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Cost and efficacy comparison of in vitro fertilization and tubal anastomosis for women after tubal ligation  Lauren B. Messinger, M.D., Connie E. Alford,

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Presentation on theme: "Cost and efficacy comparison of in vitro fertilization and tubal anastomosis for women after tubal ligation  Lauren B. Messinger, M.D., Connie E. Alford,"— Presentation transcript:

1 Cost and efficacy comparison of in vitro fertilization and tubal anastomosis for women after tubal ligation  Lauren B. Messinger, M.D., Connie E. Alford, M.D., John M. Csokmay, M.D., Melinda B. Henne, M.D., Sunni L. Mumford, Ph.D., James H. Segars, M.D., Alicia Y. Armstrong, M.D.  Fertility and Sterility  Volume 104, Issue 1, Pages e4 (July 2015) DOI: /j.fertnstert Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Decision tree model comparing tubal anastomosis (TA) versus IVF for women after tubal ligation (for probabilities, see Table 1). Fertility and Sterility  , e4DOI: ( /j.fertnstert ) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 (A–C) Sensitivity analysis for each age group in which the cost of a tubal anastomosis (TA) was held constant (median value $8,685) and the charges for IVF were varied from $3,000 to $50,000. (D–F) Sensitivity analysis for each age group in which the cost of IVF was held constant (median value $13,970) and the charges for TA were varied from $1,000 to $21,000. Fertility and Sterility  , e4DOI: ( /j.fertnstert ) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

4 Supplemental Figure 1 Sensitivity analyses varying the probability of ongoing pregnancy (from 0.05–1.0) to compare the cost to achieve an ongoing pregnancy for tubal anastomosis (TA) versus IVF for women (A) <35 years, (B) 35–40 years, and (C) >40 years. Fertility and Sterility  , e4DOI: ( /j.fertnstert ) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions


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