Article ; Online: The prevalence, promotion and pricing of three IVF add-ons on fertility clinic websites.
Reproductive biomedicine online
2020 Volume 41, Issue 5, Page(s) 801–806
Abstract: Research question: How are IVF clinic websites advertising three common IVF add-ons: assisted hatching, time-lapse embryo imaging and preimplantation genetic testing for aneuploidies (PGT-A)?: Design: The Human Fertilisation and Embryology Authority ' ...
| Abstract | Research question: How are IVF clinic websites advertising three common IVF add-ons: assisted hatching, time-lapse embryo imaging and preimplantation genetic testing for aneuploidies (PGT-A)? Design: The Human Fertilisation and Embryology Authority 'Choose a fertility clinic' website service was used to identify IVF clinics and their websites. Assisted hatching, time-lapse embryo imaging and PGT-A were examined to determine which websites advertised them, what price they charged and what claims they made in relation to the add-ons. Results: Eighty-seven eligible clinics were identified, with 72 unique websites; 37 (43%) clinics were part of one of nine groups of IVF clinics, of sizes ranging from two to eight clinics in the UK. Time-lapse imaging (TLI) was the most frequently advertised of the three add-ons (67% of clinics), followed by PGT-A (47%) and assisted hatching (28%). Very few websites stated that the effectiveness of the add-on was in doubt or unclear (four, two and one websites for TLI, PGT-A and assisted hatching, respectively), and none raised the possibility that an add-on might have negative effects. Claims of efficacy were often based on upstream outcomes (e.g. implantation, pregnancy). Some claims that PGT-A and TLI improved live birth rates were found. There was substantial variation in pricing. Conclusions: IVF clinic websites provide valuable information for patients seeking fertility treatment so it is key that the information is accurate and complete. There is a need for transparent information on interventions, including uncertainties and risks, to be made available by IVF clinics to support well-informed treatment decisions. The selected add-ons are widely advertised, and there is wide variation in pricing. |
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| MeSH term(s) | Commerce ; Female ; Fertility Clinics/economics ; Fertilization in Vitro/economics ; Fertilization in Vitro/methods ; Humans ; Pregnancy ; Preimplantation Diagnosis/economics ; Preimplantation Diagnosis/methods | |||||
| Language | English | |||||
| Publishing date | 2020-07-27 | |||||
| Publishing country | Netherlands | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 2113823-0 | |||||
| ISSN | 1472-6491 ; 1472-6483 | |||||
| ISSN (online) | 1472-6491 | |||||
| ISSN | 1472-6483 | |||||
| DOI | 10.1016/j.rbmo.2020.07.021 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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