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Manipulation of IVF Outcome Reporting to SART

Manipulation of IVF outcome reporting to SART: The status of public reporting of clinical outcomes in assisted reproductive technology [Fertil Steril 2013;100(3):736-741]

Presented by Vitaly A. Kushnir, MD
Physician, Associate Scientist & Director of Continuing Medical Education
Center of Human Reproduction

The U.S. government requires all IVF centers to report their IVF cycle outcomes to Centers for Disease Control and Prevention (CDC). A majority of IVF centers also report this data to the Society for Assisted Reproductive Technologies (SART). Despite CDC and SART’s warning that published IVF pregnancy rates cannot be a reliable basis for identifying a successful IVF center for a given patient due to patient selection bias, the data published by CDC and SART have become a default tool to do just that for many patients.

A recent publication in Fertility & Sterility uncovered a disturbing trend against this backdrop: a small minority of IVF centers (13 out of 341 centers analyzed) exclude a disproportionately large number of IVF cycle outcomes from reporting, artificially inflating their IVF pregnancy rates. By the year 2010, these 13 IVF centers accounted for more than 50% of all IVF cycles excluded from SART/CDC reporting and partially as a result, these centers’ U.S. market shares have expanded by nearly 20% between 2005 and 2010.

This live webcast, presented by Vitaly A Kushnir, MD, the lead author of the study, provides an overview of the CDC/SART outcome reporting system, discusses the findings of the study, and gived patients points to consider when choosing an IVF center that best suits their needs.