Cost-Effectiveness of Cyclooxygenase-2 Inhibitors in Chronic Arthritis

  1. Brennan M.R. Spiegel, MD; and
  2. Ian M. Gralnek, MD, MSHS
  1. From Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, CA 90073.

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    IN RESPONSE:

    We thank Pellissier and colleagues for their interest in our study. Whereas we estimated that it costs more than $275 000 per quality-adjusted life-year gained to prescribe a coxib in lieu of naproxen in average-risk patients with arthritis, Pellissier and colleagues came to very different conclusions. Specifically, the authors estimated that it costs only $4738 more …

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