Evidence map›Paper›PMID 30246223›Full record

ArticleJournal of assisted reproduction and genetics2019

Rates of live birth after mosaic embryo transfer compared with euploid embryo transfer.

Lei Zhang, Daimin Wei, Yueting Zhu, Yuan Gao, Junhao Yan, Zi-Jiang Chen

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of assisted reproduction and genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04109846 (Transfer of Aneuploid or Mosaic Embryos Following Preimplantation Genetic Testing), which is not on this map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 pooled it
11.2field-weighted citation impact, top 1% 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.

NCT04109846 narecruitingnot on this map

Transfer of Aneuploid or Mosaic Embryos Following Preimplantation Genetic Testing

TypeinterventionalSponsorStanford UniversityRan2019 to 2039Enrolled300ConditionsAneuploidy, Mosaicism, Pregnancy OutcomeArmsNon-euploid embryo transfer, Euploid Transfer
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 5 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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  19. Embryo Culture Medium Has No Impact on Mosaicism Rates: a Sibling Oocyte Study.Reproductive sciences (Thousand Oaks, Calif.) · 2023
    Observational
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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

6 authors at 3 institutions in 1 country.

Lei ZhangCenter for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jingliu Road 157, Jinan, 250021, China.
Daimin WeiCenter for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jingliu Road 157, Jinan, 250021, China.
Yueting ZhuCenter for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jingliu Road 157, Jinan, 250021, China.
Yuan GaoCenter for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jingliu Road 157, Jinan, 250021, China.
Junhao YanCenter for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jingliu Road 157, Jinan, 250021, China. yyy306@126.com.
Zi-Jiang ChenCenter for Reproductive Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jingliu Road 157, Jinan, 250021, China.
Shandong Provincial Hospital · CNShandong University · CNShanghai Jiao Tong University · CN

Funding

Innovative Foundation of Reproductive Hospital Affiliated to Shandong University 20171114National Key Research and Development Program of China 2016YFC1000202National Natural Science Foundation of China 81671522
6 · The paper itself

Abstract

purposeMosaicism is a prevalent characteristic of human preimplantation embryos. This retrospective cohort study aimed to investigate pregnancy outcomes after transfer of mosaic or euploid embryos.

methodsThe embryos, which had been transferred as "euploidy," were processed using array-based comparative genomic hybridization (aCGH). The original aCGH charts of the transferred embryos were reanalyzed. Mosaic and control euploid embryos were defined according to log2 ratio calls.

resultsOverall, 102 embryos were determined to be mosaic, of which 101 were estimated to harbor no more than 50% aneuploid mosaicism. Additionally, 268 euploid embryos were matched as controls. The rates of live birth (46.6% vs. 59.1%, odds ratio (OR) 0.60, 95% confidence interval (CI) 0.38-0.95), and biochemical pregnancy (65.7% vs. 76.1%, OR 0.60, 95% CI 0.37-0.99) per transfer cycle were significantly lower after mosaic embryo transfer than after euploid embryo transfer. The rates of clinical pregnancy and pregnancy loss and the risks of obstetric outcomes did not differ significantly between the two groups.

conclusionsCompared with euploid embryo transfer, mosaic embryo transfer is associated with a lower rate of live birth, which is mainly attributed to a decreased rate of conception. However, as mosaic embryo transfer yielded a live birth rate of 46.6%, patients without euploid embryos could be counseled regarding this alternative option.

Indexed as

AneuploidyBirth RateBlastocystLive BirthMosaicismAdultComparative Genomic HybridizationEmbryo TransferFemaleGenetic TestingHumansPregnancyPreimplantation DiagnosisRetrospective StudiesEmbryo transferLive birthMosaic embryoMosaicismObstetric outcome

Identifiers

PMID30246223
PMCPMC6338591
OpenAlexW2894027174

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.