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Table 4 Sensitivity analysis estimates of incremental cost-effectiveness ratios (ICER) of providing "IUI+IVF" compared to primary offer of IVF, varied sequentially.

From: Cost-effectiveness of primary offer of IVF vs. primary offer of IUI followed by IVF (for IUI failures) in couples with unexplained or mild male factor subfertility

Varied variables

Source of assumption

ICER (£/live birth-producing pregnancy)

  

1 cycle of IUI

2 cycles of IUI

3 cycles of IUI

4 cycles of IUI

5 cycles of IUI

6 cycles of IUI

S-IUI

       

LBR = 8.7%

Goverde et al 13

£10,400

£10,900

£11,600

£12,300

£13,000

£13,800

LBR varying by cycle order*

Local unit's experience and peer-reviewed literature 6–10

£7,700

£12,300

£16,800

£19,900

£24,300

£28,300

U-IUI

       

LBR = 4.4%

LBR of U-IUI as half of that of S-IUI11

£0

£7,500

£8,700

£9,300

£9,800

£10,200

LBR = 2%

Local experience and expert opinion

£91,700

£42,400

£35,700

£33,300

£32,100

LBR varying by cycle order±

LBR of U-IUI as half of that of S-IUI11

£41,600

£40,400

£47,600

£51,900

£54,900

£57,100

C-IUI

       

LBR = 6.6%

Reasonable assumption, LBR of C-IUI between the values of LBR of U-IUI and S-IUI

£9,500

£10,500

£10,700

£10,800

£10,900

£10,900

LBR = 2.5%

Local experience and expert opinion

£81,900

£53,900

£46,900

£43,700

£41,900

  1. * LBR of S-IUI of 10%, 6%, 4%, 4%, 2%, 2% for cycles 1 to 6 respectively
  2. ± LBR of U-IUI of 5%, 3%, 2% 2%, 2%, 2% for cycles 1 to 6 respectively.
  3. ¶It was not possible to estimate a meaningful ICER because of very small denominator in case of one cycle of U-IUI (when LBR = 2%) and one cycle of C-IUI (when LBR = 2.5%) as compared to 1 full cycle of IVF.
  4. ICER was estimated based on cost and effectiveness of "IUI+IVF" compared to full cycle of IVF.
  5. Figures are rounded to the nearest hundred