Implementing a good practice guide for CBRC: perspectives from the ESHRE Cross-Border Reproductive Care Taskforce

Shenfield, Françoise

doi:10.1016/j.rbmo.2011.07.017

Cited by 17 publications

(7 citation statements)

References 24 publications

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“…The problem of the different approach to cross-border patients compared with domestic patients has been addressed in ESHRE's 'Good Practice Guide to cross-border patient treatment', published in 2011 (Shenfield, 2011). The visited centres usually do not have to deal with the possible complications of the treatment, since patients normally return home after receiving their treatment.…”

Section: Discussionmentioning

confidence: 99%

Comparison of embryo transfer strategies and assisted reproduction outcome in Slovenian and cross-border patients

Knez

Kovačič

Vlaisavljević

2013

Reproductive BioMedicine Online

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A reduction in the number of embryos transferred is the most important step in decreasing multiple gestation rates after medically assisted reproduction. Slovenia has implemented insurance company regulations that regulate single-embryo transfer in selected good-prognosis couples. The aim of the present study was to evaluate its effects on the Slovenian population compared with cross-border patients, who are not affected by the insurance company policy. Ultimately, 2403 couples undergoing IVF or intracytoplasmic sperm injection were included in the retrospective analysis. Patients were classified according to their origin. The decision about the number of embryos transferred and the treatment success were evaluated. The implementation of the policy favouring single-embryo transfer resulted in a significant decrease in the twin birth rate in Slovenian patients (24.4% before policy versus 6.7% after policy implementation, P<0.001). Although in cross-border patients twin birth rates have declined through the study period, they remained significantly higher compared with Slovenian patients (23.1% versus 6.7%, P<0.001). The data demonstrate that insurance company policies favouring single-embryo transfer are an effective tool in decreasing multiple gestation rates. Similar mechanisms should be implemented in the cross-border patient population.

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Section: Discussionmentioning

confidence: 99%

Comparison of embryo transfer strategies and assisted reproduction outcome in Slovenian and cross-border patients

Knez

Kovačič

Vlaisavljević

2013

Reproductive BioMedicine Online

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“…Ethical concerns should be acknowledged in these cases, as patients may fail to be successfully managed and/ or compensated when required, with respect to legal or financial matters. The absence of a specified entity such as a board to take responsibility and co-ordinate relevant matters in the Country of origin may contribute to failure of resolution of series of issues [25,38,39] raising questions about why assisted reproductive technology (ART).…”

Section: Considerations Regarding Cbrc and The Patients’ Country Of Omentioning

confidence: 99%

Treating infertility: current affairs of cross-border reproductive care

Simopoulou

Sfakianoudis²,

Giannelou

et al. 2019

Open Medicine

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AbstractInfertility patients are willing to travel abroad to receive the medical treatment of choice. A 2010 study reported that approximately 25,000 couples travel abroad annually seeking infertility treatment. The purpose of this review is to analyze the criteria and risks related to cross-border reproductive care (CBRC) from the perspective of the patients and explore the issues raised regarding the country of origin and the destination country. A computerized search was performed in PubMed employing respective keywords. The total number of published articles provided by our PubMed search was 1905. Criteria for selecting the destination country include: the economic status, legislation, quality of care and anonymity. Despite the fact that CBRC is becoming a familiar concept, it raises concerns for the practitioner and issues of a social and bioethical nature. Most of them stem from the fact that health care acquires a commercialization aspect. Medical tourism entails several risks, such as misconceptions regarding the destination country, and legal issues arising from differences in the judiciary systems. Larger studies evaluating all aspects of CBRC are imperative. Quality assurance, a consensus and a common platform of practice, along with a system of international governance based on human rights, are a necessity for CBRC patients.

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“…In general, practitioners have justified payment by citing the complexity of the process, risks assumed, and time required of donors who must use parenteral drugs for ovarian hyperstimulation and undergo follicle aspiration and anesthesia to donate oocytes (Sauer, 1997). While guidelines for physicians to ensure ethical practice of CBRC exist (Shenfield, 2011), arguments against compensation for gamete donors hinge on the fact that payments of large sums of money lead to coercion and undue inducement.…”

Section: Cross Border Reproductive Carementioning

confidence: 99%

The Impact of Assisted Reproduction on Socio-Cultural Values and Social Norms

Lindheim¹,

Coyne²,

Ayensu-Coker³

et al. 2014

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Since the birth of the first "test tube" baby, the use of in vitro fertilization (IVF) has undergone an enormous metamorphosis. Initially designed for blocked fallopian tubes, IVF has found a number of other clinical applications over the past 40 years. However, as the science has advanced, traditional norms of conception and parenthood have been challenged and reproductive health ethics, guidelines, and law struggle to keep pace. Controversies and debates have arisen within the law, public policy, and the meaning of family across societies and religious sects. This paper will highlight some of the current and complex social, moral, and legal questions surrounding the implementation and advancement of assisted reproduction including Cross Border Reproductive Care, Oocyte Donation and Consents, Oncofertility, Posthumous Reproduction raising fresh discussion and debate.

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Implementing a good practice guide for CBRC: perspectives from the ESHRE Cross-Border Reproductive Care Taskforce

Cited by 17 publications

References 24 publications

Comparison of embryo transfer strategies and assisted reproduction outcome in Slovenian and cross-border patients

Comparison of embryo transfer strategies and assisted reproduction outcome in Slovenian and cross-border patients

Treating infertility: current affairs of cross-border reproductive care

The Impact of Assisted Reproduction on Socio-Cultural Values and Social Norms

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