Measuring success in IVF is a complex multidisciplinary task: time for a consensus?
Jazyk angličtina Země Nizozemsko Médium print-electronic
Typ dokumentu časopisecké články
PubMed
34493463
DOI
10.1016/j.rbmo.2021.08.012
PII: S1472-6483(21)00403-X
Knihovny.cz E-zdroje
- Klíčová slova
- Cost-effectiveness, Cumulative live birth rate, IVF success, Patient-centeredness, Time to pregnancy,
- MeSH
- analýza nákladů a výnosů MeSH
- fertilizace in vitro * ekonomika psychologie MeSH
- konsensus * MeSH
- lidé MeSH
- mezioborová komunikace * MeSH
- narození živého dítěte MeSH
- poradenství MeSH
- rizikové faktory MeSH
- spokojenost pacientů MeSH
- těhotenství MeSH
- výsledek terapie * MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
The goal of an IVF cycle is the birth of at least one baby per intention to treat. However, IVF cannot confer competence on an embryo, but only can provide each couple with a safe treatment to meet a predetermined chance of success. This commentary highlights how clinical, financial and patient-centred perspectives should be included in the definition of success in IVF. The primary outcome, which is the cumulative live birth delivery rate per intention to treat, must always be complemented by analyses of risks, costs and time invested, as well as by measures of patient satisfaction. Finally, it is essential, whenever clinical conditions exist, to limit treatment discontinuation after failed attempts. Constant monitoring of the data is pivotal and must be adjusted for patient characteristics and compared with national and international registers. The authors aimed to review all these aspects and highlight the points that are still open for discussion. Is it time for a consensus?
Carl von Linné Clinic GeneraLife IVF Uppsala Sweden
Clinica Valle Giulia GeneraLife IVF Rome Italy
Demetra GeneraLife IVF Florence Italy
FertiCare GeneraLife IVF Prague Czech Republic
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