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November 01, 2022; 99 (18) Disputes & Debates: Editors’ Choice
EDITORS' NOTE: THE ECONOMIC BURDEN OF MULTIPLE SCLEROSIS IN THE UNITED STATES:
ESTIMATE OF DIRECT AND INDIRECT COSTS
Ariane Lewis, Steven Galetta
First published October 31, 2022, DOI:
https://doi.org/10.1212/WNL.0000000000201434
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In “The Economic Burden of Multiple Sclerosis in the United States: Estimate of
Direct and Indirect Costs,” Bebo et al. reported that the direct cost of
multiple sclerosis (medications and care) in the United States is $63.3 billion
and the indirect cost (productivity loss, caregivers, and home modifications) is
$22.1 billion. Vargas noted that these findings are underestimates of the true
economic burden due to exclusion of Medicaid and veteran populations.
Furthermore, she suggested the need for a comparison of the cost of relapse with
the cost of disease-modifying therapies. Bebo responded that a
cost-effectiveness study would be interesting but that their goal was to provide
updated information on the economic burden of multiple sclerosis.
In “The Economic Burden of Multiple Sclerosis in the United States: Estimate of
Direct and Indirect Costs,” Bebo et al. reported that the direct cost of
multiple sclerosis (medications and care) in the United States is $63.3 billion
and the indirect cost (productivity loss, caregivers, and home modifications) is
$22.1 billion. Vargas noted that these findings are underestimates of the true
economic burden due to exclusion of Medicaid and veteran populations.
Furthermore, she suggested the need for a comparison of the cost of relapse with
the cost of disease-modifying therapies. Bebo responded that a
cost-effectiveness study would be interesting but that their goal was to provide
updated information on the economic burden of multiple sclerosis.
FOOTNOTES
* Author disclosures are available upon request (journal@neurology.org).
* See letter
* See response
* © 2022 American Academy of Neurology
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* Disputes & Debates: Editors' Choice
Author Response: The Economic Burden of Multiple Sclerosis in the United
States: Estimate of Direct and Indirect Costs
Bruce F. Bebo
October 31, 2022
* Disputes and Debates Editor's Choice
Reader Response: The Economic Burden of Multiple Sclerosis in the United
States: Estimate of Direct and Indirect Costs
Wendy S. Vargas
October 31, 2022
* Research Article
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Citation Toolsclose
Editors' Note: The Economic Burden of Multiple Sclerosis in the United States:
Estimate of Direct and Indirect Costs
Ariane Lewis, Steven Galetta
Neurology Nov 2022, 99 (18) 818; DOI: 10.1212/WNL.0000000000201434
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