Evidence map›Paper›PMID 29931967›Full record

ArticleJBRA assisted reproduction2018

Luteal phase ovarian stimulation for poor ovarian responders.

Wei Zhang, Meimei Wang, Shuang Wang, Hongchu Bao, Qinglan Qu, Ning Zhang, Cuifang Hao

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in JBRA assisted reproduction, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04447872 (Prospective, Randomized Trial Comparing Luteal Phase Ovarian Stimulation, and Luteal Estradiol Priming Protocol for Patients With Diminished Ovarian Reserve - The LUTEAL Trial), which is not on this map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
4.0field-weighted citation impact, top 7% 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.

NCT04447872 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Prospective, Randomized Trial Comparing Luteal Phase Ovarian Stimulation, and Luteal Estradiol Priming Protocol for Patients With Diminished Ovarian Reserve - The LUTEAL Trial

TypeinterventionalSponsorNorthwell HealthRan2020 to 2025Enrolled142ConditionsInfertility, Diminished Ovarian Reserve, IVFArmsTiming of injectable gonadotropins
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 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

7 authors at 1 institution in 1 country.

Wei ZhangYantai Yuhuangding Hospital of Qingdao University - Yantai - China.
Meimei WangYantai Yuhuangding Hospital of Qingdao University - Yantai - China.
Shuang WangYantai Yuhuangding Hospital of Qingdao University - Yantai - China.
Hongchu BaoYantai Yuhuangding Hospital of Qingdao University - Yantai - China.
Qinglan QuYantai Yuhuangding Hospital of Qingdao University - Yantai - China.
Ning ZhangYantai Yuhuangding Hospital of Qingdao University - Yantai - China.
Cuifang HaoYantai Yuhuangding Hospital of Qingdao University - Yantai - China.
Yuhuangding Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the clinical outcomes of follicular versus luteal phase ovarian stimulation in women with poor ovarian response (Bologna criteria) undergoing IVF.

methodsThis retrospective study investigated 446 patients submitted to 507 cycles in three groups. First, the two larger cohorts were examined: 154 patients treated with luteal phase ovarian stimulation (Group Lu); and 231 patients administered follicular phase ovarian stimulation (Group Fo). Then the clinical outcomes of 61 patients submitted to double ovarian stimulation were analyzed. Clinical outcomes included number of retrieved oocytes, fertilization rate, cleavage rate, top-quality embryo rate, clinical pregnancy rate (CPR), and live birth rate (LBR).

resultsLonger stimulation, higher dosages of HMG, and higher MII oocyte rates were achieved in Group Lu (p<0.001). There were no significant differences in CPR and LBR between the two groups offered frozen-thawed embryo transfer (28.4% vs. 33.0%, p=0.484; 22.9% vs. 25.5%, p=0.666). In the double ovarian stimulation group, the number of oocytes retrieved in the luteal phase stimulation protocol was higher (p=0.035), although luteal phase stimulation yielded a lower rate of MII oocytes (p=0.031). CPR and LBR were not statistically different (13.8% vs. 21.4%, p=0.525; 10.3% vs. 14.3%, p=0.706).

conclusionLuteal phase ovarian stimulation may be a promising protocol to treat women with POR, particularly for patients unable to yield enough viable embryos through follicular phase ovarian stimulation or other protocols.

Indexed as

AdultBirth RateFemaleHumansLuteal PhaseOocyte RetrievalOvarian FollicleOvulation InductionPregnancyPregnancy RateRetrospective StudiesTime FactorsTreatment OutcomeIVF-ETlive birth rateovarian stimulationPoor ovarian response

Identifiers

PMID29931967
PMCPMC6106630
OpenAlexW2887276513

What OpenQuestion holds

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LicenceCC BY
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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.