کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6181124 | 1253506 | 2015 | 8 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Economic evaluation of elective single-embryo transfer with subsequent single frozen embryo transfer in an in vitro fertilization/intracytoplasmic sperm injection program Economic evaluation of elective single-embryo transfer with subsequent single frozen embryo transfer in an in vitro fertilization/intracytoplasmic sperm injection program](/preview/png/6181124.png)
ObjectiveTo analyze the cost-effectiveness of IVF-ICSI cycles with elective single-embryo transfer (eSET), plus elective single frozen embryo transfer (eSFET) if pregnancy is not achieved, compared with double-embryo transfer (DET).DesignCost-effectiveness analysis.SettingPublic hospital.Patient(s)A population of 121 women (<38 years old), undergoing their first or second IVF cycles.Intervention(s)We conducted a cost-effectiveness analysis using the results of a prospective clinical trial. The women in group 1 received eSET plus eSFET, and those in group 2 received DET. A probabilistic sensitivity analysis was performed.Main Outcome Measure(s)Live birth delivery rate.Result(s)The cumulative live birth delivery rate was 38.60% in the eSET+eSFET group versus 42.19% in the DET group. The mean costs per patient were â¬5,614.11 in the eSET+eSFET group and â¬5,562.29 in the DET group. These differences were not statistically significant. The rate of multiple gestation was significantly lower in the eSET group than in the DET group (0 vs. 25.9%).Conclusion(s)This study does not show that eSET is superior to DET in terms of effectiveness or of costs. The lack of superiority of the results for the eSET+eSFET and the DET groups corroborates that the choice of strategy to be adopted should be determined by the context of the health care system and the individual prognosis.
Journal: Fertility and Sterility - Volume 103, Issue 3, March 2015, Pages 699-706