Evidence map›Paper›PMID 30220024›Full record

SynthesisArchives of gynecology and obstetrics2018

Therapeutic role of granulocyte colony-stimulating factor (G-CSF) for infertile women under in vitro fertilization and embryo transfer (IVF-ET) treatment: a meta-analysis.

Ling Zhang, Wei-Hai Xu, Xiao-Hua Fu, Qiong-Xiao Huang, Xiao-Yan Guo, Lin Zhang, Shi-Shi Li, Jing Zhu, Jing Shu

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisReview
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. It is linked to trial NCT06174298 (The Role of Granulocyte Colony Stimulating Factor in Embryo Transfer Outcomes), which is not on this map. Cited by 32 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 7 pooled it
3.0field-weighted citation impact, top 8% 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.

NCT06174298 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

The Role of Granulocyte Colony Stimulating Factor in Embryo Transfer Outcomes

TypeinterventionalSponsorNewlife Fertility CentreRan2024 to 2025Enrolled300ConditionsInfertility, Infertility,Female, Infertility, Female, NonimplantationArmsGranulocyte Colony-Stimulating Factor (Filgrastim), Standard Embryo Transfer Media
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 7 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Interventions for recurrent embryo implantation failure: An umbrella review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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  12. Treatment experience of patients with failedFrontiers in public health · 2026
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  13. Ovarian stimulation by promoting basal follicular growth.Reproductive biology and endocrinology : RB&E · 2025
    Review
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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

9 authors at 1 institution in 1 country.

Ling ZhangDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China.ORCID 0000-0002-7917-7671
Wei-Hai XuDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China.
Xiao-Hua FuDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China.
Qiong-Xiao HuangDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China.
Xiao-Yan GuoDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China.
Lin ZhangDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China.
Shi-Shi LiDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China.
Jing ZhuDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China. zhu_jing1982@163.com.
Jing ShuDepartment of Reproductive Endocrinology, Hangzhou Medical College, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou, China. shujingone@aliyun.com.
Zhejiang Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this meta-analysis is to explore the beneficial role of granulocyte colony-stimulating factor (G-CSF) on infertile women under artificial reproduction technology treatment.

methodMedline, Embase and ISI Web of Science databases were searched to identify relevant randomized control trials. Studies before July, 2017 were included for primary screening. Meta-analysis of the total and subgroup patients was conducted, and relative risks (RRs) and their 95% confidence intervals (95% CI) were calculated by a fixed-effect model if no heterogeneity (evaluated as I

resultsThe final selection enrolled 10 RCTs, involving 1016 IVF-ET cycles (521 distributed to the G-CSF group and 495 to the control). Compared with control group, G-CSF administration could significantly improve clinical pregnancy rate (CPR, RR 1.89, 95% CI 1.53-2.33), while it had no beneficial effect on embryo implantation rate (IR, RR 1.84, 95% CI 0.84-4.03). The subgroup analysis by administration route showed that both uterine infusion and subcutaneous injection can produce a substantial increase in CPR, with the pooled RRs (95% CI) 1.46 (1.04-2.05) and 2.23 (1.68-2.95), respectively. Nevertheless, most of included RCTs dealt with the RIF subjects, and the pooled analysis of this data showed a higher PR and IR in G-CSF group as compared to that in the control, with the RRs (95% CI) 2.07 (1.64-2.61) and 1.52 (1.08-2.14), respectively. Egger regression test did not demonstrate any significance for the publication bias.

conclusionG-CSF administration has a beneficial role on the clinical outcome after embryo transfer by both routes of local infusion and systematic administration, especially for the cases with RIF. Further RCTs are needed to investigate the role of G-CSF in thin endometrium patients.

Indexed as

AdultEmbryo TransferFemaleFertilization in VitroGranulocyte Colony-Stimulating FactorHumansInfertility, FemalePregnancyGranulocyte Colony-Stimulating FactorEmbryo transferGranulocyte colony-stimulating factorInfertilityMeta-analysisRepeated implantation failureThin endometrium

Identifiers

PMID30220024
PMCPMC6182707
OpenAlexW2889876526

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.