Economic burden of migraine in Latvia and Lithuania: direct and indirect costs

BMC Public Health

Table 7 Direct cost of migraine in Latvia and Lithuania

	Annual per person cost		Annual total cost, thousand EUR
	Latvia	Lithuania	Latvia	Lithuania
Primary care physician visit	14.85	14.28	2081	2963
Neurologist/headache specialist visit	13.39	19.09	1876	3961
Nurse practitioner/physician assistant visit	2.30	0.00	322	0
Other specialist visit	23.16	21.10	3244	4377
Emergency room visit	15.48	10.42	2169	2162
Hospitalization	19.53	13.12^a	2736	2722
Diagnostic testing	24.61	41.42	3447	8592
Blood test	1.50	3.69	210	765
Botulinum toxin A injection	31.96	29.06	4478	6028
Transcutaneous nerve stimulator procedure	–	–	–	–
Acupuncture	42.74	16.16	5987	3352
Occipital nerve block procedure	3.98	0.00	558	0
Medication	12.26	9.39	1718	1948
Total	205.77	177.73	28,825	36,869

^a As Lithuanian unit cost data is available per hospitalizations, the number of treatment cases should be derived. We conservatively assume that hospitalized patients had only one treatment case in three months. To arrive at an annual treatment case estimate, we take four times the quarterly figure. In each quarter hospitalized patients may or may not overlap with patients hospitalized in previous quarter; it does not influence the cost estimate

ISSN: 1471-2458