Document Detail

Insurance coverage and in vitro fertilization outcomes: a U.S. perspective.
MedLine Citation:
PMID:  20688327     Owner:  NLM     Status:  In-Data-Review    
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.
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.
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.
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, Yale Fertility Center, New Haven, Connecticut.
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