Department of Obstetrics and Gynecology, Lenox Hill Hospital, Northwell Health, New York, NY, USA.
Northwell Health Fertility, Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
J Assist Reprod Genet. 2022 Jun;39(6):1393-1397. doi: 10.1007/s10815-022-02506-z. Epub 2022 May 10.
To determine the utilization of planned oocyte cryopreservation (OC) in the year immediately prior to, and the year of, insurance coverage commencement for employees at our institution.
Patient demographics and cycle outcomes were retrospectively compared between the first OC cycles occurring in 2017 vs. 2018 according to insurance coverage and type, age, and the number of oocytes retrieved and cryopreserved. Continuous demographic variables including age, BMI, day 3 FSH and E2, AMH, gravidity, and parity were compared using student T-tests. Cycle outcomes, including the number of oocytes retrieved and cryopreserved were compared using linear regression models, adjusting for potential confounders including age, BMI, and ovarian reserve parameters.
Between January 2017 and December 2018, 123 patients underwent planned OC at our institution. Patient age ranged from 23 to 44 years and did not significantly differ from 2017 to 2018 (mean 34.9 vs. 35.2). There was a 12% increase in planned OC utilization from 2017 (N = 58) to 2018 (N = 65). Significantly, more patients had any insurance coverage in 2018 vs. 2017 (71.9% vs. 40.4%, p = 0.001), a 78% increase. From 2017 to 2018, the number of patients with hospital-based insurance coverage undergoing planned OC increased by a factor of 8 (5 to 41.5%, p < 0.001), while the number of self-pay patients significantly decreased (p = 0.001). No differences were found regarding cycle outcomes.
A greater proportion of women at our institution had insurance coverage for planned OC in 2018 vs. 2017. Employer-based insurance coverage for planned OC was associated with a significant increase in utilization by hospital employees.
确定在我们机构的员工保险覆盖开始之前和当年，计划卵母细胞冷冻保存（OC）的利用情况。
根据保险覆盖范围和类型、年龄以及取回和冷冻的卵母细胞数量，回顾性比较了 2017 年和 2018 年首次 OC 周期的患者人口统计学和周期结果。使用学生 t 检验比较了连续的人口统计学变量，包括年龄、BMI、第 3 天 FSH 和 E2、AMH、孕次和产次。使用线性回归模型比较了周期结果，包括取回和冷冻的卵母细胞数量，并调整了年龄、BMI 和卵巢储备参数等潜在混杂因素。
在 2017 年 1 月至 2018 年 12 月期间，我们机构的 123 名患者进行了计划 OC。患者年龄从 23 岁到 44 岁不等，与 2017 年到 2018 年没有显著差异（平均 34.9 岁对 35.2 岁）。从 2017 年（N=58）到 2018 年（N=65），计划 OC 的利用率增加了 12%。显著的是，2018 年有更多的患者有任何保险覆盖（71.9%对 40.4%，p=0.001），增加了 78%。从 2017 年到 2018 年，在计划 OC 中接受医院基础保险的患者数量增加了 8 倍（5 例到 41.5%，p<0.001），而自付患者数量显著减少（p=0.001）。在周期结果方面没有发现差异。
与 2017 年相比，我们机构更多的女性在 2018 年有计划 OC 的保险覆盖。雇主为计划 OC 提供的保险覆盖与医院员工利用率的显著增加有关。
