title: Cumulative delivery rate after providing full reimbursement in vitro fertilization programme: a 6-years survey.
abstract: Since 1983, Slovenia has been offering well-established, successful, and fully reimbursed IVF programme to infertile couples. On the grounds of data gathered at the Slovenian IVF units we aimed to determine whether the fully accessible IVF treatment system can provide notable success considering cumulative delivery rate (cDR). Longitudinal analysis of getting cDR was performed in 810 IVF cycles of 395 couples who for the first time attended the IVF programme in year 2006 and were followed until year 2012. We calculated the actual and the optimistic cDR. In women aged<38 years the actual cDR was 54% and optimistic DR was 83%, respectively. In women aged≥38 years the actual cDR was 24% and optimistic cDR was 27%. These results enable us to report that prospects of the treatment for the women aged<38 years, if they undergo all 6 available IVF cycles, are very positive and quite comparable to the chances of spontaneous conception. Even in older patients it is beneficial to repeat the IVF procedures. Therefore we consider the existing infertility treatment system in Slovenia as an example of good medical practice with high level of beneficence offered to the patients.
authors.affiliation: Law Firm Miro Senica and Attorneys, Ltd., Barjanska cesta 3, 1000 Ljubljana, Slovenia.
authors.forename: Urban
authors.initials: U
authors.lastname: Vrtacnik
authors.affiliation: Reproductive Unit, Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, Šlajmerjeva 3, 1000 Ljubljana, Slovenia.
authors.forename: Eda
authors.initials: E
authors.lastname: Vrtacnik Bokal
authors.affiliation: Reproductive Unit, Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, Šlajmerjeva 3, 1000 Ljubljana, Slovenia.
authors.forename: Rok
authors.identifier: 0000-0003-3202-8641
authors.initials: R
authors.lastname: Devjak
mesh_terms: D000328:Adult; D001723:Birth Rate; D005260:Female; D005307:Fertilization in Vitro / Q000191:economics* / Q000379:methods*; D006801:Humans; D007246:Infertility / Q000191:economics / Q000628:therapy; D008137:Longitudinal Studies; D017063:Outcome Assessment, Health Care; D010062:Ovulation Induction; D015397:Program Evaluation; D012051:Reimbursement Mechanisms; D017524:Slovenia
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