Evidence map›Paper›PMID 32825835›Full record

ArticleReproductive biology and endocrinology : RB&E2020

Effect of endometrial thickness and embryo quality on live-birth rate of fresh IVF/ICSI cycles: a retrospective cohort study.

Hong Lv, Xiuzhu Li, Jiangbo Du, Xiufeng Ling, Feiyang Diao, Qun Lu, Shiyao Tao, Lei Huang, Shiyao Chen, Xiumei Han and 10 more

Open access · goldAbstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Impact of endometrial thickness on reproductive outcome in fresh and frozen-thawed embryo transfer: systematic review and meta-analysis.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Pooled it
  2. Vasodilators for women undergoing fertility treatment.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

20 authors at 3 institutions in 1 country.

Hong LvState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Xiuzhu LiState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Jiangbo DuState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Xiufeng LingDepartment of Reproduction, the Affiliated Nanjing Maternity and Child Health Hospital of Nanjing Medical University, Nanjing, 210004, China.
Feiyang DiaoDepartment of Reproduction, the First Affiliated Hospital with Nanjing Medical University, Nanjing, 210029, China.
Qun LuState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Shiyao TaoState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Lei HuangState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Shiyao ChenState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Xiumei HanState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Kun ZhouState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Bo XuState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Xiaoyu LiuState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Hongxia MaState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Yankai XiaState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Hongbing ShenState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Zhibin HuState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China.
Guangfu JinState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China. guangfujin@njmu.edu.cn.ORCID http://orcid.org/0000-0003-0249-5337
Yichun GuanDepartment of Reproduction, Henan Medical Maternity and Child Health Care Hospital, Henan, 450052, China. lisamayguan@126.com.
Xinru WangState Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, China. xrwang@njmu.edu.cn.
Nanjing Medical University · CNLishui Maternity and Child Health Care Hospital · CNNanjing Maternity and Child Health Care Hospital · CN

Funding

National Key Research & Development Program 2016YFC1000200National Key Research & Development Program 2018YFC1004200the State Key Program of National Natural Science Foundation of China 31530047the State Key Program of National Natural Science Foundation of China 81730041the State Key Program of National Natural Science Foundation of China 81830100
6 · The paper itself

Abstract

backgroundSuccessful implantation and delivery require both the functional embryo and receptive endometrium in assisted reproductive technology (ART) cycles. However, little is known about embryo-endometrial interaction on live-birth. We aimed to investigate the independent effect and interaction of endometrial thickness (EMT) and embryo quality on live-birth in fresh embryo transfer (ET) cycles.

methodsWe conducted a retrospective cohort study including 15,012 ART cycles between 2013 and 2016 in three centers in China. Poisson regression with generalized estimating equations was employed to calculate relative risks (RRs) and 95% confidence intervals (CIs). We estimated the interaction of embryo quality and EMT on live-birth rate (LBR).

resultsThe LBR per cycle was 42.8% overall. LBR increased with increasing EMT and reached a plateau (50.6 to 54.2%) when EMT was 11 mm or thicker. Embryo quality represented by cumulative score was associated with LBR independently of number of embryos transferred and EMT. LBR was not increased with thicker EMT when only Q1 cleavage-stage embryo transferred (aRR 0.95, 95%CI 0.61-1.46). LBR was not increased significantly with thicker EMT with transfer of two good-quality cleavage-stage embryos and any blastocyst combination except Q1 group. There was significant interaction between EMT and embryo quality on LBR for cleavage-stage ETs (P=0.023).

conclusionsThis study demonstrated the nonlinear EMT-LBR association and the EMT cut-off value of 11 mm which may be of more clinical significance for predicting live-birth. Embryo quality is an independent prognostic tool for LBR. Our finding of significant embryo-endometrial interaction indicates combination of EMT and embryos quality might improve the prognostic value in clinical practice for live-birth in patients undergoing transfer of 1-2 fresh cleavage-stage embryos.

Indexed as

Fertilization in VitroSperm Injections, IntracytoplasmicAdultChinaCohort StudiesEmbryo, MammalianEndometriumFemaleHumansInfant, NewbornLive BirthMaleOrgan SizePregnancyPregnancy OutcomePregnancy RateEmbryo qualityEndometrial thicknessInteractionIVF/ICSILive-birth rate per cycle

Identifiers

PMID32825835
PMCPMC7441697
OpenAlexW3080458589

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.