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Single embryo transfer is the cheapest and most effective strategy for assisted reproduction
Date:3/24/2009

pay less than 7,350 euros for one extra live birth, then three cycles of eSET are to be preferred. If society is willing to pay between 7,350 and 15,250 euros, three cycles of standard treatment are to be preferred, and if society is willing to pay more than 15,250 euros per extra live birth, three cycles of DET are to be preferred. A policy of eSET would result in fewer live births than the other strategies, while a DET policy would result in more multiple births."

Dr Fiddelers said that patients, practitioners and policy makers needed to consider more than just the cost-effectiveness when deciding which strategy to implement.

"If society is willing to pay more than 15,250 euros per extra live birth, three cycles DET are preferred from a cost-effectiveness point of view. However, in order to make proper conclusions on which strategy to choose, long-term costs and consequences of IVF singletons and twins should also be considered. Apart from the children born, the well-being of their parents and other family members should be considered. For example, involuntary childlessness could have an influence on the well-being of the couples, and a severely handicapped child may have a considerable impact on the well-being of both the parents and siblings, especially twin siblings. So, for a balanced approach with respect to the long-term costs and effects of eSET, STP or DET, all these issues should be considered," she concluded.


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Contact: Emma Mason
wordmason@mac.com
44-771-129-6986
European Society for Human Reproduction and Embryology
Source:Eurekalert

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