Evidence map›Paper›PMID 32418135›Full record

ArticleJournal of assisted reproduction and genetics2020

Motives and considerations regarding PGT in couples carrying a structural chromosomal abnormality: a qualitative exploration.

G De Krom, Y Severijns, W L Vlieg, Y H J M Arens, R J T Van Golde, C E M De Die-Smulders, L A D M Van Osch

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

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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

7 authors.

G De KromDepartment of Obstetrics & Gynaecology, Maastricht University Medical Centre +, Maastricht, The Netherlands.
Y SeverijnsDepartment of Health Promotion/CAPHRI, Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands. yil.severijns@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0002-8138-4741
W L VliegDepartment of Health Promotion/CAPHRI, Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands.
Y H J M ArensSchool for Oncology and Developmental Biology, GROW, Maastricht University, Maastricht, The Netherlands.
R J T Van GoldeDepartment of Obstetrics & Gynaecology, Maastricht University Medical Centre +, Maastricht, The Netherlands.
C E M De Die-SmuldersSchool for Oncology and Developmental Biology, GROW, Maastricht University, Maastricht, The Netherlands.
L A D M Van OschDepartment of Health Promotion/CAPHRI, Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands.

Funding

ZonMW 505430098219
6 · The paper itself

Abstract

purposeThis study aims to describe the motives and considerations of couples carrying a structural chromosomal abnormality deciding on preimplantation genetic testing (PGT).

methodsA qualitative exploratory study was conducted using semi-structured dyadic interviews with 13 couples (N = 26) carrying a structural chromosomal abnormality. All couples had an informative consultation in our PGT centre in the Netherlands.

resultsAlmost all couples considered PGT or natural conception combined with prenatal diagnosis (PND) as the only two reproductive options. Among several considerations mentioned, the majority indicated that the wish to increase the chance of a successful pregnancy was the most important motive to opt for PGT. All couples who opted for PGT had first tried to conceive spontaneously and entered the PGT programme because of their adverse experiences during these attempts (infertility, recurrent miscarriage, termination of pregnancy, birth of an affected child). Couples that refrained from PGT were of advanced maternal age and expressed the long trajectory of PGT as the main reason to refrain. If conceiving spontaneously would not lead to an ongoing pregnancy, these couples also indicated that they would use PGT.

conclusionThis study shows that couples carrying a structural chromosomal abnormality consider PGT and spontaneous conception with PND as relevant reproductive options. They are looking for the option that is in their opinion the fastest way to establish a successful pregnancy. Information on the perceived pros and cons of PGT or spontaneous conception in these couples can help to optimize counselling and psychological support during the decision-making process.

Indexed as

Chromosome AberrationsHeterozygoteMotivationAdultFemaleHumansMalePregnancyPreimplantation DiagnosisPrenatal DiagnosisReproductive HistorySurveys and QuestionnairesPreimplantation genetic testingQualitative analysisReproductive decision-makingStructural chromosomal abnormalities

Identifiers

PMID32418135
PMCPMC7376769

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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.