@article {Suka:December 2004:1473-7167:617, author = "Suka, Machi", author = "Yoshida, Katsumi", title = "Cost effectiveness of leflunomide in the treatment of rheumatoid arthritis in Japan", journal = "Expert Review of Pharmacoeconomics and Outcomes Research", volume = "4", year = "December 2004", abstract = "Macro-level economic evaluations of drugs are expected to provide useful information for making the decision of whether to approve a newly developed drug as a first-line treatment. Leflunomide has been hoped to be an alternative to existing disease-modifying antirheumatic drugs, but has also raised questions about its cost effectiveness due to the high drug cost and high percentage of withdrawals due to adverse events. A method of cost-effective analysis using disability-adjusted life years, which makes it possible to assess the cost effectiveness of a drug at the macro level, is proposed. Using the proposed method, the cost effectiveness of leflunomide in the treatment of rheumatoid arthritis in Japan is determined.", pages = "617-622(6)", url = "http://www.ingentaconnect.com/content/ftd/erp/2004/00000004/00000006/art00007" doi = "doi:10.1586/14737167.4.6.617" }