Document Detail


Gamete intrafallopian transfer. A cost-effective alternative to donor oocyte in vitro fertilization in women aged 40-42 years.
MedLine Citation:
PMID:  9883404     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate whether gamete intrafallopian transfer (GIFT) may be a cost-effective alternative to donor oocyte procedures in women 40 and older with good ovarian reserve. STUDY DESIGN: Retrospective review of records at an infertility clinic in a large multispecialty group practice. Twenty two consecutive women aged 40 and older underwent 24 stimulation cycles for laparoscopic GIFT procedures from 1988 to 1997. RESULTS: The mean GIFT cycle cost was $5,731. The delivery rate per stimulation cycle was 25.0%. The patients who gave birth were 40-42 years of age. The mean cost per delivered infant was $22,924. A previously reported value for mean cost per pregnancy for donor oocyte in vitro fertilization (IVF) was $30,457. Theoretical costs per delivery, generated from Society for Assisted Reproductive Technology outcome data for anonymous donor oocyte IVF in 1994 (delivery rate per transfer, 34.4%) for $8,000, $9,000 and $10,000 cycle costs were $23,256, $26,163 and $29,070, respectively. CONCLUSION: In women with good ovarian reserve, GIFT may be a cost-effective alternative to donor oocyte IVF at age 40-42.
Authors:
P D Silva; K L Olson; J K Meisch; D E Silva
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  43     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-04-07     Completed Date:  1999-04-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1019-22     Citation Subset:  IM    
Affiliation:
Fertility and Reproductive Endocrinology Center, Gundersen/Lutheran Medical Center, La Crosse, Wisconsin, USA. psilva@gc.gundluth.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Cost-Benefit Analysis
Female
Fertilization in Vitro / economics*
Gamete Intrafallopian Transfer / economics*
Humans
Medical Records
Middle Aged
Pregnancy
Pregnancy Outcome
Retrospective Studies
Wisconsin

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


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