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  1. Cost-effectiveness of infertility treatments : a cohort study.

    Article, Communication - En anglais

    Annual Meeting of the American Society for Reproductive Medicine. Boston, Massachussetts (USA), 1996/11/02.


    To determine the cost-effectiveness of infertility treatments.


    Retrospective cohort study.


    Academic medical center infertility practice.

    Patient (s) 

    All patients treated for infertility in a 1-year time span.

    Intervention (s) 

    Intrauterine inseminations, clomiphene citrate and IUI (CC-IUI), hMG and IUI (hMG-IUI), assisted reproductive techniques (ART), and neosalpingostomy by laparotomy.

    Main Outcome Measure (s) 

    All medical charges and pregnancy outcomes associated with the treatments were obtained.

    Cost-effectiveness ratios defined as cost per delivery were determined for each procedure.

    The effects of a woman's age and the number of spermatozoa inseminated on cost-effectiveness of the procedures was also determined.

    Result (s) 

    Intrauterine inseminations, CC-IUI, and hMG-IUI have a similar cost per delivery of between $7,800 and $10,300.

    All of these were more cost-effective than ART, which had a cost per delivery of $37,000.

    Assisted reproductive techniques in women with blocked fallopian tubes was more cost-effective than tubal surgery performed by laparotomy, which had a cost per delivery of $76,000.

    Increasing age in women and lower numbers of spermatozoa inseminated were factors leading to higher costs per delivery for IUI, CC-IUI, hMG-IUI, and ART.

    Use of donor oocytes reduced the cost per delivery of older women to the range seen in younger women with ART. (...)

    Mots-clés Pascal : Stérilité, Procréation assistée, Fécondation in vitro transfert embryon, Insémination artificielle, Analyse coût, Economie santé, Homme

    Mots-clés Pascal anglais : Sterility, Assisted procreation, In vitro fertilization embryo transfer, Artificial insemination, Cost analysis, Health economy, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0294675

    Code Inist : 002B20A04. Création : 15/07/1997.