Evidence map›Paper›PMID 27491771›Full record

ReviewJournal of assisted reproduction and genetics2016

Pre-implantation genetic testing in ART: who will benefit and what is the evidence?

Alberto Vaiarelli, Danilo Cimadomo, Antonio Capalbo, Giovanna Orlando, Fabio Sapienza, Silvia Colamaria, Antonio Palagiano, Carlo Bulletti, Laura Rienzi, Filippo Maria Ubaldi

Abstract readReview
In one paragraph

Review 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Stem cells and reproduction.BMB reports · 2019
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Predictive value of spindle retardance in embryo implantation rate.Journal of assisted reproduction and genetics · 2017
    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

10 authors.

Alberto VaiarelliG.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Danilo CimadomoG.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Antonio CapalboG.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Giovanna OrlandoG.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Fabio SapienzaG.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Silvia ColamariaG.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Antonio PalagianoSecond University of Naples, Caserta, Italy.
Carlo BullettiPhysiopathology of Reproduction Unit, Cattolica General Hospital, Cattolica, Italy.
Laura RienziG.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy.
Filippo Maria UbaldiG.EN.E.R.A. Centers for Reproductive Medicine, Rome, Italy. ubaldi.fm@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pre-implantation genetic diagnosis for aneuploidy testing (PGD-A) is a tool to identify euploid embryos during IVF. The suggested populations of patients that can benefit from it are infertile women of advanced maternal age, with a history of recurrent miscarriages and/or IVF failures. However, a general consensus has not yet been reached.After the clinical failure of its first version based on cleavage stage biopsy and 9 chromosome-FISH analysis, PGD-A is currently performed by 24 chromosome screening techniques on trophectoderm (TE) biopsies. This approach has been clearly demonstrated to involve a higher clinical efficiency with respect to the standard care, in terms of sustained pregnancy rate per transfer and lower miscarriage rate. However, data about PGD-A efficacy calculated on a per intention-to-treat basis, as well as an analysis of its cost-effectiveness, are still missing.TE biopsy is a safe and extensively validated approach with low biological and technical margin of error. Firstly, the prevalence of mosaic diploid/aneuploid blastocysts is estimated to be between 0 and 16 %, thus largely tolerable. Secondly, all the comprehensive chromosome screening (CCS) technologies adapted to, or designed to conduct PGD-A are highly concordant, and qPCR in particular has been proven to show the lowest false positive error rate (0.5 %) and a clinically recognizable error rate per blastocyst of just 0.21 %.In conclusion, there is a sufficient body of evidence to support the clinical application of CCS-based PGD-A on TE biopsies. The main limiting factor is the need for a high-standard laboratory to conduct blastocyst culture, biopsy and vitrification without impacting embryo viability.

Indexed as

BlastocystEmbryo ImplantationEmbryo TransferFemaleGenetic TestingHumansInfertility, FemalePregnancyPregnancy RatePreimplantation DiagnosisReproductive Techniques, AssistedVitrificationAneuploidy testingBlastocystCounsellingIVFPGDPGD-A

Identifiers

PMID27491771
PMCPMC5065560

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.