Evidence map›Paper›PMID 30478807›Full record

ArticleJournal of assisted reproduction and genetics2019

Fertility preservation in women with malignancies: the accuracy of antral follicle count collected randomly during the menstrual cycle in predicting the number of oocytes retrieved.

Francesca Filippi, Fabio Martinelli, Alessio Paffoni, Marco Reschini, Francesco Raspagliesi, Edgardo Somigliana

Abstract read
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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. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Clinical Outcomes ofFrontiers in endocrinology · 2022
    Article
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Francesca FilippiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Fabio MartinelliFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Alessio PaffoniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Marco ReschiniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Francesco RaspagliesiFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Edgardo SomiglianaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. dadosomigliana@yahoo.it.ORCID http://orcid.org/0000-0002-0223-0032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the capacity of random antral follicle count (AFC), i.e., AFC recorded at any time during the menstrual cycle, to predict the number of retrieved mature oocytes in women with malignancies undergoing random start ovarian hyperstimulation

methodsA consecutive series of 72 women with malignancies who underwent ovarian hyperstimulation aimed at egg freezing between July 2014 and December 2016 was retrospectively reviewed. A standardized random start protocol was used for all women. AFC and serum AMH were systematically assessed prior to initiating ovarian hyperstimulation. The main outcome was the retrieval of ≥ 10 mature oocytes. The accuracy of random AFC was tested with the c-statistics (area under the ROC curve).

resultsFor the whole cohort, the c-statistics for the prediction of ≥ 10 mature oocytes using AFC and serum AMH were similar. Specifically, the areas under the curve were 0.76 (95%CI 0.66-0.87) and 0.82 (95%CI 0.72-0.92), respectively (p = ns). Moreover, when considering the subgroup of women recruited after day 5 of the cycle (proper random start, n = 52), the areas under the curve did not also differ. Specifically, they resulted in 0.77 (95%CI 0.64-0.89) and 0.83 (95%CI 0.72-0.95), respectively (p = ns).

conclusionsAFC collected at any time during the menstrual cycle can provide valuable information for the counseling of women with malignancies scheduled for oocyte cryopreservation. Its reliability appears to be non-inferior to that of serum AMH.

Indexed as

AdultCell CountCryopreservationEmbryo TransferFemaleFertility PreservationFertilization in VitroFollicular FluidHumansNeoplasmsOocyte RetrievalOocytesOvarian FollicleOvulation InductionPregnancyPregnancy RateAMHAntral follicle countFertility preservationOocyteRandom start

Identifiers

PMID30478807
PMCPMC6439113

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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.