Evidence map›Paper›PMID 30475822›Full record

ArticlePloS one2018

Clinical and neonatal outcomes of patients of different ages following transfer of thawed cleavage embryos and blastocysts cultured from thawed cleavage-stage embryos.

Qin-Wei Zhou, Shuang Jing, Li Xu, Hui Guo, Chang-Fu Lu, Fei Gong, Guang-Xiu Lu, Ge Lin, Yi-Fan Gu

Abstract readComparative Study
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Congenital anomaly and perinatal outcome following blastocyst- vs cleavage-stage embryo transfer: systematic review and network meta-analysis.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2023
    Pooled it
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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.

Qin-Wei ZhouInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha City, Hunan Province, China.
Shuang JingInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha City, Hunan Province, China.
Li XuInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha City, Hunan Province, China.
Hui GuoReproductive & Genetic Hospital of CITIC-XIANGYA, Changsha City, Hunan Province, China.
Chang-Fu LuInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha City, Hunan Province, China.
Fei GongInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha City, Hunan Province, China.
Guang-Xiu LuInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha City, Hunan Province, China.
Ge LinInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha City, Hunan Province, China.
Yi-Fan GuInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha City, Hunan Province, China.ORCID 0000-0001-7669-5046

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrozen-thawed embryo transfer (FET) has become a routine procedure in assisted reproductive technology (ART). In FET, although blastocysts cultured from thawed cleavage-stage embryos are associated with better perinatal outcomes. it may increase cycle cancellation due to no suitable embryo to transfer. The overall clinical outcomes following transfer of thawed cleavage-stage FET and blastocysts cultured from thawed cleavage-stage embryos in young and advanced age patients remains unclear. Therefore, we aimed to identify the optimal FET strategy in young and advanced age women who undergo FET.

methodsThis retrospective study included 16,387 thaw cycles. We retrospectively analyzed data of couples who had completed the first FET cycle. Two FET strategies were studied: transfer of thawed cleavage-stage embryos (strategy A) or blastocysts cultured from thawed cleavage-stage embryos (strategy B). The clinical and neonatal outcomes of two FET strategies were compared in young (<35 years) and advanced (≥35 years) age women.

resultsIn young women, the clinical outcomes per transfer cycle were better in strategy B than strategy A. While the clinical pregnancy (59.29%, 52.60%) and live birth rates (49.37%, 43.88%) per thaw cycle were significantly higher in strategy A than in B. In women of advanced age, the clinical outcomes per transfer cycle were still better in strategy B than in A, and the clinical pregnancy (36.44%, 39.66%) and live birth rates (25.70%, 30.00%) per thaw cycle were significantly higher in strategy B than in A.

conclusionsFET of blastocysts cultured from cleavage-stage embryos showed higher efficiency for per transfer cycle whether in younger or advanced age women. Whereas, when cycle cancellations due to no suitable embryo to transfer were considered, cleavage-stage FET was found to be more suitable for younger women, while FET of blastocysts cultured from cleavage-stage embryos was better suited for women of advanced age.

Indexed as

CryopreservationEmbryo Culture TechniquesEmbryo TransferPregnancy OutcomeAdultAge FactorsFemaleFollow-Up StudiesHumansMiddle AgedPregnancyRetrospective Studies

Identifiers

PMID30475822
PMCPMC6261106

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Registered trials

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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.