Evidence map›Paper›PMID 26238389›Full record

ArticleJournal of assisted reproduction and genetics2015

Slow freezing should not be totally substituted by vitrification when applied to day 3 embryo cryopreservation: an analysis of 5613 frozen cycles.

Hai-Yan Zhu, Ya-Mei Xue, Ling-Yun Yang, Ling-Ying Jiang, Chao Ling, Xiao-Mei Tong, Song-Ying Zhang

Open access · bronzeAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Hai-Yan ZhuSir Run Run Shaw Hospital, College of Medicine, Zhejiang University, 3# East Qing Chun Road, Hangzhou, 310016, China.
Ya-Mei XueSir Run Run Shaw Hospital, College of Medicine, Zhejiang University, 3# East Qing Chun Road, Hangzhou, 310016, China.
Ling-Yun YangSir Run Run Shaw Hospital, College of Medicine, Zhejiang University, 3# East Qing Chun Road, Hangzhou, 310016, China.
Ling-Ying JiangSir Run Run Shaw Hospital, College of Medicine, Zhejiang University, 3# East Qing Chun Road, Hangzhou, 310016, China.
Chao LingSir Run Run Shaw Hospital, College of Medicine, Zhejiang University, 3# East Qing Chun Road, Hangzhou, 310016, China.
Xiao-Mei TongSir Run Run Shaw Hospital, College of Medicine, Zhejiang University, 3# East Qing Chun Road, Hangzhou, 310016, China.
Song-Ying ZhangSir Run Run Shaw Hospital, College of Medicine, Zhejiang University, 3# East Qing Chun Road, Hangzhou, 310016, China. zhangsongying@126.com.
Zhejiang University · CNSir Run Run Shaw Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to compare slow freezing (SF) and vitrification (VT) techniques for day 3 embryo cryopreservation in infertile couples.

methodsThis retrospective cohort study enrolled 5613 infertile patients, with 7862 frozen-thawed day 3 embryos and 3845 vitrified-warmed day 3 embryos, from 2010 to 2014, at a single center. The rates of embryo survival, pregnancy, implantation, miscarriage, live birth, and live birth weight were compared between the two groups.

resultsA total of 5613 cycles with 5520 transfers were analyzed. Using SF, the rates of overall embryo survival and fully intact blastomeres were lower than those in VT (91.5 vs. 97.4 % and 68.7 vs. 92.3 %, respectively). The rate of good quality embryos after thawing/warming was lower in SF than in VT. In single frozen embryo transfer cycles (FETs), the pregnancy and implantation rates were similar between the two groups (35.0 vs. 40.8 % and 34.6 vs. 35.9 %, respectively). In double FETs, the pregnancy rate per cycle was also similar between the groups (58.8 vs. 58.4 %). The implantation rate per embryo transfer was significantly higher with SF than with VT (38.8 vs. 34.6 %). With adjustment for maternal age and the number of good quality embryos, differences in implantation rate remained significant (adjusted P value, SF vs. VT P < 0.05). No independent effect was found for the method of cryopreservation on the pregnancy rate. No significant differences in the rates of miscarriage, live birth, and live birth weight were observed between the two techniques.

conclusionsDespite the significantly low embryo survival rate, fully intact blastomere rate, and good quality embryo rate in SF, the pregnancy and implantation rates were not adversely affected in single and double FETs. SF yielded an equivalent miscarriage rate, live birth rate, and live birth weight compared with VT. The SF protocol to cryopreserve day 3 embryos still should be considered.

Indexed as

Birth RateEmbryo ImplantationFreezingInfertilityVitrificationAdultBlastomeresCryopreservationEmbryo TransferFemaleFollow-Up StudiesHumansLive BirthPregnancyPregnancy RateRetrospective StudiesCryopreservationImplantation ratePregnancy outcomeSlow freezingVitrification

Identifiers

PMID26238389
PMCPMC4595391
OpenAlexW1110056430

What OpenQuestion holds

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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.