Evidence map›Paper›PMID 33638032›Full record

ArticleJournal of assisted reproduction and genetics2021

Does quantity equal quality?-A morphokinetic assessment of embryos obtained from young women with decreased ovarian response to controlled ovarian stimulation.

Natali Schachter-Safrai, Yoav Kan-Tor, Gilad Karavani, Yuval Or, Yoel Shufaro, Iris Har-Vardi, Amnon Buxboim, Assaf Ben-Meir

Open access · greenAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 22% 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, 8 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Natali Schachter-SafraiDepartment of Obstetrics and Gynecology, Hadassah Medical Center - Hebrew University of Jerusalem, Jerusalem, Israel.
Yoav Kan-TorAlexander Grass Center for Bioengineering, School of Computer Science and Engineering, The Hebrew University of Jerusalem, Jerusalem, Israel.
Gilad KaravaniDepartment of Obstetrics and Gynecology, Hadassah Medical Center - Hebrew University of Jerusalem, Jerusalem, Israel. Giladk84@gmail.com.ORCID http://orcid.org/0000-0003-1848-4560
Yuval OrDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Kaplan Hospital, Rehovot, Israel.
Yoel ShufaroInfertility and IVF Unit, Helen Schneider Hospital for Women, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel.
Iris Har-VardiThe IVF Unit Gyn/Obs, Soroka University Medical Center, Beer-Sheva, Israel.
Amnon BuxboimAlexander Grass Center for Bioengineering, School of Computer Science and Engineering, The Hebrew University of Jerusalem, Jerusalem, Israel.
Assaf Ben-MeirDepartment of Obstetrics and Gynecology, Hadassah Medical Center - Hebrew University of Jerusalem, Jerusalem, Israel.
Hebrew University of Jerusalem · ILBen-Gurion University of the Negev · ILKaplan Medical Center · ILRabin Medical Center · IL

Funding

Israel Innovation Authority Kamin grant 55326
6 · The paper itself

Abstract

purposeTo assess oocyte quality in young patients with decreased ovarian response to controlled ovarian stimulation using time-lapse analysis.

methodsA retrospective cohort study conducted at five medical centers between 2013 and 2017. The "decreased ovarian response" (DOR) group consisted of 241 women who underwent controlled ovarian stimulation with ≤ 5 retrieved oocytes and 519 cultured embryos. The "normal response" (NOR) group consisted of 667 women with ≥ 6 retrieved oocytes resulting in 3633 embryos. Data included annotation of morphokinetic events of embryos cultured in a time-lapse incubator from time of pronuclei appearance to time of starting blastocyst formation (tSB). Comparison was made between morphokinetic parameters of DOR and NOR patients with additional subgroup analysis according to the implantation status.

resultsImplantation and clinical pregnancy rates were significantly higher in the NOR group compared with the DOR group (44.5% vs. 31.6% and 51.5% vs. 37.7%, respectively; p < 0.05). Embryos from the DOR group reached the morphokinetic milestones later than embryos obtained from NOR patients. In the DOR group, implanted embryos reached starting blastocyst formation (tSB) faster than embryos which failed to be implanted, however, manifested a protracted course compared with implanted embryos from the NOR group. In a multivariate analysis-decreased ovarian response, nulliparity, number of transferred embryos, and t4, and were predictive for implantation.

conclusionsThe quantitative decrease in ovarian response is associated with reduced oocyte quality, reflected by a slower developmental rate and lower implantation and pregnancy rates.

Indexed as

Fertilization in VitroAdultBlastocystEmbryo Culture TechniquesEmbryo ImplantationEmbryonic DevelopmentEmbryo TransferFemaleHumansOocyte RetrievalOocytesOvulation InductionPregnancyPregnancy RateYoung AdultLow ovarian responseMorphokineticsPoor ovarian responseTime-lapse monitoring system

Identifiers

PMID33638032
PMCPMC8190327
OpenAlexW3132957647

What OpenQuestion holds

Textmetadata
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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.