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Dias L, Willems SG, Luyten J, De Loecker P, D'Hooghe TM, Peeraer K, Dancet EAF. The need for longitudinal data on the value of fertility treatment for infertile patients' quality of life: A review and pilot study. Best Pract Res Clin Obstet Gynaecol 2023:102324. [PMID: 36948947 DOI: 10.1016/j.bpobgyn.2023.102324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 01/31/2023] [Accepted: 02/01/2023] [Indexed: 02/23/2023]
Abstract
Infertility threatens the life goal of parenthood and, hence, quality of life (QoL) of (wo)men, but the fertility clinic trajectory might be burdensome. This review of longitudinal studies and pilot longitudinal study examines the impact of the pre-in vitro fertilization (IVF) fertility clinic trajectory on patient-reported outcome measures (PROMs) for emotional well-being, including QoL. A publication found that the diagnostic workup decreases men's infertility-specific distress while publications disagree whether it decreases (wo)men's anxious and depressive reactions. Intrauterine insemination (IUI) was found to increase (wo)men's depressive reactions. Publications on infertility-specific, health-related, and overall QoL were missing. The pilot indicated that (wo)men's overall QoL is not affected by the diagnostic workup but is decreased by the time of the third IUI. Longitudinal studies on the impact of starting the fertility clinic trajectory on PROMs are needed as they are essential for patient-centered clinical decision-making and patient-centered policy-level decision-making.
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Affiliation(s)
- L Dias
- Fertiliteitscentrum Antwerpen, GZA Ziekenhuizen, Oosterveldlaan 24, 2610 Wilrijk, Belgium; Department of Development and Regeneration, University of Leuven, Herestraat 49, 3000 Leuven, Belgium.
| | - S G Willems
- Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35 Blok D - Bus 7001, 3000 Leuven, Belgium.
| | - J Luyten
- Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35 Blok D - Bus 7001, 3000 Leuven, Belgium.
| | - P De Loecker
- Fertiliteitscentrum Antwerpen, GZA Ziekenhuizen, Oosterveldlaan 24, 2610 Wilrijk, Belgium.
| | - T M D'Hooghe
- Department of Development and Regeneration, University of Leuven, Herestraat 49, 3000 Leuven, Belgium; Merck, United States.
| | - K Peeraer
- Department of Development and Regeneration, University of Leuven, Herestraat 49, 3000 Leuven, Belgium; Leuven University Fertility Centre, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium.
| | - E A F Dancet
- Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35 Blok D - Bus 7001, 3000 Leuven, Belgium.
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Fertilitätsdiagnostik: Lebensqualität nach Überprüfung der Tubendurchgängigkeit. Geburtshilfe Frauenheilkd 2022. [DOI: 10.1055/a-1776-5118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
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