Changes in the incidence and uptake of reproductive surgery versus in vitro fertilisation in Australia between 2001 and 2015: A population‐based study
| Autor: | Leon Foster, Pauline O'Shaughnessy, Stephen J. Robson, Anusch Yazdani |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Infertility medicine.medical_specialty Reproductive surgery media_common.quotation_subject medicine.medical_treatment Fertility Fertilization in Vitro Young Adult 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Laparoscopy Infertility Male media_common 030219 obstetrics & reproductive medicine In vitro fertilisation medicine.diagnostic_test Obstetrics business.industry Incidence Incidence (epidemiology) Vasovasostomy Australia Obstetrics and Gynecology Vasectomy reversal General Medicine Middle Aged medicine.disease Female business Infertility Female Developed country Procedures and Techniques Utilization |
| Zdroj: | Australian and New Zealand Journal of Obstetrics and Gynaecology. 59:272-278 |
| ISSN: | 1479-828X 0004-8666 |
| DOI: | 10.1111/ajo.12926 |
| Popis: | OBJECTIVE Improvements in success rates of assisted reproduction led to predictions that infertility surgery in both women and men would become extinct in developed countries. We sought to identify the changes in reproductive surgery that occurred between 2001 and 2015 to determine whether these predictions have been accurate. DESIGN The Australian Institute of Health and Welfare (AIHW) national procedural dataset and the Australian Medicare Benefits Scheme (MBS) claims database were searched for procedure data for male and female reproductive surgery and assisted reproduction from January 2001 to December 2015. The denominators were based on annual point estimates of the total population aged 25-44 years (female) and 25-55 years (male) from the Australian Bureau of Statistics (ABS). This dataset provides procedures undertaken but not their indications. RESULTS Over the study period the incidence of tubal surgery fell by 66%, vasectomy reversal by 33%, and surgical varicocoelectomy by 50%. In contrast, the rate of hysteroscopic myomectomy increased by 48%, hysteroscopic septoplasty by 125%, and laparoscopy for severe endometriosis increased by 84%. In vitro fertilisation oocyte retrievals increased by 90%. The rate of abdominal myomectomy was unchanged. CONCLUSION Fertility surgery is not dead but has evolved. |
| Databáze: | OpenAIRE |
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