Evidence map›Paper›PMID 20643955›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2010

Deep phenotyping to predict live birth outcomes in in vitro fertilization.

Prajna Banerjee, Bokyung Choi, Lora K Shahine, Sunny H Jun, Kathleen O'Leary, Ruth B Lathi, Lynn M Westphal, Wing H Wong, Mylene W M Yao

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Defining a comprehensive verotype using electronic health records for personalized medicine.Journal of the American Medical Informatics Association : JAMIA · 2013
    Article
  13. Article
  14. Boosting predictions of treatment success.Proceedings of the National Academy of Sciences of the United States of America · 2010
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Prajna BanerjeeDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA 94305, USA.
Bokyung Choi
Lora K Shahine
Sunny H Jun
Kathleen O'Leary
Ruth B Lathi
Lynn M Westphal
Wing H Wong
Mylene W M Yao

Funding

WOMEN'S REPRODUCTIVE HEALTH RESEARCH CAREER DEVELOPMENTK12HD001249 · NICHD · STANFORD UNIVERSITY · PI BEREK, JONATHAN S · 1998 to 2008
$3.3M
Novel Roles of Pluripotency Regulators in the Early Mouse EmbryoR01HD057970 · NICHD · STANFORD UNIVERSITY · PI WONG, WING H. · 2008 to 2012
$1.9M
Statistical Analysis of Exon ArraysR01HG004634 · NHGRI · STANFORD UNIVERSITY · PI WONG, WING H. · 2008 to 2011
$1.4M
NHGRI NIH HHS 1R01HG004634NHGRI NIH HHS R01 HG004634NICHD NIH HHS K12 HD001249NICHD NIH HHS K12HD01249NICHD NIH HHS R01 HD057970NICHD NIH HHS R01HD57970
6 · The paper itself

Abstract

Nearly 75% of in vitro fertilization (IVF) treatments do not result in live births and patients are largely guided by a generalized age-based prognostic stratification. We sought to provide personalized and validated prognosis by using available clinical and embryo data from prior, failed treatments to predict live birth probabilities in the subsequent treatment. We generated a boosted tree model, IVFBT, by training it with IVF outcomes data from 1,676 first cycles (C1s) from 2003-2006, followed by external validation with 634 cycles from 2007-2008, respectively. We tested whether this model could predict the probability of having a live birth in the subsequent treatment (C2). By using nondeterministic methods to identify prognostic factors and their relative nonredundant contribution, we generated a prediction model, IVF(BT), that was superior to the age-based control by providing over 1,000-fold improvement to fit new data (p<0.05), and increased discrimination by receiver-operative characteristic analysis (area-under-the-curve, 0.80 vs. 0.68 for C1, 0.68 vs. 0.58 for C2). IVFBT provided predictions that were more accurate for approximately 83% of C1 and approximately 60% of C2 cycles that were out of the range predicted by age. Over half of those patients were reclassified to have higher live birth probabilities. We showed that data from a prior cycle could be used effectively to provide personalized and validated live birth probabilities in a subsequent cycle. Our approach may be replicated and further validated in other IVF clinics.

Indexed as

Live BirthPregnancy OutcomeAdultAge DistributionBiometryCryopreservationFemaleFertilization in VitroHumansMalePhenotypePregnancyPregnancy RateProbability

Identifiers

PMID20643955
PMCPMC2922227

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.