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Review
. 2022 Jul;26(7):555-566.
doi: 10.1007/s11916-022-01058-2. Epub 2022 May 14.

Equity and Disparities in Diagnosis, Management, and Research of Post-Traumatic Headache

Mejgan G Mukhtarzada  1 , Teshamae S Monteith  2
Affiliations
Review

Equity and Disparities in Diagnosis, Management, and Research of Post-Traumatic Headache

Mejgan G Mukhtarzada et al. Curr Pain Headache Rep. 2022 Jul.

Abstract

Purpose of review: There are notable health disparities and inequities in individuals with traumatic brain injury (TBI) and concussion by race, ethnicity, gender, socioeconomic status, and geography. This review will evaluate these disparities and inequities and assess the social determinants of health that drive outcomes for post-traumatic headache. Interventions for achieving this are also discussed.

Recent findings: Significant disparities and inequities exist in TBI and concussion among people of different races, socioeconomic status, and geographic locations. Migraine is a common symptom post-concussion, for which disparities and social determinants of health are also discussed. Overall, multi-level interventions to reduce these disparities and inequities are reviewed for post-traumatic headache but require further investigation. Interventions are needed to reduce disparities and inequities including public health initiatives, improvements in clinical care, diversity/inclusion training, and research efforts. As literature expands, we can form guidance to identify solutions for eliminating disparities in care of diverse populations.

Keywords: Concussion; Determinants of health; Disparities; Equity; Gender; Migraine; Post-traumatic headache; Race; Racism; Traumatic brain injury.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
    1. Headache Classification Committee of the International Headache Society. The international classification of headache disorders, 3rd edition. Cephalalgia 2018;38: 1 – 211.
    1. National Center for Injury Prevention and Control. Report to congress on mild traumatic brain injury in the United States: steps to prevent a serious public health problem. Atlanta, GA: Centers for Disease Control and Prevention; 2003.
    1. • Schwedt TJ. Post-traumatic headache due to mild traumatic brain injury: current knowledge and future directions. Cephalalgia. 2021;41(4):464–71. PTH is a common symptom following mTBI. Although meaningful advances have been made in defining the epidemiology, clinical presentation, diagnostic criteria, and pathophysiology of PTH due to mTBI, much more work is needed. - PubMed
    1. Lucas S, Hoffman JM, Bell KR, Dikmen S. A prospective study of prevalence and characterization of headache following mild traumatic brain injury. Cephalalgia. 2014;34(2):93–102. - PubMed
    1. Dikmen S, Machamer J, Fann JR, Temkin NR. Rates of symptom reporting following traumatic brain injury. J Int Neuropsychol Soc. 2010;16(3):401–11. - PubMed

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