A cost-effectiveness comparison of embryo donation with oocyte donation.
OBJECTIVE
To compare the cost-effectiveness of embryo donation (ED) to that of oocyte donation (OD).


METHODS
Calculation of cost-effectiveness ratios (costs per outcome achieved) using data derived from clinical practices.


METHODS
In vitro fertilization centers and embryo donation programs.


METHODS
Infertile couples undergoing oocyte donation or embryo donation.


METHODS
Oocyte donation or embryo donation cycles.


METHODS
Cost-effectiveness ratios.


RESULTS
For a single cycle, ED is approximately twice as cost-effective as OD, with a cost-effectiveness ratio of $21,990 per live delivery compared to 40,600 dollars. When strategies of up to three cycles (to achieve one live delivery) are used, ED costs 13,505 dollars per live delivery compared to 31,349 dollars for OD.


CONCLUSIONS
Cost-effectiveness is a compelling reason for infertile couples to consider embryo donation.
Finger
Reginald
R
National Embryo Donation Center, Knoxville, Tennessee 37934, USA. reg.finger@hotmail.com
Sommerfelt
Carol
C
Freeman
Melanie
M
Wilson
Carrie K
CK
Wade
Amy
A
Daly
Douglas
D
D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D036861:Delivery, Obstetric / Q000191:economics; D004624:Embryo Transfer / Q000191:economics*; D005260:Female; D005307:Fertilization in Vitro / Q000191:economics; D006801:Humans; D007231:Infant, Newborn; D007247:Infertility, Female / Q000191:economics; D018587:Oocyte Donation / Q000191:economics*; D011247:Pregnancy; D027724:Reproductive Techniques, Assisted / Q000191:economics; D014481:United States