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The cost of drug treatment in multiple sclerosis is high but decreases
with prolonged treatment. Evaluating the cost effectiveness of
interferon beta and glatiramer acetate, Chilcott and colleagues (p 522) estimated that cost effectiveness with a 20 year time horizon
ranges from £42 000 to £98 000 per quality adjusted life year
gained. Uncertainty about estimates was substantial because of the
unpredictability of the disease and the difficulty in capturing all
aspects of its impact on patients. As Miller discusses in a commentary
(p 525), more primary and secondary research is needed on who will
most benefit from these disease modifying treatments.

(Credit: JAMES KING-HOLMES/SPL)