Evidence map›Paper›PMID 31415660›Full record

Trial reportPloS one2019

Embryo donation: Survey of in-vitro fertilization (IVF) patients and randomized trial of complimentary counseling.

Alison E Zimon, Donald S Shepard, Jeffrey Prottas, Kristin L Rooney, Jeanie Ungerleider, Yara A Halasa-Rappel, Denny Sakkas, Selwyn P Oskowitz

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01883934 (Increasing the Use of Donated Embryos), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT01883934 nacompletednot on this map

Increasing the Use of Donated Embryos: A Demonstration

TypeinterventionalSponsorBoston IVFRan2011 to 2014Enrolled3,568ConditionsInfertilityArmsEnhanced clinic-based support/counseling, Control
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

8 authors at 2 institutions in 1 country.

Alison E ZimonBoston IVF, Waltham, Massachusetts, United States of America.
Donald S ShepardHeller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, United States of America.ORCID 0000-0003-2187-0593
Jeffrey ProttasHeller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, United States of America.
Kristin L RooneyBoston IVF, Waltham, Massachusetts, United States of America.
Jeanie UngerleiderBoston IVF, Waltham, Massachusetts, United States of America.
Yara A Halasa-RappelHeller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, United States of America.
Denny SakkasBoston IVF, Waltham, Massachusetts, United States of America.ORCID 0000-0002-9509-6791
Selwyn P OskowitzBoston IVF, Waltham, Massachusetts, United States of America.ORCID 0000-0002-0749-095X
Boston IVF · USBrandeis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

designThis study surveyed patients with stored frozen embryos and developed and tested an intervention through a randomized trial to support subjects to consider embryo disposition options (EDOs), especially donation for family building.

methodsBased on a review of literature on EDOs, the authors developed and mailed a 2-page anonymous survey to 1,053 patients in Massachusetts (USA) to elicit their feelings about their stored embryos. Target patients had embryos cryopreserved for ≥1 year and had not indicated an EDO. Survey respondents were next randomized between usual care (control arm) or an offer of complimentary counseling and educational support regarding EDOs. These counseling sessions were conducted by a licensed mental health professional specializing in infertility treatment.

resultsDespite telephone reminders, only 21.3% of patients responded, likely reflecting most patients' reluctance to address EDOs. Respondents endorsed an average of 2 of the 5 EDOs, with the following percentages supporting each option: store for future attempts (82%), continue storage (79%), donate to research (29%), discard (14%), and donate for family building (13%). When asked their opinions towards embryo donation to another couple, 78% of patients agreed that donation is a way to help another couple, 48% would consider embryo donation to another family if they had a better understanding of the process, and 38% would be willing to consider donation if they were not going to use the embryos themselves, but 73% expressed discomfort with donation. In the randomized trial, 7.8% of intervention subjects (n = 8) obtained counseling sessions compared to 0.0% (none) of usual care subjects (p = 0.0069). Counseling participants valued not only discussing EDOs, but also assistance in expressing their feelings and differences with their partners.

conclusionImprovement in counseling rates over the control arm suggests that free professional counseling is a small, but likely effective, step towards deciding on an EDO. ClinicalTrials.gov Identifier: NCT01883934 (Frozen embryo donation study).

Indexed as

CounselingCryopreservationEmbryo DispositionFertilization in VitroAdultFemaleHumansMassachusetts

Identifiers

PMID31415660
PMCPMC6695140
OpenAlexW2968119645

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.