10.5061/DRYAD.GG47H
Kim, Dongah
University of Auckland
Child, Tim
University of Oxford
Farquhar, Cynthia
University of Auckland
Data from: Intrauterine insemination: a UK survey on the adherence to NICE
clinical guidelines by fertility clinics
Dryad
dataset
2015
Subfertility
2014
April- June 2014
reproductive medicine
2015-04-20T15:06:41Z
2015-04-20T15:06:41Z
en
https://doi.org/10.1136/bmjopen-2015-007588
24685 bytes
1
CC0 1.0 Universal (CC0 1.0) Public Domain Dedication
Objective: To evaluate the awareness and response of fertility clinics in
the UK to the National Institute for Health and Care Excellence (NICE)
guideline recommendation that intrauterine insemination (IUI) should not
be offered routinely, in order to report on current practice in the UK.
Design: Online questionnaire survey of fertility clinics in the UK
regarding their current clinical practice of IUI, formal discussion of the
guideline recommendations, and any alterations made since the
recommendations. Setting: 66 UK fertility clinics licensed to provide IUI.
Participant:s 46 fertility clinics, including 6 clinic groups which
represent 70% of all clinics and clinic groups licensed to provide IUI in
April 2014 when the survey email was sent. Results: Of the 46 clinics that
responded, 96% (44/46) of clinics continue to offer IUI. 98% (43/44) of
those offering IUI also use ovarian stimulation. The most commonly used
medications for ovarian stimulation are gonadotrophins (95%), followed by
clomiphene citrate (49%) and letrozole (19%). 78% (36/46) of clinics had
formally discussed NICE guideline recommendations. 17 clinics (37%) had
made some changes to their practices; as a result, four clinics reported a
reduction in the number of IUI cycles, six clinics had restricted the
indications for IUI, and five clinics had begun informing patients of the
guideline recommendations, while two did not specify. Conclusions: The
majority of clinics were aware of the guideline recommendations. However,
only a small proportion of clinics had made significant changes to their
practice by reducing the number of IUI cycles or restricting the clinical
indications for IUI. The availability of further evidence will assist NICE
and clinicians in making recommendations on the use of IUI. There is a
need to further explore the reasons for the lack of adherence to the
recommendations.
IUI Survey response spreadsheet- DryadSurvey responses from Fertility
clinics in the United Kingdom- Excel spreadsheet
United Kingdom