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Table 2 Clinical characteristics of patients with MG, overall and stratified by MGFA Class

From: Clinical characteristics and impairment of activities of daily living among patients with myasthenia gravis with differing degrees of muscle weakness: a real-world study of patients in the US and five European countries

Parameter

Overall

(n = 1232)

MGFA Class I

(n = 367)

MGFA Class II

(n = 579)

MGFA Class III/IV (n = 286)

p-value

n

Survey response

n

Survey response

n

Survey response

n

Survey response

When patient first experienced MG symptoms, mean (SD) months prior to survey

960

58.7 (67.5)

298

56.2 (71.7)

446

52.3 (58.0)

216

75.4 (76.9)

p < 0.001

When patient was diagnosed with MG, mean (SD) months prior to survey

1115

46.1 (57.4)

331

45.7 (56.8)

519

40.4 (52.3)

265

57.9 (65.6)

p < 0.001

Charlson Comorbidity Index, mean (SD)

1232

0.4 (1.1)

367

0.2 (0.6)

579

0.4 (1.0)

286

0.8 (1.5)

p < 0.001

Concomitant conditions*, n (%)

1232

 

367

 

579

 

286

  

 Hypertension

 

346 (28.1)

 

99 (27.0)

 

153 (26.4)

 

94 (32.9)

p = 0.123

 Anxiety

 

220 (17.9)

 

50 (13.6)

 

101 (17.4)

 

69 (24.1)

p < 0.001

 Dyslipidemia

 

213 (17.3)

 

62 (16.9)

 

100 (17.3)

 

51 (17.8)

p = 0.947

 Depression

 

197 (16.0)

 

44 (12.0)

 

83 (14.3)

 

70 (24.5)

p = 0.003

 Diabetes without chronic complications

 

129 (10.5)

 

36 (9.8)

 

59 (10.2)

 

34 (11.9)

p = 0.663

Number of concomitant conditions, mean (SD)

1232

1.6 (1.7)

367

1.3 (1.4)

579

1.5 (1.6)

286

2.1 (2.0)

p < 0.001

Remission status, n (%)

1232

 

367

 

579

 

286

  

 Not in remission

 

213 (17.3)

 

27 (7.4)

 

70 (12.1)

 

116 (40.6)

p < 0.001

 MM/PR/CSR

 

1019 (82.71)

 

340 (92.64)

 

509 (87.91)

 

170 (59.44)

Proportion of patients who have ever experienced a myasthenic crisis, n (%)

1139

253 (22.2)

341

31 (9.1)

528

111 (21.0)

270

111 (41.1)

p < 0.001

Number of myasthenic crises in 12 months prior to survey, mean (SD)

         

 Among all patients

1119

0.2 (0.5)

336

0.1 (0.3)

517

0.2 (0.5)

266

0.3 (0.6)

p < 0.001

 Among patients who have experienced a crisis at any point since diagnosis

215

0.9 (0.7)

22

1.0 (0.9)

91

1.0 (0.7)

102

0.88 (0.7)

p = 0.600

Proportion of patients who have experienced MG-related hospitalization at any point since diagnosis, n (%)

1114

537 (48.2)

342

118 (34.5)

518

247 (47.7)

254

172 (67.7)

p < 0.001

Proportion of patients who have experienced MG-related hospitalization in 12 months prior to survey, n (%)

         

 Among all patients

1082

241 (22.3)

337

35 (10.4)

499

114 (22.9)

246

92 (37.4)

p < 0.001

 Among those who have experienced MG-related hospitalization at any point since diagnosis

505

241 (47.7)

113

35 (31.0)

228

114 (50.0)

164

92 (56.1)

p < 0.001

Number of MG-related hospitalizations in 12 months prior to survey, mean (SD)

         

 Among all patients

1122

0.3 (0.6)

347

0.1 (0.4)

518

0.3 (0.5)

257

0.5 (0.7)

p < 0.001

 Among patients who have experienced MG-related hospitalization at any point since diagnosis

545

0.5 (0.7)

123

0.3 (0.6)

247

0.6 (0.7)

175

0.7 (0.8)

p < 0.001

Patient has undergone thymectomy, n (%)

1213

244 (20.1)

364

55 (15.1)

564

111 (19.7)

285

78 (27.4)

p < 0.001

Number of maintenance treatment lines received, n (%)

1232

 

367

 

579

 

286

  

 0 lines

 

69 (5.6)

 

28 (7.6)

 

29 (5.0)

 

12 (4.2)

p < 0.001

 1 line

 

717 (58.2)

 

252 (68.7)

 

345 (59.6)

 

120 (42.0)

 2 lines

 

298 (24.2)

 

63 (17.2)

 

140 (24.2)

 

95 (33.2)

 3 lines

 

120 (9.7)

 

19 (5.2)

 

53 (9.2)

 

48 (16.8)

 4 or more lines

 

28 (2.3)

 

5 (1.4)

 

12 (2.1)

 

11 (3.8)

Current/most recent maintenance treatment, n (%)

1163

 

339

 

550

 

274

  

 Acetylcholinesterases

 

882 (75.8)

 

281 (82.9)

 

409 (74.4)

 

192 (70.1)

p < 0.001

 Non-steroidal immunosuppressants

 

433 (37.2)

 

80 (23.6)

 

213 (38.7)

 

140 (51.1)

p < 0.001

 Corticosteroids

 

359 (30.9)

 

75 (22.1)

 

162 (29.5)

 

122 (44.5)

p < 0.001

 Monoclonal Antibodies

 

111 (9.5)

 

8 (2.4)

 

59 (10.7)

 

44 (16.1)

p < 0.001

 Intravenous Immunoglobulin

 

66 (5.7)

 

3 (0.9)

 

30 (5.5)

 

33 (12.0)

p < 0.001

 Subcutaneous Immunoglobulin

 

16 (1.4)

 

2 (0.6)

 

11 (2.0)

 

3 (1.1)

p = 0.223

 Plasmapheresis

 

12 (1.0)

 

1 (0.3)

 

2 (0.4)

 

9 (3.3)

p < 0.001

  1. CCI, Charlson Comorbidity Index; CSR, complete stable remission (has been symptom-free and has not received any treatment for MG); MG, myasthenia gravis; MGFA, Myasthenia Gravis Foundation of America; MM, minimal manifestations (no symptoms of functional limitations but some weakness on examination of some muscles); n, number of patients; PR, pharmacological remission (has been symptom-free but continues to take treatment for MG); SD, standard deviation
  2. *As per definition of ‘concomitant condition’ in Supplementary Appendix 2