Document Detail


Insurance coverage and in vitro fertilization outcomes: a U.S. perspective.
MedLine Citation:
PMID:  20688327     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To compare the impact of mandated IVF insurance coverage on ET practices and resulting multiple pregnancy rates.
DESIGN: Retrospective analysis of all fresh, nondonor IVF cycles performed in the United States in 2006.
SETTING: United States.
PATIENT(S): A total of 91,753 fresh, nondonor IVF cycles in the United States.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): Pregnancy rate, live-birth rate, embryos transferred, multiple pregnancy rate.
RESULT(S): Overall, nonmandated states had a significantly higher pregnancy rate (38.8% vs. 35%) and live-birth rate (32.2% vs. 29.1%) than mandated states. Nonmandated states also had a significantly higher twin rate (28.1% vs. 26%) and triplet rate (3.9% vs. 3.4%). The average number of embryos transferred was also significantly higher in nonmandated states (2.6 vs. 2.2). These findings were more pronounced in the <35 and 35-37 age groups.
CONCLUSION(S): In the last 8 years, despite a reduction in the average number of embryos transferred and multiple pregnancy rates, there is a continued association between mandated IVF coverage, the transfer of fewer embryos, and lower rates of multiple pregnancies and births, particularly in the younger age groups.
Authors:
J Ryan Martin; Jason G Bromer; Denny Sakkas; Pasquale Patrizio
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Publication Detail:
Type:  Journal Article     Date:  2010-08-05
Journal Detail:
Title:  Fertility and sterility     Volume:  95     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  964-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, Yale Fertility Center, New Haven, Connecticut.
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