Cumulative delivery rate after providing full reimbursement in vitro fertilization programme: a 6-years survey.

Urban Vrtacnik,Eda Vrtacnik Bokal,Rok Devjak

doi:10.1155/2014/850478

Urban Vrtacnik, Eda Vrtacnik Bokal + Show 1 more

Open Access

https://doi.org/10.1155/2014/850478

Copy DOI

Abstract

Since 1983, Slovenia has been offering well-established, successful, and fully reimbursed IVF programme to infertile couples. On the grounds of data gathered at the Slovenian IVF units we aimed to determine whether the fully accessible IVF treatment system can provide notable success considering cumulative delivery rate (cDR). Longitudinal analysis of getting cDR was performed in 810 IVF cycles of 395 couples who for the first time attended the IVF programme in year 2006 and were followed until year 2012. We calculated the actual and the optimistic cDR. In women aged <38 years the actual cDR was 54% and optimistic DR was 83%, respectively. In women aged ≥38 years the actual cDR was 24 % and optimistic cDR was 27%. These results enable us to report that prospects of the treatment for the women aged <38 years, if they undergo all 6 available IVF cycles, are very positive and quite comparable to the chances of spontaneous conception. Even in older patients it is beneficial to repeat the IVF procedures. Therefore we consider the existing infertility treatment system in Slovenia as an example of good medical practice with high level of beneficence offered to the patients.

Highlights

Since 1983, Slovenia has been offering well-established and successful IVF treatment programmes to infertile couples
On the grounds of data gathered at the Slovenian IVF units we aimed to determine whether the fully accessible IVF treatment system can provide notable success considering cumulative delivery rate
Our results show that by repeating IVF cycles actual cumulative delivery rate (cDR) was 49% while optimistic cDR was 74%

Summary

Introduction

Since 1983, Slovenia has been offering well-established and successful IVF treatment programmes to infertile couples. In Europe the IVF treatment is performed 2.5 times more frequently compared to the United States [1, 2]. This difference is probably due to different funding systems [3]. In Slovenia, the IVF treatment programmes offer full access to infertile couples. The limitations of treatment are set only in terms of female age (up to 43 years) and the number of cycles These limitations reasonably draw a line between effective and ineffective (futile) treatment, since it has been demonstrated that delivery rate (DR) decreases to the level of futile assistance after the female age of 43 years [5, 6]

Objectives

Methods

Results

Discussion

Conclusion