Variation in guideline adherence in intrauterine insemination care

Reproductive Biomedicine Online
Esther C HaagenJ A M Kremer

Abstract

Health-care delivery according to clinical practice guidelines is thought to be critical in achieving optimal outcomes. This study aimed to assess the extent to which practice performance in intrauterine insemination (IUI) care is consistent with guideline recommendations and to evaluate the association between guideline adherence and outcome of IUI care. In a retrospective cohort study, 1100 infertile couples who underwent IUI treatment at 10 Dutch hospitals were asked to grant access to their medical record for assessment of guideline adherence using 25 systematically developed guideline-based performance indicators. A total of 558 couples who started 2334 IUI cycles participated. Guideline adherence regarding 20 process and five structure aspects of IUI care was often substandard and varied considerably between hospitals. Out of 10 possible associations investigated, guideline adherence regarding sperm quality and guideline adherence regarding the total number of IUI cycles were associated with improved ongoing pregnancy rates after IUI. Thus, guideline adherence in IUI care is far from optimal and varies substantially between hospitals. As associations between guideline adherence and ongoing pregnancy after IUI were mainly ...Continue Reading

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Citations

Jun 17, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Rosella P M G HermensRichard P T M Grol
Dec 18, 2010·Human Reproduction·M BrandesJ A M Kremer
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Sep 1, 2017·Human Reproduction·L LemmensUNKNOWN Dutch Foundation for Quality Assessment in Medical Laboratories

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