Evidence map›Paper›PMID 27549760›Full record

SynthesisJournal of assisted reproduction and genetics2016

Preparation of endometrium for frozen embryo replacement cycles: a systematic review and meta-analysis.

Hakan Yarali, Mehtap Polat, Sezcan Mumusoglu, Irem Yarali, Gurkan Bozdag

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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. It is linked to trial NCT03095053 (PGT for Aneuploidy Does Not Enhance Live Birth in Young Patients), which is not on this map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 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.

NCT03095053 nacompletednot on this mapstarted 2017, after this paper: background citation

PGT for Aneuploidy Does Not Enhance Live Birth in Young Patients (≤35 Years): a Randomized Controlled Trial of Single Blastocyst Frozen Embryo Transfers (ClinicalTrials.Gov ID: NCT03095053)

TypeinterventionalSponsorAntalya IVFRan2017 to 2018Enrolled302ConditionsPregnancyArmscomprehensive chromosome screening
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. Acupuncture improves the live birth of patients with repeated implantation failure: a retrospective cohort study.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 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

5 authors.

Hakan YaraliDepartment of Obstetric and Gynecology, Hacettepe University School of Medicine, 06100, Ankara, Turkey. hyarali@hacettepe.edu.tr.
Mehtap PolatAnatolia IVF and Women Health Centre, Ankara, Turkey.
Sezcan MumusogluDepartment of Obstetric and Gynecology, Hacettepe University School of Medicine, 06100, Ankara, Turkey.
Irem YaraliAnatolia IVF and Women Health Centre, Ankara, Turkey.
Gurkan BozdagDepartment of Obstetric and Gynecology, Hacettepe University School of Medicine, 06100, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate the best protocol to prepare endometrium for frozen embryo replacement (FER) cycles.

methodsThis study is a systematic review and meta-analysis. Following PubMed and OvidSP search, a total of 1166 studies published after 1990 were identified following removal of duplicates. Following exclusion of studies not matching our inclusion criteria, a total of 33 studies were analyzed. Primary outcome measure was live birth. The following protocols, including true natural cycle (tNC), modified natural cycle (mNC), artificial cycle (AC) with or without suppression, and mild ovarian stimulation (OS) with gonadotropin (Gn) or aromatase inhibitor (AI), were compared.

resultsNo statistically significant difference for both clinical pregnancy and live birth was noted between tNC and mNC groups. When tNC and AC without suppression groups are compared, there was a statistically significant difference in clinical pregnancy rate in favor of tNC, whereas it failed to reach statistical significance for live birth. When tNC and AC with suppression groups are compared, there was a statistically significant difference in live birth rate favoring the latter. Similar pregnancy outcome was noted among mNC versus AC with or without suppression groups. Similarly, no difference in clinical pregnancy and live birth was noted when ACs with or without suppression groups are compared.

conclusionsThere is no consistent superiority of any endometrial preparation for FER. However, mNC has several advantages (being patient-friendly; yielding at least equivalent or better pregnancy rates when compared with tNC and AC with or without suppression; may not require LPS). Mild OS with Gn or AI may be promising.

Indexed as

CryopreservationEmbryo TransferEmbryo ImplantationEndometriumFemaleFertilization in VitroGonadotropinsHumansLive BirthOvulation InductionPregnancyPregnancy OutcomePregnancy RateProgesteroneGonadotropinsProgesteroneAssisted reproductionEndometrial preparationFrozen embryo replacementMeta-analysisThawed embryo transfer

Identifiers

PMID27549760
PMCPMC5065562

What OpenQuestion holds

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Registered trials

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.