2024
Chronic headaches after traumatic brain injury: Diagnostic complexity associated with increased cost.
McGeary D, Swan A, Kennedy E, Dismuke-Greer C, McGeary C, Sico J, Amuan M, Manhapra A, Bouldin E, Watson P, Kenney K, Myers M, Werner J, Mitchell J, Carlson K, Delgado R, Esmaeili A, Pugh M. Chronic headaches after traumatic brain injury: Diagnostic complexity associated with increased cost. Neurorehabilitation 2024, 1-15. PMID: 39422976, DOI: 10.3233/nre-230277.Peer-Reviewed Original ResearchTraumatic brain injuryChronic headacheTraumatic brain injury diagnosisPost-9/11-era veteransPost-traumatic headacheAssociated with higher costsCare burdenBrain injuryHealthcare costsHeadache diagnosisEra veteransClinical characteristicsHeadache disordersHigher expendituresCareVeteransIndividual headachesHigh costHeadacheIntensive treatmentRefractory headacheOutcomesDiagnosisInjuryConfounding
2023
Studying classic psychedelics for the management of headache disorders: Considerations for Veterans
Schindler E, Sico J. Studying classic psychedelics for the management of headache disorders: Considerations for Veterans. Journal Of Military Veteran And Family Health 2023, 9: 88-95. DOI: 10.3138/jmvfh-2023-0006.Peer-Reviewed Original ResearchHeadache disordersCluster headacheLysergic acid diethylamideTreatment optionsBrain injuryTherapeutic effectAcid diethylamideTraumatic brain injuryConventional treatment optionsTrials of psilocybinMilitary membersPoor qualityPsychedelic drugsSummary PatientsHead traumaAvailable treatmentsHeadache managementHeadache treatmentCommon conditionHigh riskSide effectsSignificant disabilityHeadacheMore researchPoor efficacy
2022
The Primary Care Management of Headache: Synopsis of the 2020 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline
Sico JJ, Macedo F, Lewis J, Spevak C, Vogsland R, Ford A, Skop K, Sall J. The Primary Care Management of Headache: Synopsis of the 2020 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline. Military Medicine 2022, 187: e1091-e1102. PMID: 35022782, DOI: 10.1093/milmed/usab490.Peer-Reviewed Original ResearchConceptsClinical practice guidelinesPractice guidelinesDefense Clinical Practice GuidelineJoint clinical practice guidelineTrustworthy clinical practice guidelinesPractice Work GroupMedication overuse headachePrimary care managementPreferences of patientsGuideline development panelMedicine's tenetsPharmacologic managementRecommendations AssessmentOveruse headacheGuideline panelCare managementHeadacheDevelopment panelVeterans AffairsClinical stakeholdersPatientsGuidelinesIndividual needsDepartmentPrevention
2021
Cluster Headache: Clinical Characteristics and Opportunities to Enhance Quality of Life
Grinberg AS, Best RD, Min KM, Schindler EAD, Koo BB, Sico JJ, Seng EK. Cluster Headache: Clinical Characteristics and Opportunities to Enhance Quality of Life. Current Pain And Headache Reports 2021, 25: 65. PMID: 34668084, DOI: 10.1007/s11916-021-00979-8.Peer-Reviewed Original ResearchConceptsQuality of lifeCluster headacheCommon psychiatric comorbiditiesCurrent clinical carePsychological treatmentPrimary headache disordersRecent FindingsPeopleClinical characteristicsSevere painPsychiatric comorbidityDisease burdenHeadache disordersClinical careDepressive symptomsGeneral populationHeadacheSuicidal ideationAutonomic featuresBehavioral interventionsCommitment TherapyPsychological factorsTreatmentBurdenComorbiditiesPainSuicide Attempts in US Veterans with Chronic Headache Disorders: A 10-Year Retrospective Cohort Study
