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The cost-effectiveness of immediate vs routine postpartum IUD placement: a UK perspective

Emily Trautner, Jina Kim, Adrian Rabe and Hari Thrivikramji

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: OBJECTIVES: Preventing pregnancy in the year after childbirth provides health benefits, and an intrauterine device (IUD) placed immediately after birth is a cost-effective tool to prevent pregnancy. However, it is not known if this strategy is cost-effective in the UK context. Therefore, our study objective was to identify the cost-effectiveness of immediate compared to routine IUD placement strategies in the UK. METHODS: A decision tree cost-effectiveness model was constructed using inputs from published literature including data and costs from the National Institute for Clinical Effectiveness (NICE). The study population for this evaluation is women in the UK who desire a postpartum IUD. The perspective of the study was payer and the time horizon was one year. The outcome measure was incremental cost-effectiveness ratio (2018 Great British Pound per quality-adjusted life-year [QALY] gained), with a threshold of an ICER

Keywords: long-acting reversible contraceptive; intrauterine device; cost-effectiveness; postpartum contraception; postplacental contraception (search for similar items in EconPapers)
JEL-codes: I10 (search for similar items in EconPapers)
Pages: 12 pages
Date: 2021-04-12
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Published in Journal of Health Policy and Economics, 12, April, 2021, 1(1). ISSN: 2732-4729

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