Age-specific cost and public funding of a live birth following assisted reproductive treatment in Japan

作者：Maeda Eri; Ishihara Osamu; Saito Hidekazu; Kuwahara Akira; Toyokawa Satoshi; Kobayashi Yasuki^*

来源：Journal of Obstetrics and Gynaecology Research, 2014, 40(5): 1338-1344.

DOI：10.1111/jog.12337

• assisted reproductive technology
• cost study
• live birth
• maternal age
• subsidy

AimThe aim of this study was to calculate and assess the cost of assisted reproductive technology (ART) treatment cycles and live-birth events in Japan in 2010. %26lt;br%26gt;Material and MethodsWe performed a retrospective analysis of 238185 ART cycles, registered with the national registry of assisted reproductive treatment during 2010. Costs were calculated, using a decision analysis model. %26lt;br%26gt;ResultsThe average cost per live birth was yen1974000. This varied from yen1155000 in women aged%26lt;30 years to yen50189000 in women aged45, which was 29.6 times higher than that of women aged 35-39 years. This rose sharply in the early 40s and upwards. Public funding per live birth was yen442000. This was yen6118000 in women aged45, 15.4 times higher than that of the 35-39-year-old age group. %26lt;br%26gt;ConclusionsThe costs and public funding of a live birth after ART treatment rises with age due to the lower success rates in older women. It may provide economic background to improve the current subsidy system for ART and to provide practical knowledge about fertility for the general population.

• 出版日期2014-5