Cost-Effectiveness of In Vitro Fertilization

Goldfarb, J.; Austin, C. R.; Lisbona, Hanna; Peskin, Barry; Clapp, Mrge

doi:10.1016/0029-7844(95)00345-2

Cited by 80 publications

(27 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent survey of our IVF Program pregnancies showed unadjusted costs for hospitalization for premature labor and neonatal intensive care to be $89,874 per triplet pregnancy (n = 8) and $439,348 per quadruplet pregnancy (n = 3). This is in contrast to unadjusted costs of $210 per singleton pregnancy (n = 36) and $7,340 per twin pregnancy (n = 27) during the same period of time (1). Even more important is the ongoing morbidity of babies born very prematurely (2).…”

Section: Introductionmentioning

confidence: 86%

Evaluation of predictive factors for multiple pregnancies during gonadotropin/IUI treatment

Goldfarb

Peskin

Austin

et al. 1997

J Assist Reprod Genet

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 86%

Evaluation of predictive factors for multiple pregnancies during gonadotropin/IUI treatment

Goldfarb

Peskin

Austin

et al. 1997

J Assist Reprod Genet

View full text Add to dashboard Cite

“…Previous studies on the cost of singleton versus multiple pregnancies have used a number of different methodologies, time frames and definitions of costs, making direct comparisons between studies difficult (Callahan et al, 1994;Goldfarb et al, 1996;Ettner et al, 1997;Koivurova et al, 2004;Lukassen et al, 2004;Ledger et al, 2006). Moreover, perinatal and infant healthcare costs only serve as an indication of the relative difference in longer-term costs of caring for singleton, twin and HOM infants.…”

Section: Discussionmentioning

confidence: 99%

Babies born after ART treatment cost more than non-ART babies: a cost analysis of inpatient birth-admission costs of singleton and multiple gestation pregnancies

et al. 2007

View full text Add to dashboard Cite

BACKGROUND: Currently, about one-third of infants born after assisted reproductive technology (ART) worldwide are twins or triplets. This study compared the inpatient birth-admission costs of singleton and multiple gestation ART deliveries to non-ART deliveries. METHODS: A cohort of 5005 mothers and 5886 infants conceived following ART treatment were compared to 245 249 mothers and 248 539 infants in the general population. Birth-admission costs were calculated using Australian Refined Diagnosis Related Groups and weighted national average costs (2003-2004 euro). RESULTS: ART infants were 4.4 times more likely to be low birthweight (LBW) compared with non-ART infants, translating into 89% higher birth-admission costs (E2832 and E1502, respectively). ART singletons were also more likely to be LBW compared with non-ART singletons, translating into 31% higher birth-admission costs (E1849 and E1415, respectively). After combining infant and maternal admission costs, the average cost of an ART singleton delivery was E4818 compared with E13 890 for ART twins and E54 294 for ART higher order multiples. Findings were not sensitive to changes in casemix. CONCLUSIONS: The poorer neonatal outcomes of ART singletons compared with non-ART singletons are significant enough to impact healthcare resource consumption. The high costs associated with ART multiple births add to the overwhelming clinical and economic evidence in support of single embryo transfer.

show abstract

“…Several published studies have calculated per delivery costs (9,11,22) and at least three have considered the effect of age on the cost per delivery. Van Voorhis and colleagues, for example, estimated the cost/delivery for ART to be $31,597 (U.S. dollars) in women under the age of 38 in a retrospective cohort analysis.…”

Section: Discussionmentioning

confidence: 99%

The combined effect of age and basal follicle-stimulating hormone on the cost of a live birth at assisted reproductive technology

Henne

Stegmann

Neithardt

et al. 2008

Fertility and Sterility

View full text Add to dashboard Cite

Objective-To predict the cost of a delivery following assisted reproductive technologies (ART).Design-Cost analysis based on retrospective chart analysis. Setting-University-based ART programPatients-Women aged ≥26 and ≤42 years with FSH levels ≤ 12 IU/L on day 3 undergoing a first cycle of fresh, non-donor ART.Interventions-Logit regression using a fractional polynomial model of age and basal FSH was used to estimate the probability of a live birth. Cost analysis was applied to the resulting prediction.Main outcome measure(s)-The predicted probability of live-birth following ART based on a woman's age and FSH and the associated cost of a live birth.Result(s)-Analysis of 1,238 first ART cycles produced a prediction model for live-birth rates following ART incorporating both age and FSH. A cost analysis based upon combination of age and FSH revealed the cost of a live birth exceeded $100,000 when the probability of a live birth fell below 15% and the cost rose exponentially at lower probabilities of live birth.Conclusions(s)-Based upon a woman's age and FSH and expected cost for a live birth using ART may be calculated. At live birth rates below 5%, the cost of ART is high and greatly exceeds the cost of donor cycles. This information is vital for patient counseling.

show abstract

Cost-Effectiveness of In Vitro Fertilization

Abstract: In vitro fertilization can be cost-effective if steps are taken to minimize high-order multiple (triplet or more) pregnancies.

Cited by 80 publications

References 5 publications

Evaluation of predictive factors for multiple pregnancies during gonadotropin/IUI treatment

Evaluation of predictive factors for multiple pregnancies during gonadotropin/IUI treatment

Babies born after ART treatment cost more than non-ART babies: a cost analysis of inpatient birth-admission costs of singleton and multiple gestation pregnancies

The combined effect of age and basal follicle-stimulating hormone on the cost of a live birth at assisted reproductive technology

Contact Info

Product

Resources

About