Posts Tagged ‘OBRS’
SIRM’s IVF Outcome Based Reporting System
Written by Arpee on September 30, 2008 – 10:48 pm -As mentioned in my earlier post re More Research About IVF in SIRM, SIRM locations do not report to SART (except for the Dallas, TX location). 2 locations - Las Vegas and New Jersey - report to CDC instead; and the rest, are not listed in SART.
I also mentioned that the SIRM website has an article criticizing the current reporting system for lacking the verifiability of a clinic’s self-reported IVF statistics and for its inability to compare “complex” vs straightforward IVF cases.
Instead, SIRM has the Outcome Based Reporting System (OBRS) which breaks down the stats into Category A-D based on relative categories of complexity (# failed IVF cycles, FSH level, #IU gonadotropin/day, # eggs retrieved) broken down by age. This is useful then when comparing case complexities.
Here is the latest OBRS for 2007-Q1-Q4.
Now, patient-me will try to eyeball where I fall under and what the table is saying…
- I think I am Category A since I have no IVF experience yet and thus no retrieved eggs yet as well. Also, I have FSH 3.5<9 and I needed 150-75<600IU/day Follistim to stimulate me.
- The stats are 58% clinical pregnancies, 8% miscarriages, 57% ongoing pregnancies and 25% multiple pregnancies based on 62 cycles. The average age from the 38-40 yo patients is 38 which means that all those who cycled are 38 years old. So I guess, this is not who I should compare myself to.
- Going worse case to the 41yo column - the stats are 25% clinical pregnancies, 33% miscarriages, 16% ongoing pregnancies and 0% multiple pregnancies based on 12 cycles. Not too different from TFC stats…
……
One disadvantage I see on the OBRS is that live births are not updated even for the earlier years where there is already sufficient time to gather information already.
Also, it is not clear which clinic/s is/are included in the stats. Having OBRS for each clinic could be more helpful for consumers like us.
Eventually, numbers are just that - numbers. Each case will be unique on its own. To me though, it does not hurt to know the numbers!
Whaddaya think?
Posted in IVF, In Between Cycles, Infertility Learnings | 4 Comments »
