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Contraception. 2009 Jan;79(1):5-14. doi: 10.1016/j.contraception.2008.08.003. Epub 2008 Sep 25.

Cost effectiveness of contraceptives in the United States.

Author information

  • 1Office of Population Research, Princeton University, Princeton, NJ 08540, USA. trussell@princeton.edu

Erratum in

  • Contraception. 2009 Aug;80(2):229-30.

Abstract

BACKGROUND:

The study was conducted to estimate the relative cost effectiveness of contraceptives in the United States from a payer's perspective.

METHODS:

A Markov model was constructed to simulate costs for 16 contraceptive methods and no method over a 5-year period. Failure rates, adverse event rates and resource utilization were derived from the literature. Sensitivity analyses were performed on costs and failure rates.

RESULTS:

Any contraceptive method is superior to "no method". The three least expensive methods were the copper-T intrauterine device (IUD) (US$647), vasectomy (US$713) and levonorgestrel (LNG)-20 intrauterine system (IUS) (US$930). Results were sensitive to the cost of contraceptive methods, the cost of an unintended pregnancy and plan disenrollment rates.

CONCLUSION:

The copper-T IUD, vasectomy and the LNG-20 IUS are the most cost-effective contraceptive methods available in the United States. Differences in method costs, the cost of an unintended pregnancy and time horizon are influential factors that determine the overall value of a contraceptive method.

Comment in

PMID:
19041435
[PubMed - indexed for MEDLINE]
PMCID:
PMC3638200
Free PMC Article

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