Evidence map›Paper›PMID 30859416›Full record

ArticleJournal of assisted reproduction and genetics2019

Guidance for elective single-embryo transfer should be applied to frozen embryo transfer cycles.

Melanie R Freeman, M Shaun Hinds, Kay G Howard, Julie M Howard, George A Hill

Abstract read
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. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. 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

5 authors.

Melanie R FreemanOvation Fertility, 345 23rd Ave. N, Suite 401, Nashville, TN, 37203, USA. mfreeman@ovationfertility.com.ORCID http://orcid.org/0000-0002-3219-7501
M Shaun HindsOvation Fertility, 345 23rd Ave. N, Suite 401, Nashville, TN, 37203, USA.
Kay G HowardOvation Fertility, 345 23rd Ave. N, Suite 401, Nashville, TN, 37203, USA.
Julie M HowardOvation Fertility, 345 23rd Ave. N, Suite 401, Nashville, TN, 37203, USA.
George A HillNashville Fertility Center, 345 23rd Ave. N., Suite 401, Nashville, TN, 37203, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide clinicians with data showing the benefits of transferring a single blastocyst in frozen embryo transfer (FET) cycles so that they may counsel their patients accordingly.

methodsThis is a closed cohort study of 678 FET cycles occurring between January 2011 and December 2017 in a private IVF laboratory and associated physicians' practice. Patients included in the analysis were less than 38 years of age at oocyte collection, had at least two vitrified blastocysts, and were undergoing their first autologous FET cycle. The patients were categorized into four groups after they had chosen either elective single-embryo transfer (eSET) or double-embryo transfer (eDET). Outcomes for eSET and eDET were compared within groups of patients having freeze-all IVF cycles (PGT-A patient vs. non-PGT-A patient) and fresh IVF transfer groups (negative outcome vs. pregnant/delivered in fresh cycle). Main outcome measures of the study were live birth, multiple pregnancy, and implantation rates.

resultsThere were no statistically significant differences observed in live birth rates for eSET (54-62%) vs. eDET (54-66%) (P = 0.696-1.000) in the four patient groups evaluated. Multiple pregnancy rates were significantly decreased in all eSET groups (0-3%), compared with eDET groups (24-65%) (P = 0.0001-0.037).

conclusionsThis data shows that transfer of a single vitrified-warmed blastocyst maintains live birth rates, while decreasing multiple pregnancies, and may become more acceptable to physicians and patients.

Indexed as

Embryo ImplantationLive BirthPregnancy RateAdultCohort StudiesCryopreservationEmbryo TransferFemaleFertilization in VitroHumansMaternal AgePractice Guidelines as TopicPregnancyPregnancy, MultiplePregnancy OutcomeYoung AdulteSETFETFrozen embryo transferIVFSingle-embryo transfer

Identifiers

PMID30859416
PMCPMC6541681

What OpenQuestion holds

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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.