Evidence map›Paper›PMID 18692801›Full record

ArticleFertility and sterility2009

Morbid obesity is associated with lower clinical pregnancy rates after in vitro fertilization in women with polycystic ovary syndrome.

Emily S Jungheim, Susan E Lanzendorf, Randall R Odem, Kelle H Moley, Aimee S Chang, Valerie S Ratts

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Fertility and sterility, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03034941 (Short Term Weight Loss With Liraglutide and Metformin Before IVF in Infertile Obese PCOS Patients), which is not on this map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
10.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03034941 phase4completedstarted 2014, after this paper: background citation

Short Term Weight Loss With Liraglutide and Metformin Before IVF in Infertile Obese PCOS Patients

Ran2014Enrolled35Registered outcomes3Posted comparisons0ConditionsObesity, PCOSArmsLiraglutide + metformin, Metformin
PMID 24362411PMID 21500991other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
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  19. Female infertility: which role for obesity?International journal of obesity supplements · 2019
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Emily S JungheimDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Washington University in Saint Louis, Saint Louis, MO 63108, USA. jungheime@wustl.edu
Susan E Lanzendorf
Randall R Odem
Kelle H Moley
Aimee S Chang
Valerie S Ratts
Washington University in St. Louis · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Jonathan R Brestoff · 1999 to 2026
$30.2M
RESEARCH AND TRAINING IN REPRODUCTIVE BIOLOGYT32HD007305 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI COUTIFARIS, CHRISTOS · 1986 to 2010
$1.8M
NICHD NIH HHS T32 HD007305NIDDK NIH HHS P30 DK056341
6 · The paper itself

Abstract

objectiveTo determine whether morbid obesity is associated with decreased pregnancy and live birth rates after IVF in women with polycystic ovary syndrome (PCOS).

designRetrospective cohort study.

settingUniversity-based fertility center. PATIENT(S): Seventy-two women with PCOS who completed their first IVF cycle between 2001 and 2006. INTERVENTION(S): Outcomes of IVF were compared between women with a body mass index (BMI) of <40 kg/m(2) vs. those with a BMI of > or =40 kg/m(2). MAIN OUTCOME MEASURE(S): Clinical pregnancy rate, live birth rate. RESULT(S): Morbidly obese women with PCOS (n = 19) had significantly lower clinical pregnancy rates after IVF than patients with PCOS who were not morbidly obese (n = 53) (32% vs. 72%, relative risk 0.44, 95% confidence interval 0.22-0.87). Their live birth rates were lower too, although this difference was not statistically significant (32% vs. 60%, relative risk 0.52, 95% confidence interval 0.26-1.05). CONCLUSION(S): Morbid obesity is associated with lower pregnancy rates in women with PCOS after IVF, raising the question of whether weight loss may improve IVF success rates for morbidly obese PCOS patients.

Indexed as

Fertilization in VitroAdultBody Mass IndexCohort StudiesFemaleHumansInfant, NewbornLive BirthObesity, MorbidPolycystic Ovary SyndromePregnancyPregnancy RateReference ValuesRetrospective StudiesRisk

Identifiers

PMID18692801
PMCPMC3746795
OpenAlexW2031990792

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.