Fifteen-year trend in the use of male reproductive surgery: analysis of the healthcare cost and utilization project data

Authors

  • Aline Ketefian,

    1. Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA
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  • Jianfang Hu,

    1. Department of Biomathematics and Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, AL
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  • Alfred A. Bartolucci,

    1. Department of Biomathematics and Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, AL
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  • Peter N. Schlegel,

    1. Department of Urology, The New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY
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  • Ricardo Azziz,

    Corresponding author
    1. Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA
    2. Department of Obstetrics and Gynecology, The David Geffen School of Medicine, UCLA, Los Angeles, CA, USA
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  • for the Society of Reproductive Surgeons, Inc


  • Presented at the 62nd Annual Meeting of the American Society for Reproductive Medicine, New Orleans, Louisiana, October, 2006

Ricardo Azziz, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 160W, Los Angeles, CA 90048, USA. e-mail: azzizr@cshs.org

Abstract

Study Type – Utilization analysis (cost of care)Level of Evidence 2b

What’s known on the subject? and What does the study add?

Prior to this work, there were no systematic studies determining the national trends in the utilization of reproductive surgery in males. The role of reproductive surgery as it pertains to the treatment of infertility has become less clear given the increasing use of assisted reproductive technologies with intracytoplasmic sperm injection. The current study showed that the number of male reproductive surgeries has declined during the period between 1988 and 2002.

OBJECTIVE

• To determine trends in male reproductive surgeries.

MATERIALS AND METHODS

• A database analysis was performed using the Healthcare Cost and Utilization Project databases from 1988, 1992 and 1998–2002. SAS statistical software was used to estimate the total numbers of reproductive surgeries and their variances for each year.

RESULTS

• The number of male reproductive surgeries has declined during the period of study, both in the inpatient and outpatient arenas. The number of procedures with a diagnosis of infertility has also declined.

CONCLUSION

• The number of male reproductive surgeries has declined from 1988 to 2002.

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