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Table 1 Baseline information of the enrolled studies

From: Network meta-analysis comparing efficacy of different strategies on medication-overuse headache

Study

Country

Participants

Age

Female Size

Sample Size

Intervention(s) vs Control

Withdrawal

Prevention or Intervention

Additional Education

Outcome

F/U

Arab 2022 [36]

Iran

MOH3, CM, EM, TTH

38

62%

54 (27,27)

W+P+Nb vs W+P

Abrupt

GONB with 2% lidocaine and TA Oral prevention BB (12.9%), TPM (9%), AMT (29.6%), MTZ (22.8%), Others (25.7%)

No

MHDs

12 weeks

Carlsen 2018 [38]

Denmark

MOH3β, CM, EM, TTH

47

75%

53 (27, 26)

W+E vs R+E

Abrupt vs restriction

No

8 lectures by nurses

MHDs

8 weeks

Carlsen 2020 [7]

Denmark

MOH3β, CM, EM, TTH

44

79%

102 (31,35, 36)

W+P vs P vs W

Abrupt

Oral prevention CDT (51.5%), AMT (19.6%), MT (13.6%), Others (28.8%)

No

MHDs

8 weeks

Diener 2007 [32]

Multicenter

MOH2, CM

46

75%

46 (23, 23)

P vs C

No

Oral prevention TPM (100%)

No

MMDs

16 weeks

Dodick 2020

Multicenter

MO, EM, CM

44

84%

250 (77,173)

A vs C

No

Galcanezumab 120 mg SC monthly (100%)

No

MMDs

24 weeks

Hagen 2009

Norway

MOH2, CM TTH

41

60%

56 (20, 17, 19)

W vs P vs C

Abrupt

Oral prevention CDT, BB, VPA, AMT, GBP (not mention %)

No

MHDs

12 weeks

KaradaÅŸ 2017

Turkey

MOH3β

37

75%

70 (35, 35)

W+Nb vs W

Abrupt

GONB with 1%lidocaine

No

MHDs

8 weeks

Krymchantowski 2023

Brazil

MOH3, CM

44

73%

172 (114, 58)

R+P+A vs R+P

Restriction

Oral prevention(s) TPM +NT (50%), VPA (29.7%), AT +NT (14.5%), AT +NT+FLN (5.8%)

No

MHDS

12 weeks

Mose 2020

Denmark

MOH3β, CM, TTH, Cluster

44

68%

79 (40, 39)

W+P+E vs W+P

Abrupt

Oral prevention VPA (72%), TPM (8%), BB (8%), VP (6%),

12 weeks education with 6 sessions

MHDs

24 weeks after education

Pijpers 2019

Netherlands

MOH3β, CM

45

76%

179 (90,89)

W+B vs W

Abrupt

Botulinum toxin 155U (100%)

No

MHDs

12 weeks

Rossi 2006

Italy

MOH2, CM

44

85%

79 (39,40)

W+P vs W

Abrupt

Oral prevention VPA (35.8%), AT (30.7%), AMT (25.6%), TPM (7.6%)

No

MHDs

8 weeks

Rossi 2013

Italy

MOH2, CM

46

80%

92 (46,46)

W+P vs W

Abrupt

Oral prevention VPA (34.7), MT (23.9%), TPM (21.7%), AMT (19.5%)

No

MHDs

10 weeks

Sandrini 2011

Italy

MOH2, CM

49

80%

56 (27,29)

W+B vs W

Abrupt

Botulinum toxin 100U (100%)

No

MHDs

12 weeks

Sarchielli 2014

Italy

MOH2, EM

NA

78%

88 (44,44)

W+P vs W

Abrupt

Oral prevention VPA (100%)

No

MHDs

12 weeks

Schwedt 2022

US

MOH3β, CM

44

88%

720 (361,359)

R+P vs P

Restriction

Headache prevention(s) TPM 25%, Botulinum toxin 14%, AMT 8.1%, Others (each less than 10%)

No

MHDs

12 weeks

Silberstein 2013

Multicenter

MO, CM

43

86%

904 (445,459)

B vs C

No

Botulinum toxin 155-195U (100%)

No

MHDs

24 weeks

  1. MOH Medication-overuse headache, CM Chronic migraine, EM Episodic migraine, TTH Tension-type headache, C Control, B Botox, W Abrupt withdrawal, A Anti-CGRP, P Oral prevention(s), E Additional education, Nb Nerve block, R Restriction of overused medication <=2days/week, GONB Greater occipital nerve blocks, TA Triamcinolone acetonide, BB Beta-blocker, TPM Topiramate, AMT Amitriptyline, MTZ Mirtazapine, CDT Candesartan, MT Metoprolol, VPA Valproic acid, GBP Gabapentin, NT Nortriptyline, AT Atenolol, FLN Flunarizine, MHDs Monthly headache days, MMDs Monthly migraine days