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.
All patients treated for infertility in a 1-year time span.
Intrauterine inseminations, clomiphene citrate and IUI (CC-IUI), hMG and IUI (hMG-IUI), assisted reproductive techniques (ART), and neosalpingostomy by laparotomy.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0294675
Code Inist : 002B20A04. Création : 15/07/1997.