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Fertil Steril. 2011 Mar 1;95(3):915-21. doi: 10.1016/j.fertnstert.2010.11.026. Epub 2010 Dec 4.

Costs of infertility treatment: results from an 18-month prospective cohort study.

Author information

1
Department of Medicine, University of California, San Francisco, California 94143-0920, USA. patti.katz@ucsf.edu

Abstract

OBJECTIVE:

To examine resource use (costs) by women presenting for infertility evaluation and treatment over 18 months, regardless of treatment pursued.

DESIGN:

Prospective cohort study in which women were followed for 18 months.

SETTING:

Eight infertility practices.

PATIENT(S):

Three hundred ninety-eight women recruited from infertility practices.

INTERVENTION(S):

Women completed interviews and questionnaires at baseline and after 4, 10, and 18 months of follow-up. Medical records were abstracted after 18 months to obtain details of services used.

MAIN OUTCOME MEASURE(S):

Per-person and per-successful-outcome costs.

RESULT(S):

Treatment groups were defined as highest intensity treatment use. Twenty percent of women did not pursue cycle-based treatment; approximately half pursued IVF. Median per-person costs ranged from $1,182 for medications only to $24,373 and $38,015 for IVF and IVF-donor egg groups, respectively. Estimates of costs of successful outcomes (delivery or ongoing pregnancy by 18 months) were higher--$61,377 for IVF, for example--reflecting treatment success rates. Within the time frame of the study, costs were not significantly different for women whose outcomes were successful and women whose outcomes were not.

CONCLUSION(S):

Although individual patient costs vary, these cost estimates developed from actual patient treatment experiences may provide patients with realistic estimates to consider when initiating infertility treatment.

PMID:
21130988
PMCID:
PMC3043157
DOI:
10.1016/j.fertnstert.2010.11.026
[Indexed for MEDLINE]
Free PMC Article

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