Resource allocation of in vitro fertilization: a nationwide register-based cohort study

Klemetti, Reija; Gissler, Mika; Sevón, Tiina; Hemminki, Elina

doi:10.1186/1472-6963-7-210

Cited by 27 publications

(25 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According to previous reports in Israel, the direct cost of producing a baby in a younger infertile woman ranges between $15,000 and $20,000, and three to five times as much in older women, with much lower chances of success [4]. Similar findings were found in a nationwide register-based cohort study in Finland, where the total expenditure per live birth in women aged 40 or older was over 40,000D , compared to an average of 16,000D in all treated women [12]. Importantly, the generous coverage substantially reduces the out-of-pocket price of female infertility treatments may lead patients with low expected benefits to pursue treatment.…”

Section: Discussionsupporting

confidence: 77%

The direct medical cost of cardiovascular diseases, hypertension, diabetes, cancer, pregnancy and female infertility in a large HMO in Israel

Chodick

Porath²,

Alapi³

et al. 2010

Health Policy

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 77%

The direct medical cost of cardiovascular diseases, hypertension, diabetes, cancer, pregnancy and female infertility in a large HMO in Israel

Chodick

Porath²,

Alapi³

et al. 2010

Health Policy

View full text Add to dashboard Cite

“…This finding is similar to Granberg's, where the mean cost for the couples in Finland is considerably lower than in the other countries (30). In a recent Finnish study based on information from 1996—to 1998, the women's costs at private clinics for one IVF cycle was 1750€ including medicines and with the 50% subsidy deducted (31). In addition to these direct costs, there are indirect costs such as travel and accommodation.…”

Section: Discussionsupporting

confidence: 83%

Access to artificial reproduction technology in the Nordic countries in 2004

Ólafsdóttir

Matts²,

Möller

2009

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

show abstract

“…Restricted time allocation for sleep may be seen in this group as women who utilize IVF are often employed 49 and monetarily compensated work time has the largest inverse relationship with sleep duration compared to other time use activities. 50 …”

Section: Prevalence and Evolution Of Sleep Disturbances During The IVmentioning

confidence: 99%

Sleep in women undergoing in vitro fertilization: a pilot study

et al. 2017

View full text Add to dashboard Cite

Objective Sleep disturbances are thought to be frequent in women undergoing IVF despite minimal research of this hypothesis. Our goal was to longitudinally assess sleep duration and disturbances in women undergoing IVF and assess impact of habitual sleep duration on oocytes retrieved, an important outcome in IVF. Methods Actigraphy and questionnaire batteries containing sleep and psychometric instruments were performed prior to and throughout 24 IVF cycles. Results TST <7 hours was present in 46%, 57%, 69%, and 42% of baseline, stimulation, post-oocyte retrieval, and post-embryo transfer recordings. ESS>10 was noted in 24%, 33%, and 36% of cycles during baseline, stimulation, and post-embryo transfer. PSQI>5 was noted in 57%, 43%, and 29% of cycles during baseline, stimulation, and post-embryo transfer. TST (F=2.95, p=0.04) and ESS (F=4.36, p=0.02) were the only sleep metrics in which a significant main effect of time was found by mixed models analysis. The final linear regression model chosen by stepwise selection to best explain the variability in oocytes retrieved included anti-mullerian hormone, day 3 follicle stimulating hormone, and baseline TST and explained 40% of the variance in oocytes retrieved (adjusted R2=0.40, p=0.03). Although not statistically significant, a trend towards a linear association between baseline TST and oocytes retrieved was seen with an increase of oocytes retrieved by 1.5 for every hour increase in TST (p=.09). Conclusions This is the first study to describe, with subjective and objective measures, sleep disturbances present throughout the IVF cycle. Importantly, a trend towards a linear relationship between TST and oocytes retrieved was found in this pilot study. Sleep may be a modifiable target to improve outcomes in women undergoing IVF and further investigations are needed.

show abstract

Resource allocation of in vitro fertilization: a nationwide register-based cohort study

Cited by 27 publications

References 25 publications

The direct medical cost of cardiovascular diseases, hypertension, diabetes, cancer, pregnancy and female infertility in a large HMO in Israel

The direct medical cost of cardiovascular diseases, hypertension, diabetes, cancer, pregnancy and female infertility in a large HMO in Israel

Access to artificial reproduction technology in the Nordic countries in 2004

Sleep in women undergoing in vitro fertilization: a pilot study

Contact Info

Product

Resources

About