Cost-effectiveness of Early Screening Home Semen Analysis in Couples Attempting to Conceive

To study the cost-effectiveness of incorporating home semen analysis in screening for oligospermia and expediting time to evaluation. A decision analytic model was built using inputs from the medical literature. The index patient is the male partner in a couple seeking fertility, and entry into the...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2022-12, Vol.170, p.104-110
Main Authors: Lai, Jeremy D., Fantus, Richard J., Meza, Julio A., Hudnall, Matthew T., Pham, Minh, Brannigan, Robert E., Ghomrawi, Hassan M.K., Halpern, Joshua A.
Format: Article
Language:English
Subjects:
Cost-Benefit Analysis
Humans
Male
Oligospermia - diagnosis
Semen
Semen Analysis
Sperm Count
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Summary:To study the cost-effectiveness of incorporating home semen analysis in screening for oligospermia and expediting time to evaluation. A decision analytic model was built using inputs from the medical literature. The index patient is the male partner in a couple seeking fertility, and entry into the model was assumed to be at the inception of the couple's attempts to conceive via natural means. Three main strategies are described and analyzed: (1) baseline strategy of no testing, (2) utilization of a home semen testing kit, (3) universal testing via a clinic visit and gold standard lab semen analysis. The primary outcome was detection of oligospermia (defined as sperm concentration
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2022.06.053