Joint modeling of success and treatment discontinuation in in vitrofertilization programs: a retrospective cohort study

Troude, P.; Ancelet, Sophie; Guibert, J.; Pouly, Jean-Luc; Bouyer, Jean; Rochebrochard, Élise de La

doi:10.1186/1471-2393-12-77

Cited by 5 publications

(4 citation statements)

References 33 publications

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“…Most of them, only due to the huge expenses of treatment, are forced to postpone or discontinue their treatment. In contries where the financial costs of infertility treatment must be mainly covered by the couple, the decision to continue or to discontinue treatment is probably strongly influenced by financial issues (Troude et al, 2012). Overall, diagnosis and treatment of infertility are time consuming and costly process.…”

Section: Discussionmentioning

confidence: 99%

Empowerment and Sense of Adequacy in Infertile Couples: A Fundamental Need in Treatment Process of Infertility - A Qualitative Study

Zargham-Boroujeni

Jafarzadeh-Kenarsari

Ghahiri

et al. 2014

TQR

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Many Iranian couples are suffering from infertility, and their needs have remained unexplored thus far; therefore, the purpose of this study was to explore the infertile couples’ needs and experiences during diagnosis and different stages of infertility treatment. Specific research question included: What are infertile couples’ viewpoints and perceptions about their needs in treatment process of infertility? Researchers used a qualitative design, based on a content analysis approach to analyze in-depth unstructured interviews conducted with seventeen infertile couples. The participants’ needs were categorized into five categories. All five categories had one theme in common which was identified as “empowerment and sense of adequacy” as a fundamental need during diagnosis and treatment processes of infertility. The study findings showed that the under-studied fertility care centers were not patient-centered; and patients’ needs were not recognised appropriately. Perhaps, addressing patients’ needs and expectations is the first step toward more paying attention to infertile couples and empowering them.

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Section: Discussionmentioning

confidence: 99%

Empowerment and Sense of Adequacy in Infertile Couples: A Fundamental Need in Treatment Process of Infertility - A Qualitative Study

Zargham-Boroujeni

Jafarzadeh-Kenarsari

Ghahiri

et al. 2014

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“…Also, women who had been included in the treatment procedure because of their husband's oligospermia, experienced high rate of natural pregnancy. Age, social and economic status, geographical condition and infertility duration did not have any effect on discontinuation of treatment ( Pénélope et al, 2012 ).…”

Section: Discussionmentioning

confidence: 99%

Barriers to Infertility Treatment: An Integrated Study

Mosalanejad¹,

Parandavar²,

Abdollahifard³

2013

GJHS

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Background:Infertility is one of the most important events in life. Despite the negative impact of infertility, a significant number of women struggling to conceive do not consult a physician and do not fallow up infertility treatment. This integrated study aimed to investigate a large amount of factors which influenced discontinuation of infertility treatment.Methods:This integrated study (qualitative – quantitative study) was done on infertile women who had referred to infertility center in Jahrom University of medical sciences using purposive sampling. In the first study, data were collected from a valid questionnaire with 22 questions in a 5-point likert scale about barriers to infertility treatments and in the second study, as a phenomenology approach, data collection was done using deep unstructured interviews and focused groups were aimed to identify deep individual experiences about it.Results:major barriers to infertility treatments included the probability of treatment failure (52.5%), couple’s age and possibility of high risk pregnancy (51.5%), Painfulness of some treatment methods such as laparoscopy (50.5%). Qualitative results led to the identification of three main themes: Nature of treatment, negative thinking, social and cultural factors.Conclusion:As a result, we suggest family education and enrichment of cultural context in the field of infertility; infertile people would be willing to pursue infertility treatments.

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“…Older female age has been consistently associated with discontinuation of IVF treatment, which is thought to be due to poorer prognosis [1,2,9,10]. If older patients discontinue treatment because they believe their prognosis is poor, there could be a linear relationship between age and treatment discontinuation, with the youngest patients being least likely to discontinue treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, it is not surprising that treatment discontinuation is relatively common, with as many as 25-37 % of couples stopping treatment after their first unsuccessful attempt [1,2]. With such high proportions of treatment discontinuation, researchers worldwide have focused on the reasons behind these patient decisions.…”

Section: Introductionmentioning

confidence: 99%

The impact of younger age on treatment discontinuation in insured IVF patients

Dodge

Sakkas

Hacker

et al. 2016

J Assist Reprod Genet

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Purpose This retrospective cohort study aimed to determine whether age influences treatment discontinuation among insured patients undergoing in vitro fertilization (IVF). We hypothesized that the youngest patients would be the least likely to discontinue treatment. Methods All women age 18-42 who underwent their first fresh, non-donor IVF cycle from 2002 to 2013 were followed until a live birth was achieved, until they discontinued treatment at our center (not presenting for treatment for a one-year period), or until they completed six fresh or frozen embryo transfer cycles, whichever occurred first. Results Of 11,361 women included, 4336 (38.2 %) discontinued treatment at our center before achieving a live birth or undergoing six IVF cycles. Discontinuation differed by age for cycles 2-4 (all P ≤ 0.004), with the proportion among women age 40-42 averaging 6-7 % higher than the other groups; discontinuation per cycle was similar among women <30 compared to women age 30-<35 and 35-<40. This continued in cycles 5 and 6, and in the sixth, 35.2, 32.0, 32.3, and 40.2 % of women among the four age groups discontinued treatment, respectively (P = 0.17). In cycles 2-5, women in the oldest two age groups with secondary infertility consistently discontinued treatment more frequently than those with primary infertility. Conclusions We found that women in the oldest age group were more likely to discontinue IVF treatment than younger women. Surprisingly, we found that the youngest women discontinued treatment in a similar fashion to women age 30-<40.

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Joint modeling of success and treatment discontinuation in in vitrofertilization programs: a retrospective cohort study

Cited by 5 publications

References 33 publications

Empowerment and Sense of Adequacy in Infertile Couples: A Fundamental Need in Treatment Process of Infertility - A Qualitative Study

Empowerment and Sense of Adequacy in Infertile Couples: A Fundamental Need in Treatment Process of Infertility - A Qualitative Study

Barriers to Infertility Treatment: An Integrated Study

The impact of younger age on treatment discontinuation in insured IVF patients

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