Evidence map›Paper›PMID 21792665›Full record

ArticleJournal of assisted reproduction and genetics2011

Should ICSI be recommended routinely in patients with four or fewer oocytes retrieved?

Martha Luna, Catherine Bigelow, Marlena Duke, Jane Ruman, Benjamin Sandler, Lawrence Grunfeld, Alan B Copperman

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Journal of assisted reproduction and genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03370068 (The Role of Intracytoplasmic Sperm Injection in Non-male Factor Infertility in Maternal Age Above 39), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

NCT03370068 nacompletednot on this mapstarted 2018, after this paper: background citation

The Role of Intracytoplasmic Sperm Injection in Non-male Factor Infertility in Maternal Age Above 39

TypeinterventionalSponsorDr. Tal Miller-ElkanRan2018 to 2020Enrolled69ConditionsInfertility, FemaleArmsICSI, Conventional IVF
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Trial
  2. Indications for Micro-Injection of Sperm in Assisted Reproduction: A Consensus Statement.The Australian & New Zealand journal of obstetrics & gynaecology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Physical activity and sperm quality: influence in sperm donors.Reproductive biology and endocrinology : RB&E · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. ALWAYS ICSI? A SWOT analysis.Journal of assisted reproduction and genetics · 2020
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

7 authors.

Martha LunaReproductive Medicine Associates of New York, New York, NY, USA.
Catherine Bigelow
Marlena Duke
Jane Ruman
Benjamin Sandler
Lawrence Grunfeld
Alan B Copperman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine if patients with a low response to controlled ovarian hyperstimulation during IVF benefit from intracytoplasmic sperm injection (ICSI)

methodsRetrospective analysis of 350 IVF cycles in which four or fewer oocytes were retrieved. Severe male factor cases were excluded from analysis. Conventional insemination (CI) and ICSI were compared, with primary outcome measures of fertilization rate, implantation rate, clinical pregnancy rate per embryo transfer, and pregnancy loss rate. RESULT(S): Fertilization rates per oocyte retrieved for CI and ICSI were comparable (51.5% vs. 51.8%). Parallel implantation rates (22% vs. 25%), clinical pregnancy rates (32.8% vs. 33.3%), and loss rates (26.7% vs. 39.5%) were also noted. No difference in cancelled cycles was reported. CONCLUSION(S): Our results demonstrate that in the presence of normal semen parameters, low egg number is not an indication to perform ICSI.

Indexed as

Oocyte RetrievalSperm Injections, IntracytoplasmicFemaleFertilization in VitroHumansPregnancyPregnancy RateRetrospective Studies

Identifiers

PMID21792665
PMCPMC3220447

What OpenQuestion holds

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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.