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. Author manuscript; available in PMC: 2017 Feb 11.
Published in final edited form as: N Engl J Med. 2016 Aug 11;375(6):511–522. doi: 10.1056/NEJMoa1602489

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.