Evidence map›Paper›PMID 25906823›Full record

ArticleReproductive biology and endocrinology : RB&E2015

Prospectively assessing risk for premature ovarian senescence in young females: a new paradigm.

Norbert Gleicher, Vitaly A Kushnir, David H Barad

Abstract readValidation Study
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2015. 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. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Premature ovarian insufficiency (POI) and autoimmunity-an update appraisal.Journal of assisted reproduction and genetics · 2019
    Review
  10. Autoimmune premature ovarian failure.Przeglad menopauzalny = Menopause review · 2016
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

3 authors.

Norbert GleicherThe Center for Human Reproduction, 21 East 69th Street, New York, NY, 10021, USA. ykizawa@thechr.com.
Vitaly A KushnirThe Center for Human Reproduction, 21 East 69th Street, New York, NY, 10021, USA. vkushnir@thechr.com.
David H BaradThe Center for Human Reproduction, 21 East 69th Street, New York, NY, 10021, USA. dbarad@thechr.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 10% of women suffer from premature ovarian senescence (POS), ca. 9% as occult primary ovarian insufficiency (OPOI, also called premature ovarian aging, POA) and ca. 1% as primary ovarian insufficiency (POI, also called premature ovarian failure, POF). In a large majority of cases POS is currently only diagnosed at advanced clinical stages when women present with clinical infertility.

methodsWe here, based on published evidence, suggest a new diagnostic paradigm, which is based on identifying young women at increased risk for POS at much earlier stages.

resultsRisk factors for POS are known from the literature, and can be used to identify a sub-group of young women at increased risk, who then are followed sequentially with serial assessments of functional ovarian reserve (FOR) until a diagnosis of POS is either reached or refuted. At approximately 25% prevalence in general U.S. populations (and somewhat different prevalence rates in more homogenous Asian and African populations), so-called low (CGGn<26) mutations of the fragile X mental retardation 1 (FMR1) gene, likely, represents the most common known risk factor, including history-based risk factors from medical, genetic and family histories.

conclusionsWomen so affirmatively diagnosed with POS at relative young ages, then have the opportunity to reconsider their reproductive planning and/or choose fertility preservation via oocyte or ovarian tissue cryopreservation at ages when such procedures are clinically much more effective and, therefore, also more cost-effective. Appropriate validation studies will have to precede widespread utilization of this paradigm.

Indexed as

Ovarian ReserveAdolescentAdultAnti-Mullerian HormoneCost-Benefit AnalysisFemaleFertility PreservationFragile X Messenger Ribonucleoprotein 1HumansMass ScreeningPrimary Ovarian InsufficiencyRisk FactorsAnti-Mullerian HormoneFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID25906823
PMCPMC4407846

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Registered trials

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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.