Evidence map›Paper›PMID 31589862›Full record

ArticleAmerican journal of obstetrics and gynecology2020

Lower antimüllerian hormone is associated with lower oocyte yield but not live-birth rate among women with obesity.

Wendy Vitek, Fangbai Sun, Valerie L Baker, Aaron K Styer, Mindy S Christianson, Judy E Stern, Heping Zhang, Alex J Polotsky

Open access · greenAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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 4 institutions in 1 country.

Wendy VitekDepartment of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, Rochester, NY. Electronic address: wendy_vitek@urmc.rochester.edu.
Fangbai SunDepartment of Statistics and Data Science, Yale School of Public Health, New Haven, CT.
Valerie L BakerDepartment of Obstetrics and Gynecology, Johns Hopkins University School of Medicine, Lutherville, MD.
Aaron K StyerCCRM Fertility Clinic, Boston, MA.
Mindy S ChristiansonDepartment of Obstetrics and Gynecology, Johns Hopkins University School of Medicine, Lutherville, MD.
Judy E SternDepartment of Obstetrics and Gynecology, Dartmouth Geisel School of Medicine, Dartmouth-Hitchock, Lebanon, NH.
Heping ZhangDepartment of Statistics and Data Science, Yale School of Public Health, New Haven, CT.
Alex J PolotskyDepartment of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO.
Johns Hopkins University · USYale University · USUniversity of Colorado Denver · USUniversity of Rochester · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
The Clinical Research/Reproductive Scientist Training Program (CREST)R25HD075737 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Nanette F. Santoro · 2013 to 2026
$2.3M
NCATS NIH HHS UL1 TR001863NICHD NIH HHS R25 HD075737
6 · The paper itself

Abstract

backgroundAntimüllerian hormone is produced by small antral follicles and reflects ovarian reserve. Obesity is associated with lower serum antimüllerian hormone, but it is unclear whether lower levels of antimüllerian hormone in women with obesity reflect lower ovarian reserve.

objectiveTo determine whether lower antimüllerian hormone in women with obesity undergoing in vitro fertilization is associated with oocyte yield and live-birth rate. MATERIALS AND

methodsRetrospective cohort from the Society for Assisted Reproductive Technology Clinic Outcome Reporting System database of 13,316 women with obesity and 16,579 women with normal body mass index undergoing their first autologous in vitro fertilization with fresh transfers between 2012 and 2014. Normal body mass index was defined as body mass index 18.5-24.9 kg/m

resultsWomen with obesity were older (36.0 ± 4.8 vs 35.5 ± 4.8, P < .001), had lower antimüllerian hormone (1.8 ± 2.0 ng/mL vs 2.1 ± 2.0 ng/mL, P < .001), and had fewer oocytes retrieved (11.9 ± 7.3 vs 12.8 ± 7.7, P < .001) than women with normal body mass index. Lower oocyte yield was observed among women with obesity and normal antimüllerian hormone levels compared to women with normal body mass index and normal antimüllerian hormone levels (13.6 ± 7.3 vs 15.8 ± 8.1, P < .001). No difference in oocyte yield was observed among women with obesity and low antimüllerian hormone levels (P = .58) and undetectabl antimüllerian hormone (P = .11) compared to women with normal BMI and similar antimüllerian hormone levels. Among women with a body mass index ≥30 kg/m

conclusionLower antimüllerian hormone in infertile women with obesity appears to reflect lower ovarian reserve, as antimüllerian hormone is associated with lower oocyte yield. Despite lower oocyte yield, lower antimüllerian hormone was not associated with lower live-birth rate among women with obesity.

Indexed as

Birth RateBody Mass IndexOvarian ReserveAdolescentAdultAnti-Mullerian HormoneFemaleFertilization in VitroHumansLive BirthMiddle AgedObesityOocyte RetrievalRetrospective StudiesYoung AdultAnti-Mullerian Hormoneantimüllerian hormonein vitro fertilizationlive birth rateobesityovarian reserve

Identifiers

PMID31589862
PMCPMC8022853
OpenAlexW2977534296

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.