PMID- 17532498 OWN - NLM STAT- MEDLINE DCOM- 20070831 LR - 20090827 IS - 0967-5868 (Print) IS - 0967-5868 (Linking) VI - 14 IP - 7 DP - 2007 Jul TI - Pharmacoeconomics of therapy for Guillain-Barre syndrome: plasma exchange and intravenous immunoglobulin. PG - 625-9 AB - Guillain-Barre syndrome (GBS) is an acute neuropathy and a clinical syndrome that includes a number of pathological and electrophysiological subtypes. Intravenous immunoglobulin (IVIG) and plasma exchange (PE) are both equally efficacious for the treatment of GBS; however, the cost of IVIG may be lower for both the patient and the healthcare system. To compare the pharmacoeconomics of PE and IVIG in GBS, a retrospective study was done from 1999 to 2004, which included a total of 24 patients with GBS who were admitted to Taipei Veterans General Hospital. This showed that except for the costs of the drugs used in IVIG, treatment of GBS with IVIG was more cost-effective (p=0.057) than that with PE in total length of hospitalization and the cost of procedures and hospitalization. The study also showed that the total costs were higher for patients on ventilators than those not requiring ventilators (p=0.008, t-test) and the length of hospitalization showed a very strong linear relationship to total costs (Pearson correlation coefficient=0.907). The regression analysis showed that each additional day of hospitalization increased the hospitalization costs by an average of 5599 New Taiwan Dollars (NT) (US$1.00=NT$33.50 in 2005). FAU - Tsai, Ching-Piao AU - Tsai CP AD - Neurology, The Neurological Institute, Taipei Veterans General Hospital and Taipei City Hospital, 201, Sec. 2 Shih-Pai Road, Taipei 112, Taiwan. cptsai@vghtpe.gov.tw FAU - Wang, Kai-Chen AU - Wang KC FAU - Liu, Chih-Yang AU - Liu CY FAU - Sheng, Wen-Yung AU - Sheng WY FAU - Lee, Tzu-Chi AU - Lee TC LA - eng PT - Journal Article PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 RN - 0 (Immunoglobulins, Intravenous) SB - IM CIN - J Clin Neurosci. 2009 Aug;16(8):1110; author reply 1111. PMID: 19467870 MH - Adolescent MH - Adult MH - Aged MH - Analysis of Variance MH - Child MH - *Costs and Cost Analysis MH - Drug Costs MH - *Economics, Pharmaceutical MH - Female MH - Guillain-Barre Syndrome/drug therapy/*economics MH - Humans MH - Immunoglobulins, Intravenous/*economics/therapeutic use MH - Length of Stay MH - Linear Models MH - Male MH - Middle Aged MH - Plasma Exchange/*economics/methods MH - Retrospective Studies EDAT- 2007/05/29 09:00 MHDA- 2007/09/01 09:00 CRDT- 2007/05/29 09:00 PHST- 2006/01/25 00:00 [received] PHST- 2006/03/26 00:00 [revised] PHST- 2006/03/29 00:00 [accepted] PHST- 2007/05/29 09:00 [pubmed] PHST- 2007/09/01 09:00 [medline] PHST- 2007/05/29 09:00 [entrez] AID - S0967-5868(06)00280-3 [pii] AID - 10.1016/j.jocn.2006.03.020 [doi] PST - ppublish SO - J Clin Neurosci. 2007 Jul;14(7):625-9. doi: 10.1016/j.jocn.2006.03.020.