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Value-based outcome measures for ART: much room for improvement.
1University of Utrecht and University Medical Center Utrecht, Utrecht, The Netherlands..
Reproductive Biomedicine Online
|November 14, 2025
Summary
Defining patient-centered outcomes for assisted reproductive technology (ART) is crucial. Current procedure-driven measures may negatively impact fertility care, necessitating a shift towards value-based healthcare approaches.
Area of Science:
- Reproductive Medicine
- Healthcare Outcomes Research
- Value-Based Healthcare
Background:
- Lack of consensus on standardized outcome measures in assisted reproductive technology (ART).
- Current ART outcomes are primarily procedure-focused and clinician-generated.
- Growing emphasis on value-based healthcare principles in medicine.
Purpose of the Study:
- To analyze the limitations of current ART outcome measures.
- To propose improvements aligned with value-based healthcare principles.
- To advocate for patient-centered outcome definitions in fertility care.
Main Methods:
- Commentary based on existing literature and healthcare principles.
- Analysis of current ART outcome reporting practices.
- Discussion of value-based healthcare frameworks.
Main Results:
- Current procedure-driven outcomes may not reflect true patient value.
- Existing measures can potentially distort clinical practice in ART.
- A need exists for outcome metrics that incorporate patient perspectives.
Conclusions:
- Re-evaluation of ART outcome metrics is essential.
- Implementing patient-centered, value-based outcomes can enhance fertility care.
- Collaboration between patients and clinicians is key to defining meaningful outcomes.
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