[NOEMIE: an epidemiological study of migraine at work: results from 17 occupational health centres].
BACKGROUND
A survey (NOEMIE, Nouvel Observatoire Epidemiologique de la Migraine en Entreprise) was carried out in France in 17 occupational healthcare units in order to identify subjects suffering from migraine headache with the aim of guiding them towards a healthcare program. The data collected in the participating units are presented.


METHODS
and patients. NOEMIE was a national cross-sectional, observational, multicentric study with a 6-month follow-up. Two groups of migraine sufferers (according to IHS criteria) were included and divided into two groups: subjects already managed for their migraine (group A) and subjects who had not sought healthcare for migraine for more than 12 months (group B). The main objective was to evaluate changes in the quality-of-life score (QVM) 6 months later.


RESULTS
At inclusion, the two groups were comparable for demographic features, history of migraine, and disease severity. A significant difference was observed between the two groups for frequency of attacks, disease management, and evaluation of treatment efficacy and of quality-of-life. At 6 months, patient satisfaction and quality-of-life were significantly improved (6 to 10 point improvement). For the 4753 reported attacks, 12.4 percent of the patients in group A required sick leave versus 10.9 percent in group B. Frequency of sick leave was considerably improved in both groups.


CONCLUSIONS
By identifying subjects suffering from migraine headache who had not sought specific medical care and advising them to seek medical management, the employee healthcare units improved the subjects' quality-of-life, promoted adequate medical management and reduced occupational consequences of migraine headache.
Lantéri-Minet
M
M
Département d'Evaluation et Traitement de la Douleur, CHU de Nice.
Allain
H
H
Nachit-Ouinekh
F
F
Bentué-Ferrer
D
D
Gilbert
P
P
Schück
S
S
El Hasnaoui
A
A
D000328:Adult; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D009784:Occupational Diseases / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D009786:Occupational Health Services / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D011788:Quality of Life; D018582:Sick Leave