burden could be averted or eliminated by avoiding overuse of medication (including over-the-counter medication), underscoring the importance of public education. Funding: Gates Foundation.

Open Access: Yes

DOI: 10.1016/S1474-4422(25)00402-8