Key result
A 10% increase in annual healthcare costs for treating relapsing remitting MS was associated with a reduced risk of 1-point EDSS progression (HR 0.897; p=0.018).
Why the study?
Does higher healthcare spending on disease modifying treatments improve disease evolution in newly diagnosed RRMS patients?
Cohort (n=544)
Does higher healthcare spending on disease modifying treatments improve disease evolution in newly diagnosed RRMS patients?
Hazard Ratio: 0.897
p-value: p=0.018
Higher healthcare costs for treating relapsing-remitting multiple sclerosis are associated with milder disease evolution over 10 years.
Higher DMT costs were associated with worse RRMS evolution; leaves open whether cost-focused strategies alter long-term outcomes.
BACKGROUND: Disease modifying treatments (DMTs) are the main responsible for direct medical costs in multiple sclerosis (MS). The current investigation aims at evaluating possible associations between healthcare costs for treating relapsing remitting MS (RRMS) and disease evolution. METHODS: The present cohort study retrospectively included 544 newly diagnosed RRMS patients, prospectively followed up for 10.1±3.3 years. Costs for DMT administration and management were calculated for each year of observation. Following clinical endpoints were recorded: time to first relapse, 1-point EDSS progression, reaching of EDSS 4.0, reaching of EDSS 6.0, and conversion to secondary progressive MS (SP). Covariates for statistical analyses were age, gender, disease duration and EDSS at diagnosis. RESULTS: At time varying Cox regression models, 10% increase in annual healthcare costs was associated with 1.1% reduction in 1-point EDSS progression (HR = 0.897; p = 0.018), with 0.7% reduction in reaching EDSS 6.0 (HR = 0.925; p = 0.030), and with 1.0% reduction in SP conversion (HR = 0.902; p = 0.006). CONCLUSION: Higher healthcare costs for treating MS have been associated with a milder disease evolution after 10 years, with possible reduction of long-term non-medical direct and indirect costs.
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Moccia et al. (2017) conducted a cohort in Relapsing remitting multiple sclerosis (RRMS) (n=544). Annual healthcare costs for treating MS (10% increase) was evaluated on 1-point EDSS progression (HR 0.897, p=0.018). A 10% increase in annual healthcare costs for treating relapsing remitting MS was associated with a reduced risk of 1-point EDSS progression (HR 0.897; p=0.018).
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