Previous fiscal analyses for VNS therapy indicate that the initial costs of VNS are offset over time by reductions in health care costs and hospital admissions following implantation 5 The reductions in the economic burden for both patients and society were seen even among patients with less than a 25% reduction in seizures, indicating that even those without a substantial improvement in seizure frequency receive some benefit from the device Therefore, the decision to proceed with VNS therapy for a patient population with few options should be made on the basis of clinical judgment rather than short-term costs
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