Costs of infertility treatment: results from an 18-month prospective cohort study.
Costs of infertility treatment: results from an 18-month prospective cohort study.
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DOI：
10.1016/j.fertnstert.2010.11.026
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发表时间：
2011-03-01
影响因子：
6.7
通讯作者：
Adler, Nancy
中科院分区：
文献类型：
--
作者：
Katz, Patricia;Showstack, Jonathan;Smith, James F.;Nachtigall, Robert D.;Millstein, Susan G.;Wing, Holly;Eisenberg, Michael L.;Pasch, Lauri A.;Croughan, Mary S.;Adler, Nancy
检查18个月内接受不孕症评估和治疗的妇女的资源使用（成本），无论接受何种治疗。前瞻性队列研究，对女性进行了18个月的随访。八种不孕症治疗方法。从不孕症诊所招募了398名妇女。女性在基线时以及4个月、10个月和18个月的随访后完成了访谈和问卷调查。18个月后提取医疗记录，以获得所使用服务的详细信息。每个人和每个成功的结果成本治疗组被定义为最高强度的治疗使用。20%的妇女没有进行基于周期的治疗;大约一半的妇女进行了体外受精（IVF）。人均费用中位数从仅药物的1，182美元到IVF和IVF捐赠卵子组的24，373美元和38，015美元不等。成功结果（分娩或持续怀孕18个月）的估计成本更高-例如，IVF为61，377美元-反映了治疗成功率。在研究的时间范围内，成功的女性和失败的女性的成本没有显着差异。虽然个体患者的成本各不相同，但这些从实际患者治疗经验中得出的成本估计值可能会为患者提供实际的估计值，以便在开始不孕症治疗时考虑。
To examine resource use (costs) by women presenting for infertility evaluation and treatment over 18 months, regardless of treatment pursued. Prospective cohort study in which women were followed for 18 months. Eight infertility practices. 398 women recruited from infertility practices. 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. Per-person and per-successful-outcome costs Treatment groups were defined as highest intensity treatment use. 20% of women did not pursue cycle-based treatment; about half pursued in-vitro fertilization (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 timeframe of the study, costs were not significantly different for women who were successful and women who were not. While 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.
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影响因子：
6.7
作者：
Smith, James F.;Eisenberg, Michael L.;Katz, Patricia P.
通讯作者：
Katz, Patricia P.
影响因子：
6.7
作者：
Bitler, M;Schmidt, L
通讯作者：
Schmidt, L
影响因子：
6.7
作者：
Reindollar, Richard H.;Regan, Meredith M.;Goldman, Marlene B.
通讯作者：
Goldman, Marlene B.
影响因子：
158.5
作者：
CALLAHAN, TL;HALL, JE;CROWLEY, WF
通讯作者：
CROWLEY, WF
影响因子：
6.7
作者：
COLLINS, JA;BUSTILLO, M;LAWRENCE, LD
通讯作者：
LAWRENCE, LD