Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system: results from a 5‐year follow‐up cohort study

Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra; Ziebe, Søren; Englund, Anne Lis Mikkelsen; Hald, Finn; Boivin, Jacky; Schmidt, Lone

doi:10.1111/aogs.12293

Cited by 13 publications

(7 citation statements)

References 15 publications

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“…Taking into account the probabilities of undergoing each treatment, the average direct medical cost becomes EUR 9,250, described in the table below. Similar results are found by Christiansen et al (2013) who estimates the direct cost per birth to EUR 8,845.…”

Section: Cryptorchidismsupporting

confidence: 86%

The Cost of Inaction

Olsson¹

2014

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Section: Cryptorchidismsupporting

confidence: 86%

The Cost of Inaction

Olsson¹

2014

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“…The cumulative conception rate is reported to be around 75% after six months and 90% after one year, corresponding to a subfertility prevalence of 10-25% (3). Infertility is not only a psychologic and financial burden for the affected couples, it also entails an economic burden for society due to the direct costs of assisted reproductive treatment (4,5).…”

Section: Introductionmentioning

confidence: 99%

Heritability of subfertility among Danish twins

Ahrenfeldt

Möller

Wensink

et al. 2020

Fertility and Sterility

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OBJECTIVE: To investigate the relative contribution of genetic and environmental components to subfertility. DESIGN: Twin design using a quantitative genetic liability threshold model that splits the variation of subfertility into additive genetic effects (A), common environmental effects (C) and unique environmental effects (E). SETTING: Two nation-wide twin cohorts. PATIENT(S): A total of 9,053 Danish monozygotic (MZ) and dizygotic (DZ) same-sex twins aged 18+ from nationwide twin surveys (twins born 1931-1976). INTERVENTION(S): Not applicable. MAIN OUTCOME MEASURE(S): Time to pregnancy (TTP) restricted to first pregnancy as a binary outcome, with a cut-off point of 10 months. RESULT(S): Based on the Akaike Information Criterion, the AE model including additive genetic and unique environmental factors resulted in the best model fit. For females, the relative contribution of additive genetic factors to TTP was 28% (95% CI 15-41%), while unique environmental factors explained 72% (95% CI 59-85%). For males, additive genetic factors explained 4% (95% CI 0-22%) of the variation in TTP, while unique environmental factors accounted for 96% (95% CI 78-100%).Results were overall similar for the crude model and consistent across surveys. CONCLUSION: Unique environmental factors explain most of the observed variation in subfertility, when measured as waiting time to pregnancy.

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“… 20 Fertility treatment is available without reimbursement for women <46 years in private fertility clinics, with virtually no limit on the number of treatments. 21 A child was considered to be born after fertility treatment (both ART and IUI) if conceived within 14 days of the treatment date recorded in the IVF Register (14 days before to 14 days after conception). 22 Date of conception was defined as 14 days after the first day of the latest menstrual period and estimated by subtracting GA from date of birth and adding 14 days.…”

Section: Methodsmentioning

confidence: 99%