Evidence map›Paper›PMID 30328573›Full record

Trial reportJournal of assisted reproduction and genetics2019

The number of biopsied trophectoderm cells may affect pregnancy outcomes.

Luis Guzman, D Nuñez, R López, N Inoue, J Portella, F Vizcarra, L Noriega-Portella, L Noriega-Hoces, S Munné

Abstract readClinical Trial
In one paragraph

Trial report 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. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. ESHRE recommendations on Good Practice in the IVF laboratory†.Human reproduction (Oxford, England) · 2026
    Guideline
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. PGT-A: what's it for, what's wrong?Journal of assisted reproduction and genetics · 2025
    Article
  10. Article
  11. Observational
  12. Review
  13. Article
  14. Observational
  15. Proceedings of the first world conference on AI in fertility.Journal of assisted reproduction and genetics · 2023
    Article
  16. Article
  17. Review
  18. Observational
  19. Article
  20. Article
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.

Luis GuzmanPRANOR Laboratorio, Grupo de Reproducción Asistida, Av. Monterrico 1045, Urb El Derby de Monterrico, 33, Lima, Peru. lguzmanm@gmail.com.ORCID http://orcid.org/0000-0002-8772-3089
D NuñezPRANOR Laboratorio, Grupo de Reproducción Asistida, Av. Monterrico 1045, Urb El Derby de Monterrico, 33, Lima, Peru.
R LópezADN Diagnostico, Calle Los Olivos 364. San Isidro, 33, Lima, Peru.
N InouePRANOR Laboratorio, Grupo de Reproducción Asistida, Av. Monterrico 1045, Urb El Derby de Monterrico, 33, Lima, Peru.
J PortellaPRANOR Laboratorio, Grupo de Reproducción Asistida, Av. Monterrico 1045, Urb El Derby de Monterrico, 33, Lima, Peru.
F VizcarraClínica Monterrico, Av. Monterrico 1045. Urb El Derby de Monterrico, 33, Lima, Peru.
L Noriega-PortellaPRANOR Laboratorio, Grupo de Reproducción Asistida, Av. Monterrico 1045, Urb El Derby de Monterrico, 33, Lima, Peru.
L Noriega-HocesPRANOR Laboratorio, Grupo de Reproducción Asistida, Av. Monterrico 1045, Urb El Derby de Monterrico, 33, Lima, Peru.
S MunnéCooperGenomics, Livingston, NJ, 0703, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study if the number of trophectoderm (TE) biopsied cells has an impact on implantation rates.

designA retrospective cohort study in a single-center study.

settingIn vitro fertilization center. PATIENTS: Patients who underwent PGT-A from January 2013 to March 2016. In total, 482 vitrified/warmed single embryo transfers were included.

interventionsNone.

main outcome measuresClinical pregnancies rate, implantation rate.

resultsOverall, clinical pregnancies per embryo transfer were higher when a regular TE were biopsied compared to larger size biopsy cells (66% (175/267) vs 53% (115/215) (p < 0.005) respectively). Pregnancy rates were also analyzed according to embryo morphology at the moment of embryo biopsy, when a good-quality embryo was transferred the clinical outcome was 75% (81/108) in group 1 and 61% (60/99) in group 2 (p < 0.05). Data was also stratified by age in patients ≤ 35 years and > 35 years. The clinical pregnancy was 67% (51/76) in women ≤ 35 years and 65% (124/191) in women > 35 years when a regular size biopsy was performed. These results significantly reduced when a larger size biopsy was performed 54% (49/91) and 53% (66/124), respectively (p < 0.05). Further investigation indicated that miscarriage rate was similar between these groups (4% (7/182) in group 1 and 5% (6/121) in group 2).

conclusionsThese findings underscore that when a large amount of TE cells are biopsied, it may negatively affect implantation rates, but once implanted, the embryos have the same chance to miscarry or reach term.

Indexed as

Embryo ImplantationEmbryo TransferPregnancy OutcomePregnancy RateAdultBiopsyEctodermEmbryo Culture TechniquesFemaleFertilization in VitroHumansPloidiesPolymorphism, Single NucleotidePregnancyPreimplantation DiagnosisRetrospective StudiesaCGHPGT-APregnancy outcomesSNP-arraysTE cells biopsy

Identifiers

PMID30328573
PMCPMC6338600

What OpenQuestion holds

Textmetadata
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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.