Evidence map›Paper›PMID 29344847›Full record

SynthesisArchives of gynecology and obstetrics2018

The effect of surgical management of endometrioma on the IVF/ICSI outcomes when compared with no treatment? A systematic review and meta-analysis.

M Nickkho-Amiry, R Savant, K Majumder, E Edi-O'sagie, M Akhtar

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 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

33 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Clinical practice guidelines for endometriosis in Japan (The 3rd edition).The journal of obstetrics and gynaecology research · 2022
    Guideline
  5. Pooled it
  6. Pooled it
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Endometriosis and In Vitro Fertilization.Medicina (Kaunas, Lithuania) · 2024
    Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

M Nickkho-AmiryUniversity Hospital of South Manchester, Southmoor Rd, Wythenshawe, Manchester, M23 9LT, UK. mamiry@me.com.ORCID http://orcid.org/0000-0001-7504-4516
R SavantCentral Manchester Foundation Trust, Manchester, UK.
K MajumderCentral Manchester Foundation Trust, Manchester, UK.
E Edi-O'sagieCentral Manchester Foundation Trust, Manchester, UK.
M AkhtarCentral Manchester Foundation Trust, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the impact of surgical management of endometrioma on the outcome of assisted reproduction treatment (ART).

designA systematic review and meta-analysis.

settingDepartment of reproductive medicine at teaching university hospital, UK. PATIENTS: Subfertile women with endometrioma undergoing ART.

interventionsSurgical removal of endometrioma or expectant management.

main outcome measuresClinical pregnancy rate, pregnancy rate, live birth rate, number of oocytes retrieved and number of embryos available and ovarian response to gonadotrophins.

resultsAn extensive search of electronic databases for articles published from inception to September 2016 yielded 11 eligible studies for meta-analysis. Meta-analysis was conducted comparing surgery versus no treatment of endometrioma. There were no significant differences in pregnancy rate per cycle, clinical pregnancy rate and live birth rate between women who underwent surgery for endometrioma and those who did not.

conclusionCurrent evidence suggests that women with endometriosis-related infertility have similar cycle outcomes to other patients going through ART. It is pertinent for clinicians to assess the risks of surgical intervention on ovarian reserve prior to initiating therapy.

Indexed as

Fertilization in VitroSperm Injections, IntracytoplasmicBirth RateEndometriosisFemaleHumansInfertility, FemaleOocyte RetrievalOvarian ReserveOvaryPregnancyPregnancy OutcomePregnancy RateTreatment OutcomeARTEndometriomaPregnancy outcomeSurgery

Identifiers

PMID29344847
PMCPMC5849664

What OpenQuestion holds

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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.