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February 28-March 01, 2019 | Paris, France
Palliative Care, Obstetrics and Gynecology
Stroke and Clinical Trials
International Conference on
Joint Event on
International Conference on
&
Journal of Research and Reports in Gynecology and Obstetrics | Volume: 3
Economic perspective of evaluating fertility treatment in obese and overweight infertile women
Munazzah Rafique
King Fahad Medical City, Saudi Arabia
Background:
Excess body weight is associated with adverse
effects on longevity, disability-free life-years, quality-of-
life, and productivity. The higher the proportion of the
population that is overweight and obese, the commanding
is the use of health services, which is followed by a higher
treatment costs for the obesity-related diseases than in
normal weight population. Moreover, rapidly expanding
evidence suggests that excess body weight is linked to many
additional disorders, including infertility, contributing to the
cost burden. Therefore, we are working towards vision 2030
to decrease the cost of the infertility services provided to the
patient and increase the effectiveness of the ART procedures
in Saudi Arabia.
Objectives:
Since infertility is associated with obesity and
leads to economic burden in the form of failed ART, we aimed
to evaluate the economic consequences of overweight
and obese infertile women regarding successful fertility
treatment and associated higher costs. We will assess the
impact of overweight and obesity on the ART outcomes that
may increase the cumulative cost.
Methodology:
Retrospective cohort study for analysis of
infertility patients receiving IVF. Utilities were taken from
collected data. Cost were estimated from the type and
number of intervention used. The analysis was performed
from research department. For IVF, the costs and clinical
outcomes associated were compared with different weight
groups (obese, overweight and normal weight). The
incremental cost for each cohort of clinical outcome were
calculated as Incremental Cost-Effectiveness Ratios (ICER).
The incremental cost-effectiveness ratios for various cohorts
were ranked to assess funding priorities. All parameters
and observable variables were taken into account and
then probabilistic sensitivity analysis by means of Bayesian
method was used for health economic assessment.
Multivariate analyses by putting all of the inputs at the same
time across their plausibility ranges was done. The extent of
uncertainty in sensitivity analyses was minimized by deriving
cost from actual clinical data, and it was representing the
95% CIs around various point estimates.
Conclusion:
The statistically significant relationship of obesity
to the IVF outcomes, direct us to have introduced lifestyle
measures before starting affluent IVF treatment. It will help
us to develop a framework within which the consequences
of fertility treatment and outcomes of resultant pregnancy
can be evaluated simultaneously for infertile women in
different body weight categories.
Speaker Biography
Munazzah Rafique is currently working as clinical research specialist in health information
standardization department at King Fahad Medical City. She has worked as physician
managinghighlycomplexcasesinKingFahadMedicalCityRiyadhwithbigpatientpopulation
and diverse problems in Obstetrics and Gynecology. She has worked as dedicated Ob/Gyn
Resident with accomplished background with sound knowledge in the field of Obstetrics
and gynecology and worked with the team of professional which enhanced her teaching
skills. She is an active participant of research work currently engaged in research processes
having visionary leadership style with the ability to inspire confidence and creatively solve
problems, remove obstacle and achieve breakthrough results.
e:
munazzahr@yahoo.comMunazzah Rafique
, Res Rep Gynaecol Obstet, Volume 3
DOI: 10.4066/2591-7366-C1-003