Table 3.
Adverse Events.*
Variable | Prednisone Alone (N = 60) | Thymectomy plus Prednisone (N = 66) | P Value |
---|---|---|---|
No. of events | 93 | 48 | <0.001† |
≥1 event — no. of patients (%) | 33 (55) | 25 (38) | 0.05‡ |
Event | |||
Life-threatening event — no. of patients (%) | 7 (12) | 1 (2) | 0.03§ |
Disability or incapacity — no. of patients (%)¶ | 2 (3) | 8 (12) | 0.10 |
Event requiring medical or surgical intervention — no. of patients (%) | 5 (8) | 9 (14) | 0.40 |
Death — no. of patients (%) | 1 (2) | 0 | 0.48 |
Complication due to thymectomy — no. of patients (%) | NA | 1 (2) | — |
Hospitalization — no. of patients (%) | 31 (52) | 15 (23) | <0.001‡ |
Hospitalization for exacerbation of myasthenia gravis — no. of patients (%) | 22 (37) | 6 (9) | <0.001‡ |
Cumulative no. of hospital days | 19.2±24.5 | 8.4±8.6 | 0.09 |
Reason for hospitalization according to MedDRA term — no. (%) | |||
Gastrointestinal disorder | 2 (3) | 2 (3) | 1.00 |
Hepatobiliary disorder | 1 (2) | 0 | 0.48 |
Infection or infestation | 7 (12) | 4 (6) | 0.35 |
Injury, poisoning, or procedure complication | 0 | 2 (3) | 0.50 |
Metabolism or nutrition disorder | 0 | 1 (2) | 1.00 |
Nervous system disorder | 22 (37) | 8 (12) | 0.001‡ |
Respiratory, thoracic, or mediastinal disorder | 2 (3) | 1 (2) | 0.60 |
Surgical or medical procedure | 7 (12) | 0 | 0.005§ |
Vascular disorder | 1 (2) | 0 | 0.48 |
Plus–minus values are means ±SD. MedDRA denotes Medical Dictionary for Regulatory Activities, and NA not applicable.
The P value is based on Poisson regression that included all 126 patients.
The P value is based on a chi-square test that included all 126 patients.
The P value is based on Fisher’s exact test that included all 126 patients.
Causes of disability or incapacity in the group that received prednisone alone included worsening swallowing difficulties and myasthenia gravis; causes in the thymectomy group included osteoporotic thoracic fracture, ocular-muscle involvement due to relapsing myasthenia gravis, post-thymectomy diaphragmatic hemiparesis, rib fracture, impending myasthenic crisis, ankle fracture, tear of left knee meniscus, and low back pain with possible stenosis.