Evidence map›Paper›PMID 39231915›Full record

ArticleInternational journal of clinical oncology2024

Out-of-pocket fertility preservation expenses: data from a Japanese nationwide multicenter survey.

Masanori Ono, Yasushi Takai, Miyuki Harada, Akihito Horie, Yidan Dai, Eiji Kikuchi, Mitsuru Miyachi, Tetsuya Yamamoto, Nobuharu Fujii, Hiroaki Kajiyama and 20 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Masanori OnoDepartment of Obstetrics and Gynecology, Tokyo Medical University, 6-7-1 Nishi Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. masanori@tokyo-med.ac.jp.ORCID http://orcid.org/0000-0001-9249-6813
Yasushi TakaiDepartment of Obstetrics and Gynecology, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe-shi, Saitama, 350-8550, Japan.
Miyuki HaradaDepartment of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Akihito HorieDepartment of Obstetrics and Gynecology, Medical Research Institute KITANO HOSPITAL, PIIF Tazuke-Kofukai, 2-4-20 Ohgimachi, Kita-ku, Osaka, 530-8480, Japan.
Yidan DaiDepartment of Obstetrics and Gynecology, Tokyo Medical University, 6-7-1 Nishi Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Eiji KikuchiDepartment of Urology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan.
Mitsuru MiyachiDepartment of Pediatrics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, 602-8566, Japan.
Tetsuya YamamotoDepartment of Neurosurgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Nobuharu FujiiDivision of Transfusion and Cell Therapy, Okayama University Hospital, Okayama, Japan.
Hiroaki KajiyamaDepartment of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Atsushi ManabeDepartment of Pediatrics, Hokkaido University, Sapporo, Japan.
Toshiaki YasuokaDepartment of Obstetrics and Gynecology, Graduate School of Medicine, Ehime University, Ehime, Japan.
Shinji KatsuragiDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan.
Keiko MekaruDepartment of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara Nishihara, Okinawa, 903-0215, Japan.
Tadashi MaezawaDepartment of Obstetrics and Gynecology, Mie University School of Medicine, Mie, Japan.
Yuki HorageDepartment of Obstetrics and Gynecology St, Marianna University School of Medicine, Kawasaki, Japan.
Shinsuke KataokaDepartment of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Robert NakayamaDepartment of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Takako Eguchi NakajimaDepartment of Early Clinical Development, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Fuminori KimuraDepartment of Obstetrics and Gynecology, Nara Medical University, 840 Shijo-cho, Kashihara, 634-8522, Japan.
Chikako ShimizuDepartment of Breast and Medical Oncology, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan.
Kohei SugimotoCenter for Reproductive Medicine, Dokkyo Medical University, Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya, Saitama, 343-0845, Japan.
Seido TakaeDepartment of Obstetrics and Gynecology St, Marianna University School of Medicine, Kawasaki, Japan.
Yasushi YumuraReproduction Center, Medical Center, Yokohama City University, Urafune Cho 4-57, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan.
Hirotaka NishiDepartment of Obstetrics and Gynecology, Tokyo Medical University, 6-7-1 Nishi Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Tatsuro FuruiDepartment of Obstetrics and Gynecology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu-shi, Gifu, 501-1194, Japan.
Ken-Ichirou MorishigeDepartment of Obstetrics and Gynecology, Osaka General Medical Center, 3-1-56 Mandaihigashi, Sumiyoshi-ku, Osaka, 558-8558, Japan.
Chie WatanabeDepartment of Nursing School of Nursing and Rehabilitation Sciences, Showa University, 1-5-8 Hatanodai Shinagawa-ku, Tokyo, 142-8555, Japan.
Yutaka OsugaDepartment of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Nao SuzukiDepartment of Obstetrics and Gynecology St, Marianna University School of Medicine, Kawasaki, Japan.

Funding

Ministry of Health, Labour and Welfare JPMH21EA2004Ministry of Health, Labour and Welfare JPMH24EA2001
6 · The paper itself

Abstract

backgroundThe expenses related to fertility preservation or subsequent assisted reproductive treatments are significant for adolescents and young adult patients in Japan's current healthcare system. With fertility preservation becoming more widespread in developed countries, it is expected that these costs will be covered by insurance or subsidies. It is critical for patients, healthcare providers, and the government to know the costs that patients will be responsible for. In Japan, the costs of fertility preservation and subsequent assisted reproductive technology are not covered by insurance, but patients can apply for subsidies from the local and central governments if certain conditions are met. Presently, the above-mentioned costs, as well as the amount paid by the patient, vary by facility. Therefore, it is essential to ensure patients' continued access to necessary medical care despite the associated costs.

methodsIn this study, questionnaires were mailed to 186 certified fertility preservation facilities in Japan to assess patients who had undergone fertility preservation or assisted reproduction. The questionnaires were sent between October 27, 2023 and March 31, 2024, with 140 of the 186 facilities responding (response rate: 75.3%).

resultsOur findings show that approximately one-third of the costs was borne by the patients.

conclusionGiven these circumstances, sustainable pricing and insurance coverage are necessary for both patients and facilities.

Indexed as

Fertility PreservationReproductive Techniques, AssistedAdolescentAdultEast Asian PeopleFemaleHealth ExpendituresHumansJapanMaleSurveys and QuestionnairesYoung AdultAdolescent and young adultAssisted reproductive technologyCancerFertility preservationOut-of-pocket fertility preservation expensesReproduction

Identifiers

PMID39231915
PMCPMC11588863

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.