Evidence map›Paper›PMID 28839144›Full record

ArticleScientific reports2017

The sex ratio of singleton and twin delivery offspring in assisted reproductive technology in China.

Mengxi Chen, Jiangbo Du, Jing Zhao, Hong Lv, Yifeng Wang, XiaoJiao Chen, Junqiang Zhang, Lingmin Hu, Guangfu Jin, Hongbing Shen and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 39 citations in OpenAlex.

  1. The Effect of Assisted Reproductive Technologies on Human Sex Ratios.The Australian & New Zealand journal of obstetrics & gynaecology · 2025
    Article
  2. Parental mixed-gender preferences revealed by IVF twin births.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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  10. Twinning during the pandemic: Evidence of selectionEvolution, medicine, and public health · 2021
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  14. Observational
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

14 authors at 2 institutions in 1 country.

Mengxi ChenState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Jiangbo DuState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Jing ZhaoState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Hong LvState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Yifeng WangState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
XiaoJiao ChenState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Junqiang ZhangState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Lingmin HuState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Guangfu JinState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Hongbing ShenState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Zhibin HuState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Fang XiongState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China. xiongfang58@163.com.
Li ChenState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China. shaoshan686@163.com.
Xiufeng LingState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China. lingxiufeng_njfy@163.com.
Nanjing Medical University · CNNanjing Maternity and Child Health Care Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In order to evaluate the impact of assisted reproductive technology (ART) procedure and individual factors on the sex ratio of singletons and twins at birth after in vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI) treatment in China. We conducted a retrospective cohort study including patients undergoing their first cycle of IVF or ICSI with autologous oocytes from 2001 to 2015. A total of 7410 babies were born from 5832 women with 7410 live birth. The secondary sex ratio (SSR) in singletons was significantly higher than twins (53.97% vs. 50.89%, P = 0.009). The largest disparity was observed in 'thawed blastocyst embryos ICSI' subgroup that SSR was 59.84% in singletons and 42.45% in twins (P = 0.013). Blastocyst transfer was positively associated with elevated SSR when compared to cleavage stage embryos in singletons (Odds Ratio [OR] = 1.17, P < 0.001). In addition, paternal age was significantly associated with SSR (OR = 0.75, P = 0.014). While the decrease of SSR was significantly associated with ICSI when compared to IVF (OR = 0.61, P = 0.046) in twins. Blastocyst transfer increases SSR in comparing with cleavage stage embryos in singletons, while the use of ICSI reduces SSR in twins. Our findings offered important complement for better understanding the underlying determinant of SSR in ART offspring.

Indexed as

Delivery, ObstetricReproductive Techniques, AssistedSex RatioAdultChinaFemaleHumansMaleRetrospective StudiesTwins

Identifiers

PMID28839144
PMCPMC5570918
OpenAlexW2744965349

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.