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Editorials

Incorporating real-world clinical practice in multiple sclerosis economic evaluations

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Figures & data

Figure 1. First-line and second-line natalizumab treatment pathway for JC-virus-negative RRMS patients.

Figure 1. First-line and second-line natalizumab treatment pathway for JC-virus-negative RRMS patients.

Figure 2. Efficiency frontier showing results from the 1000 Monte Carlo draws and the base-case incremental cost–effectiveness ratios (ICERs) for each strategy. Natalizumab second-line is subject to extended dominance as the mean ICER lies to the left of the efficiency frontier defined by the line connecting the non-dominated options, natalizumab first-line and GA first-line. As compared with GA first line, the ICER for natalizumab second line was greater (i.e., more costs per health unit gained) than the ICER for natalizumab first line.

Figure 2. Efficiency frontier showing results from the 1000 Monte Carlo draws and the base-case incremental cost–effectiveness ratios (ICERs) for each strategy. Natalizumab second-line is subject to extended dominance as the mean ICER lies to the left of the efficiency frontier defined by the line connecting the non-dominated options, natalizumab first-line and GA first-line. As compared with GA first line, the ICER for natalizumab second line was greater (i.e., more costs per health unit gained) than the ICER for natalizumab first line.

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