Valuing live births from assisted reproduction: A health economics viewpoint

Rui Martins, Mark P. Connolly*

*Bijbehorende auteur voor dit werk

    Onderzoeksoutput: Review articlepeer review

    2 Citaten (Scopus)
    31 Downloads (Pure)


    Infertility is a medical condition that can be overcome, thanks to advances in medically assisted reproductive (MAR) therapies. Despite the ultimate measure of MAR efficacy being the birth of a new human being, there are ethical and methodological questions as to which outcome best translates the value of MAR in cost-effectiveness analyses. Many authors favour cost per life birth outcomes instead of more traditional cost per quality-adjusted life years (QALYs), which raises generalizability issues for decision-makers. Nonetheless, infertility and infertility treatments substantially differ from other health conditions and health treatments, particularly in the way they affect the quality of life of the infertile couple. Collecting quality of life measures in infertility and pregnancy is also surrounded by challenges not easily overcome. We reflect on cost-effectiveness methods applied to MAR technologies, on ethical considerations for valuing a MAR-generated life, and on its broader societal value for consideration by decision-makers.

    Originele taal-2English
    Pagina's (van-tot)149-158
    Aantal pagina's10
    TijdschriftBest Practice and Research: Clinical Obstetrics and Gynaecology
    Nummer van het tijdschriftB
    StatusPublished - dec.-2022

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