Evidence map›Paper›PMID 26984233›Full record

ArticleJournal of assisted reproduction and genetics2016

Discrepant diagnosis rate of array comparative genomic hybridization in thawed euploid blastocysts.

Ashley W Tiegs, Brooke Hodes-Wertz, David H McCulloh, Santiago Munné, James A Grifo

Open access · bronzeAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 2% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 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

5 authors at 2 institutions in 1 country.

Ashley W TiegsDepartment of Obstetrics and Gynecology, New York University School of Medicine, 550 First Avenue, New York, NY, 10016, USA. ashley.wood@nyumc.org.ORCID http://orcid.org/0000-0002-8611-3406
Brooke Hodes-WertzNew York University Fertility Center, New York University School of Medicine, 660 First Avenue, 5th floor, New York, NY, 10016, USA.
David H McCullohDepartment of Obstetrics and Gynecology, New York University School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
Santiago MunnéReprogenetics, Livingston, NJ, USA.
James A GrifoNew York University Fertility Center, New York University School of Medicine, 660 First Avenue, 5th floor, New York, NY, 10016, USA.
New York University · USReprogenetics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePreimplantation genetic screening (PGS) and diagnosis (PGD) with euploid embryo transfer is associated with improved implantation and live birth rates as compared to routine in vitro fertilization. However, misdiagnosis of the embryo is a potential risk. The purpose of this study was to investigate the clinical discrepant diagnosis rate associated with transfer of trophectoderm-biopsied blastocysts deemed to be euploid via array comparative genomic hybridization (aCGH).

methodsThis is a retrospective cohort study including cycles utilizing PGS or PGD with trophectoderm biopsy, aCGH, and euploid embryo transfer at a large university-based fertility center with known birth outcomes from November 2010 through July 2014 (n = 520).

resultsThere were 520 embryo transfers of 579 euploid embryos as designated by aCGH. Five discrepant diagnoses were identified. Error rate per embryo transfer cycle was 1.0 %, 0.9 % per embryo transferred, and 1.5 % per pregnancy with a sac. The live birth (LB) error rate was 0.7 % (both sex chromosome errors), and the spontaneous abortion (SAB) error rate was 17.6 % (3/17 products of conception tested, but could range from 3/42 to 7/42). No single gene disorders were mistakenly selected for in any known cases.

conclusionsAlthough aCGH has been shown to be a highly sensitive method of comprehensive chromosome screening, several possible sources of error still exist. While the overall error rate is low, these findings have implications for counseling couples that are contemplating PGS and PGD with aCGH.

Indexed as

BlastocystCohort StudiesComparative Genomic HybridizationDiagnostic ErrorsEmbryo ImplantationEmbryo TransferFemaleFertilization in VitroGenetic TestingHumansPregnancyPreimplantation DiagnosisRetrospective StudiesTreatment OutcomeArray comparative genomic hybridization (aCGH)CounselingError rateMisdiagnosisPreimplantation genetic diagnosis (PGS)Preimplantation genetic screening (PGS)

Identifiers

PMID26984233
PMCPMC4930775
OpenAlexW2308687326

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.