Insurance mandates, embryo transfer, outcomes-the link is tenuous

被引:9
作者
Banks, Nicole K. [5 ]
Norian, John M. [3 ,4 ]
Bundorf, M. Kate [2 ]
Henne, Melinda B. [1 ,3 ]
机构
[1] Walter Reed Army Med Ctr, Div Reprod Endocrinol & Infertil, Dept Obstet & Gynecol, Washington, DC 20307 USA
[2] Stanford Univ, Dept Hlth Res & Policy, Stanford, CA 94305 USA
[3] Uniformed Serv Univ Hlth Sci, Dept Obstet & Gynecol, Bethesda, MD 20814 USA
[4] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Reprod Biol & Med Branch, NIH, Bethesda, MD USA
[5] Georgetown Univ Hosp, Washington, DC 20007 USA
基金
美国国家卫生研究院;
关键词
Health insurance mandates; embryo transfer; multiple births; IVF outcomes; ASSISTED-REPRODUCTIVE-TECHNOLOGY; IN-VITRO FERTILIZATION; MULTIPLE BIRTHS; COVERAGE; NUMBER; IMPACT;
D O I
10.1016/j.fertnstert.2010.05.037
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
To examine the relationship between state insurance mandate status and the number of embryos transferred in assisted reproductive technology cycles, we conducted a retrospective analysis of clinics reporting to the publicly available national Society for Assisted Reproductive Technology registry. We found that clinics in states with comprehensive mandates transferred between 0.210 and 0.288 fewer embryos per cycle depending upon patient age, and were more likely to transfer fewer embryos than recommended for older women; however, the relationship between state mandate status and clinic birth and multiple birth rates varied by age group. (Fertil Steril (R) 2010; 94:2776-9. (C) 2010 by American Society for Reproductive Medicine.)
引用
收藏
页码:2776 / 2779
页数:4
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