Androulakis XM, Guo S, Zhang J, Sico J, Warren P, Giakas A, Li X, Peterlin BL, Mathew R, Reyes D. Suicide Attempts in US Veterans with Chronic Headache Disorders: A 10-Year Retrospective Cohort Study. Journal Of Pain Research 2021, 14: 2629-2639. PMID: 34466030, PMCID: PMC8403028, DOI: 10.2147/jpr.s322432.Peer-Reviewed Original ResearchTraumatic brain injuryRisk of SAChronic pain conditionsChronic headacheChronic painSuicide attemptsPain conditionsAnnual incidenceHealth administrative dataHighest annual incidenceMultivariable Poisson regressionLarge-scale retrospective analysisChronic headPsychiatric comorbidityRetrospective studyBrain injuryRelative riskRetrospective analysisHeadachePainPoisson regressionVeteransAdministrative dataRiskDemographic factorsServices for Headache Disorder(s) among Men and Women Veterans across the Veterans Health Administration – a 10-year Cohort Study (4669)
Seng E, Fenton B, Wang K, Skanderson M, Sico J. Services for Headache Disorder(s) among Men and Women Veterans across the Veterans Health Administration – a 10-year Cohort Study (4669). Neurology 2021, 96 DOI: 10.1212/wnl.96.15_supplement.4669.Peer-Reviewed Original Research“You will eat shoe polish if you think it would help”—Familiar and lesser‐known themes identified from mixed‐methods analysis of a cluster headache survey
Schindler EAD, Cooper V, Quine DB, Fenton BT, Wright DA, Weil MJ, Sico JJ. “You will eat shoe polish if you think it would help”—Familiar and lesser‐known themes identified from mixed‐methods analysis of a cluster headache survey. Headache The Journal Of Head And Face Pain 2021, 61: 318-328. PMID: 33502769, DOI: 10.1111/head.14063.Peer-Reviewed Original ResearchConceptsCluster headache patientsCluster headacheHeadache patientsExercise/physical activityVitamins/supplementsSevere painInterventional investigationDisease management approachTreatment optionsSubgroup analysisPhysical activitySide effectsPatients' thoughtsMixed-methods analysisSecondary analysisFree-text responsesHeadachePatientsIllicit substancesDisease managementAdult participantsHeadache medicine
2020
Reason to doubt the ICHD-3 7-day inclusion criterion for mild TBI-related posttraumatic headache: A nested cohort study
McGeary DD, Resick PA, Penzien DB, Eapen BC, Jaramillo C, McGeary CA, Nabity PS, Peterson AL, Young-McCaughan S, Keane TM, Reed D, Moring J, Sico JJ, Pangarkar SS, Houle TT. Reason to doubt the ICHD-3 7-day inclusion criterion for mild TBI-related posttraumatic headache: A nested cohort study. Cephalalgia 2020, 40: 1155-1167. PMID: 32867535, DOI: 10.1177/0333102420953109.Peer-Reviewed Original ResearchConceptsMechanism of injuryHead injuryPre-existing migraineHeadache onsetProportion of veteransHeadache phenotypeCohort studyPosttraumatic headacheICHD-3 diagnostic criteriaMild traumatic injuryProportion of participantsSignificant differencesPercent of participantsPersistent headacheICHD-3Onset groupTraumatic injuryInclusion criteriaTreatment-seeking veteransPsychiatric symptomsMild TBIDiagnostic criteriaHeadacheSurvival analysisInjury
2018
Association of neurologist care with headache expenditures: A population-based, longitudinal analysis
Ney JP, Sico JJ, Klein BC, Magliocco B, Callaghan BC, Esper G. Association of neurologist care with headache expenditures: A population-based, longitudinal analysis. Cephalalgia 2018, 38: 1876-1884. PMID: 29504480, DOI: 10.1177/0333102418762572.Peer-Reviewed Original ResearchConceptsNeurologist careAmbulatory care visitsLongitudinal cohort studyMedical Expenditure Panel SurveyResults Eight hundredHealth care costsMean annual expenditureCare visitsCohort studyHealthcare utilizationClinical variablesDiagnostic codesAdjusted associationsCare costsHeadache sufferersHealthcare expendituresYear oneCareHeadacheSignificant reductionAdult respondentsLongitudinal analysisAssociationYear twoAnnual expenditure