Direct health services costs of providing assisted reproduction services in older women.

摘要: Objective To assess the total health service costs incurred for each live birth achieved by older women undergoing IVF compared with in younger women. Design Retrospective cross-sectional analysis. Setting In vitro fertilization unit and maternity hospital a tertiary care setting. Patient(s) Women who underwent their first cycle of between 1997 2006. Intervention(s) Bottom-up were calculated all interventions cycle. Early pregnancy antenatal obtained from National Health Service reference costs, Information Services Division Scotland, local departmental costs. Main Outcome Measure(s) Cost per birth. Result(s) The mean cost (95% confidence interval [CI]) at age ≥40 years was £40,320 (£27,105–£65,036), which is >2.5 times higher than those aged 35–39 (£17,096 [£15,635–£18,937]). ongoing almost three (£31,642 [£21,241–£58,979]) (£11,300 [£10,006-£12,938]). Conclusion(s) after rises significantly 40 owing to lower success rates. Most extra due low treatment, but some it rates early loss.