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Does in vitro fertilization (IVF) treatment provide good value for money? A cost-benefit analysis.
Keller, Elena; Botha, Willings; Chambers, Georgina M.
Afiliación
  • Keller E; Centre for Big Data Research in Health & National Perinatal Epidemiology and Statistics Unit, UNSW Sydney, Sydney, NSW, Australia.
  • Botha W; Centre for Big Data Research in Health & National Perinatal Epidemiology and Statistics Unit, UNSW Sydney, Sydney, NSW, Australia.
  • Chambers GM; Centre for Big Data Research in Health & National Perinatal Epidemiology and Statistics Unit, UNSW Sydney, Sydney, NSW, Australia.
Front Glob Womens Health ; 4: 971553, 2023.
Article en En | MEDLINE | ID: mdl-36937042
Background: Using traditional health technology assessment (HTA) outcome metrics, such as quality-adjusted life-years, to assess fertility treatments raises considerable methodological challenges because the objective of fertility treatments is to create new life rather than extend, save, or improve health-related quality of life. Objective: The aim of this study was to develop a novel cost-benefit framework to assess value for money of publicly funded IVF treatment; to determine the number of cost-beneficial treatment cycles for women of different ages; and to perform an incremental cost-benefit analysis from a taxpayer perspective. Methods: We developed a Markov model to determine the net monetary benefit (NMB) of IVF treatment by female age and number of cycles performed. IVF treatment outcomes were monetized using taxpayers' willingness-to-pay values derived from a discrete choice experiment (DCE). Using the current funding environment as the comparator, we performed an incremental analysis of only funding cost-beneficial cycles. Similar outputs to cost-effectiveness analyses were generated, including net-benefit acceptability curves and cost-benefit planes. We created an interactive online app to provide a detailed and transparent presentation of the results. Results: The results suggest that at least five publicly funded IVF cycles are cost-beneficial in women aged <42 years. Cost-benefit planes suggest a strong taxpayer preference for restricting funding to cost-beneficial cycles over current funding arrangements in Australia from an economic perspective. Conclusions: The provision of fertility treatment is valued highly by taxpayers. This novel cost-benefit method overcomes several challenges of conventional cost-effectiveness methods and provides an exemplar for incorporating DCE results into HTA. The results offer new evidence to inform discussions about treatment funding arrangements.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Health_economic_evaluation / Health_technology_assessment Aspecto: Patient_preference Idioma: En Revista: Front Glob Womens Health Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Health_economic_evaluation / Health_technology_assessment Aspecto: Patient_preference Idioma: En Revista: Front Glob Womens Health Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Suiza