title: Labor productivity in migraine patients: primary care contribution to occupational medicine.
abstract: OBJECTIVE
  To estimate the impact of migraine on labor productivity and health resources utilization in an active population attending Primary Care settings in Spain.
  
  
  METHODS
  An observational, cross-sectional, and multicenter study was designed. Productivity, loss workdays equivalents and previous 3-months health resources utilization were calculated.
  
  
  RESULTS
  Four thousand four hundred twenty six patients were evaluated. The migraine group showed the lowest productivity, highest loss workdays equivalents and health resources utilization compared with non-migraine headaches and subjects without headaches (P < 0.05 in all cases). Within the migraine group, lower productivity values were observed in female patients compared to male (64.04 vs 59.69; P < 0.05), while emergency room visits were more frequent for male patients (0.71 vs 076; P < 0.05).
  
  
  CONCLUSIONS
  Subjects with migraine showed higher impact on health resources utilization and productivity when evaluated at Primary care level.
authors.affiliation: Primary Care Health Center of Camargo, Muriedas, Cantabria, Spain. Jcastilloo25@hotmail.com
authors.forename: Jesús
authors.initials: J
authors.lastname: Castillo
authors.forename: Miguel J A
authors.initials: MJ
authors.lastname: Láinez
authors.forename: Manuel
authors.initials: M
authors.lastname: Domínguez
authors.forename: Gemma
authors.initials: G
authors.lastname: Palacios
authors.forename: Silvia
authors.initials: S
authors.lastname: Díaz
authors.forename: Javier
authors.initials: J
authors.lastname: Rejas
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D004526:Efficiency; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications / Q000453:epidemiology*; D016272:Occupational Health / Q000706:statistics & numerical data*; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D017678:Sex Distribution; D018582:Sick Leave / Q000706:statistics & numerical data*; D013030:Spain / Q000453:epidemiology