Document Detail

Cost efficiency of reducing multiple births.
MedLine Citation:
PMID:  18598607     Owner:  NLM     Status:  MEDLINE    
Reducing the frequency of multiple pregnancies would help to prevent prematurity associated with multiple births. Premature newborns may require extensive and costly medical interventions. Long-term disability also involves health, social and educational services during childhood, which may cost ten-fold more for twin than singleton births. On average, the known costs for twin births are four times higher than singleton births and triplet births are ten times higher than singleton births. Single embryo transfer (SET) can reduce the burden of illness due to multiple births. For good prognosis patients, the experimental evidence supports the transfer of a single embryo to reduce the burden of illness due to multiple birth and prematurity. Similar evidence suggests that the cost saving could support additional treatment cycles involving SET cycles. The findings have been confirmed by the beneficial outcome of a new health policy in Belgium, which allowed more reimbursement for assisted reproduction cycles in which transfer strategies aimed to reduce multiple birth rates.
John Collins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  15 Suppl 3     ISSN:  1472-6491     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2007  
Date Detail:
Created Date:  2008-07-07     Completed Date:  2008-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  England    
Other Details:
Languages:  eng     Pagination:  35-9     Citation Subset:  IM    
McMaster University Hamilton, Adjunct Clinical Professor, Dalhousie University Halifax, Canada.
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MeSH Terms
Clinical Trials as Topic
Cost-Benefit Analysis
Economics, Medical
Embryo Transfer*
Fertilization in Vitro / economics*
Health Care Costs
Health Policy
Infant, Newborn
Infant, Premature
Models, Economic
Pregnancy, Multiple*
Reproductive Techniques, Assisted / economics*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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