Document Detail


A comparative analysis of assisted reproductive technology cycles in Australia and New Zealand 2004-2007.
MedLine Citation:
PMID:  20650968     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There are different funding arrangements for fertility treatments between New Zealand (NZ) and Australia. In NZ, there are two options for patients accessing treatment: either meeting specified criteria for age, no smoking and BMI for publicly funding or funding their own treatment. This differs from Australia, which has no explicit eligibility criteria restricting access to fertility treatment. An analysis of assisted reproductive technology (ART) in Australia and NZ was undertaken to consider the impact of these different funding approaches.
METHODS: Data were extracted from the Australian and New Zealand Assisted Reproduction Database between 2004 and 2007. A total of 116 111 autologous fresh cycles were included.
RESULTS: In Australia, more cycles were in women aged 40 years or older compared with those in NZ (23.5 versus 16.0%, P < 0.01). Single embryo transfer was more common in NZ than that in Australia, in women < 35 years of age (75.1 versus 59.6%, P < 0.01). In women <35 years, the crude rates of clinical pregnancy (37.5 versus 31.2%, P < 0.01) and live delivery (31.6 versus 26%, P < 0.01) following fresh ART cycles were significantly higher in NZ than that in Australia. These differences in outcomes persisted in older age groups.
CONCLUSIONS: The purpose of the criteria used in NZ to access public funding for fertility treatments is to optimize pregnancy outcomes. This approach has resulted in a healthier population of women undergoing treatment and may explain the improved pregnancy outcomes seen in NZ couples who undergo fertility treatments.
Authors:
C M Farquhar; Y A Wang; E A Sullivan
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-22
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  25     ISSN:  1460-2350     ISO Abbreviation:  Hum. Reprod.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-18     Completed Date:  2010-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  England    
Other Details:
Languages:  eng     Pagination:  2281-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, University of Auckland, National Womens Hospital, Private Bag 92 189, Auckland 3, New Zealand. c.farquhar@auckland.ac.nz
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aging
Australia
Databases, Factual
Eligibility Determination / economics*
Female
Health Policy* / economics
Health Priorities / economics
Humans
Infertility / economics,  therapy*
Male
Middle Aged
National Health Programs / economics*
New Zealand
Pregnancy
Pregnancy Outcome
Pregnancy Rate
Reproductive Techniques, Assisted* / economics,  statistics & numerical data
Single Embryo Transfer / economics,  statistics & numerical data
Young Adult

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


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