Abstract
Objective: To investigate factors associated with early IVF treatment discontinuation. Design: Retrospective cohort study. Setting: Academic medical center. Patient(s): Six hundred sixty-nine first-attempt IVF patients who did not have a live birth. Intervention(s): None. Main Outcome Measure(s): Treatment discontinuation and time to return for a second IVF cycle. Result(s): Women without IVF insurance coverage were more likely to discontinue treatment than women with insurance coverage (adjusted odds ratio [aOR] = 3.12; 95% confidence interval [CI], 2.22–4.40). African-American women were more likely to discontinue treatment (aOR = 2.95; 95% CI, 1.54–5.66) and returned for treatment more slowly (adjusted hazard ratio [aHR] = 0.44; 95% CI, 0.28–0.71) than non-Hispanic white women, regardless of IVF insurance coverage or income. Women with a poor prognosis were more likely to discontinue treatment than women with a good prognosis. Older women with IVF insurance coverage or a good prognosis had a shorter time to return for a second IVF cycle than older women without IVF insurance coverage or with a poor prognosis. Estimated income, distance to clinic, fertility diagnosis, number of oocytes retrieved, and history of previous live birth were not associated with treatment discontinuation or time to return for a second IVF cycle after adjustment for covariates. Conclusion(s): IVF insurance coverage, race, age, and future treatment prognosis are associated with IVF treatment discontinuation and time to return.
Original language | English (US) |
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Pages (from-to) | 105-111 |
Number of pages | 7 |
Journal | Fertility and Sterility |
Volume | 112 |
Issue number | 1 |
DOIs | |
State | Published - Jul 2019 |
Externally published | Yes |
Keywords
- IVF
- IVF insurance
- access to care
- disparity
- treatment termination
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology