Evidence map›Paper›PMID 25813283›Full record

ArticleFertility and sterility2015

Single vitrified blastocyst transfer maximizes liveborn children per embryo while minimizing preterm birth.

Kate Devine, Matthew T Connell, Kevin S Richter, Christina I Ramirez, Eric D Levens, Alan H DeCherney, Robert J Stillman, Eric A Widra

Open access · greenAbstract read
In one paragraph

Article in Fertility and sterility, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.3field-weighted citation impact, top 4% 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.

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

18 citing papers in PubMed, 52 citations in OpenAlex.

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  5. Cryopreservation, cryoprotectants, and potential risk of epigenetic alteration.Journal of assisted reproduction and genetics · 2024
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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

8 authors at 3 institutions in 1 country.

Kate DevineProgram in Reproductive and Adult Endocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Rockville, Maryland; Shady Grove Fertility Reproductive Science Center, Washington, District of Columbia; Shady Grove Fertility Reproductive Science Center, Rockville, Maryland. Electronic address: kate.devine@nih.gov.
Matthew T ConnellProgram in Reproductive and Adult Endocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Rockville, Maryland.
Kevin S RichterShady Grove Fertility Reproductive Science Center, Washington, District of Columbia; Shady Grove Fertility Reproductive Science Center, Rockville, Maryland.
Christina I RamirezDepartment of Obstetrics and Gynecology, Walter Reed National Military Medical Center, Bethesda, Maryland.
Eric D LevensShady Grove Fertility Reproductive Science Center, Washington, District of Columbia; Shady Grove Fertility Reproductive Science Center, Rockville, Maryland.
Alan H DeCherneyProgram in Reproductive and Adult Endocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Rockville, Maryland.
Robert J StillmanShady Grove Fertility Reproductive Science Center, Washington, District of Columbia; Shady Grove Fertility Reproductive Science Center, Rockville, Maryland.
Eric A WidraShady Grove Fertility Reproductive Science Center, Washington, District of Columbia; Shady Grove Fertility Reproductive Science Center, Rockville, Maryland.
Reproductive Science Center · USNational Institutes of Health · USWalter Reed National Military Medical Center · US

Funding

Reproductive Endocrinology And Infertility Clinical Training ProgramZIEHD008737 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI HILL, MICAH · 2011 to 2025
$24.0M
Intramural NIH HHS Z99 HD999999
6 · The paper itself

Abstract

objectiveTo compare live-birth rates, blastocyst to live-birth efficiency, gestational age, and birth weights in a large cohort of patients undergoing single versus double thawed blastocyst transfer.

designRetrospective cohort study.

settingAssisted reproduction technology (ART) practice. PATIENT(S): All autologous frozen blastocyst transfers (FBT) of one or two vitrified-warmed blastocysts from January 2009 through April 2012. INTERVENTION(S): Single or double FBT. MAIN OUTCOME MEASURE(S): Live birth, blastocyst to live-birth efficiency, preterm birth, low birth weight. RESULT(S): Only supernumerary blastocysts with good morphology (grade BB or better) were vitrified, and 1,696 FBTs were analyzed. No differences were observed in patient age, rate of embryo progression, or postthaw blastomere survival. Double FBT yielded a higher live birth per transfer, but 33% of births from double FBT were twins versus only 0.6% of single FBT. Double FBT was associated with statistically significant increases in preterm birth and low birth weight, the latter of which was statistically significant even when the analysis was limited to singletons. Of the blastocysts transferred via single FBT, 38% resulted in a liveborn child versus only 34% with double FBT. This suggests that two single FBTs would result in more liveborn children with significantly fewer preterm births when compared with double FBT. CONCLUSION(S): Single FBT greatly decreased multiple and preterm birth risk while providing excellent live-birth rates. Patients should be counseled that a greater overall number of live born children per couple can be expected when thawed blastocysts are transferred one at a time.

Indexed as

Infant, Low Birth WeightAdultAge DistributionCohort StudiesCryopreservationEmbryo Culture TechniquesEmbryo TransferFemaleHumansLive BirthMarylandPregnancyPremature BirthRetrospective StudiesRisk FactorsTreatment OutcomeFrozen embryo transferlow birth weightpreterm birthsingle embryo transfervitrification

Identifiers

PMID25813283
PMCPMC4457687
OpenAlexW2025123283

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.