A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine

Richard Nudotor; Hasiya Yusuf; Owulatobi Lasisi; Emmanuella Salia; Banda Khalifa; Enoch Abbey; Modupe Oduwole; Samuel Ayeh; Obeng Appiafo; Joseph Canner; Ann Scheimann; Kimberley Steele

doi:10.1007/s11695-020-05204-w

A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine

Richard Nudotor, Hasiya Yusuf, Owulatobi Lasisi, Emmanuella Salia, Banda Khalifa, Enoch Abbey, Modupe Oduwole, Samuel Ayeh, Obeng Appiafo, Joseph Canner, Ann Scheimann, Kimberley Steele

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: To investigate the association of the two most common bariatric surgical procedures, vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB), with sustained remission from chronic migraine. Materials and Methods: Using IBM MarketScan® research database to examine inpatient and pharmacy claims from 2010 through 2017. A cohort of bariatric patients with chronic migraine was created using inclusion and exclusion criteria. Remission was defined as no refill of first-line migraine medication for 180 days after a patients’ medication was expected to run out, and recurrence as medication refill after at least 180 days of remission. Results: Of 1680 patients in our cohort, 931 (55.4%) experienced remission of migraine. Of these, 462 (49.6%) had undergone VSG, while 469 (50.4%) had undergone RYGB. Patients who underwent RYGB had an 11% (RR = 1.11, 95% CI: 1.05, 1.17) increase in likelihood of remission of migraine and a 20% (RR = 0.80, 95% CI: 0.63, 1.04) decrease in likelihood of recurrence of migraine compared to patients who underwent VSG. Older age group, higher number of medications at time of surgery, and female sex were associated with a decreased likelihood of remission. Conclusion: Type of bariatric procedure, age, number of medications at surgery, and sex were the most important predictors of migraine remission after surgery.

Original language	English (US)
Pages (from-to)	2040-2049
Number of pages	10
Journal	Obesity Surgery
Volume	31
Issue number	5
DOIs	https://doi.org/10.1007/s11695-020-05204-w
State	Published - May 2021

Keywords

Bariatric surgery
Chronic migraine
Impact

ASJC Scopus subject areas

Surgery
Endocrinology, Diabetes and Metabolism
Nutrition and Dietetics

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10.1007/s11695-020-05204-w

Cite this

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title = "A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine",

abstract = "Purpose: To investigate the association of the two most common bariatric surgical procedures, vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB), with sustained remission from chronic migraine. Materials and Methods: Using IBM MarketScan{\textregistered} research database to examine inpatient and pharmacy claims from 2010 through 2017. A cohort of bariatric patients with chronic migraine was created using inclusion and exclusion criteria. Remission was defined as no refill of first-line migraine medication for 180 days after a patients{\textquoteright} medication was expected to run out, and recurrence as medication refill after at least 180 days of remission. Results: Of 1680 patients in our cohort, 931 (55.4%) experienced remission of migraine. Of these, 462 (49.6%) had undergone VSG, while 469 (50.4%) had undergone RYGB. Patients who underwent RYGB had an 11% (RR = 1.11, 95% CI: 1.05, 1.17) increase in likelihood of remission of migraine and a 20% (RR = 0.80, 95% CI: 0.63, 1.04) decrease in likelihood of recurrence of migraine compared to patients who underwent VSG. Older age group, higher number of medications at time of surgery, and female sex were associated with a decreased likelihood of remission. Conclusion: Type of bariatric procedure, age, number of medications at surgery, and sex were the most important predictors of migraine remission after surgery.",

keywords = "Bariatric surgery, Chronic migraine, Impact",

author = "Richard Nudotor and Hasiya Yusuf and Owulatobi Lasisi and Emmanuella Salia and Banda Khalifa and Enoch Abbey and Modupe Oduwole and Samuel Ayeh and Obeng Appiafo and Joseph Canner and Ann Scheimann and Kimberley Steele",

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year = "2021",

month = may,

doi = "10.1007/s11695-020-05204-w",

language = "English (US)",

volume = "31",

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T1 - A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine

AU - Nudotor, Richard

AU - Yusuf, Hasiya

AU - Lasisi, Owulatobi

AU - Salia, Emmanuella

AU - Khalifa, Banda

AU - Abbey, Enoch

AU - Oduwole, Modupe

AU - Ayeh, Samuel

AU - Appiafo, Obeng

AU - Canner, Joseph

AU - Scheimann, Ann

AU - Steele, Kimberley

PY - 2021/5

Y1 - 2021/5

N2 - Purpose: To investigate the association of the two most common bariatric surgical procedures, vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB), with sustained remission from chronic migraine. Materials and Methods: Using IBM MarketScan® research database to examine inpatient and pharmacy claims from 2010 through 2017. A cohort of bariatric patients with chronic migraine was created using inclusion and exclusion criteria. Remission was defined as no refill of first-line migraine medication for 180 days after a patients’ medication was expected to run out, and recurrence as medication refill after at least 180 days of remission. Results: Of 1680 patients in our cohort, 931 (55.4%) experienced remission of migraine. Of these, 462 (49.6%) had undergone VSG, while 469 (50.4%) had undergone RYGB. Patients who underwent RYGB had an 11% (RR = 1.11, 95% CI: 1.05, 1.17) increase in likelihood of remission of migraine and a 20% (RR = 0.80, 95% CI: 0.63, 1.04) decrease in likelihood of recurrence of migraine compared to patients who underwent VSG. Older age group, higher number of medications at time of surgery, and female sex were associated with a decreased likelihood of remission. Conclusion: Type of bariatric procedure, age, number of medications at surgery, and sex were the most important predictors of migraine remission after surgery.

AB - Purpose: To investigate the association of the two most common bariatric surgical procedures, vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB), with sustained remission from chronic migraine. Materials and Methods: Using IBM MarketScan® research database to examine inpatient and pharmacy claims from 2010 through 2017. A cohort of bariatric patients with chronic migraine was created using inclusion and exclusion criteria. Remission was defined as no refill of first-line migraine medication for 180 days after a patients’ medication was expected to run out, and recurrence as medication refill after at least 180 days of remission. Results: Of 1680 patients in our cohort, 931 (55.4%) experienced remission of migraine. Of these, 462 (49.6%) had undergone VSG, while 469 (50.4%) had undergone RYGB. Patients who underwent RYGB had an 11% (RR = 1.11, 95% CI: 1.05, 1.17) increase in likelihood of remission of migraine and a 20% (RR = 0.80, 95% CI: 0.63, 1.04) decrease in likelihood of recurrence of migraine compared to patients who underwent VSG. Older age group, higher number of medications at time of surgery, and female sex were associated with a decreased likelihood of remission. Conclusion: Type of bariatric procedure, age, number of medications at surgery, and sex were the most important predictors of migraine remission after surgery.

KW - Bariatric surgery

KW - Chronic migraine

KW - Impact

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ER -

A Retrospective Analysis of the Impact of Bariatric Surgery on the Management of Chronic Migraine

Abstract

Keywords

ASJC Scopus subject areas

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