Evidence map›Paper›PMID 33726772›Full record

ArticleReproductive biology and endocrinology : RB&E2021

Impacts of Cyclosporin A on clinical pregnancy outcomes of patients with a history of unexplained transfer failure: a retrospective cohort study.

Danni Qu, Xiangming Tian, Ling Ding, Yuan Li, Wenhui Zhou

Open access · goldAbstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Immunosuppressants in women with repeated implantation failure in assisted reproductive techniques: a systematic review and meta-analysis.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Pooled it
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  6. Acupuncture improves the live birth of patients with repeated implantation failure: a retrospective cohort study.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2024
    Article
  7. Article
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  11. miRNAs in decidual NK cells: regulators worthy of attention during pregnancy.Reproductive biology and endocrinology : RB&E · 2021
    Review
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

5 authors at 1 institution in 1 country.

Danni Qu *Medical Center for Human Reproduction, Beijing Chao-Yang Hospital, Capital Medical University, 100020,, Beijing, People's Republic of China.
Xiangming Tian *Medical Center for Human Reproduction, Beijing Chao-Yang Hospital, Capital Medical University, 100020,, Beijing, People's Republic of China.
Ling DingMedical Center for Human Reproduction, Beijing Chao-Yang Hospital, Capital Medical University, 100020,, Beijing, People's Republic of China.
Yuan LiMedical Center for Human Reproduction, Beijing Chao-Yang Hospital, Capital Medical University, 100020,, Beijing, People's Republic of China.ORCID http://orcid.org/0000-0002-1683-6801
Wenhui ZhouMedical Center for Human Reproduction, Beijing Chao-Yang Hospital, Capital Medical University, 100020,, Beijing, People's Republic of China. wenhuizhbjcy@126.com.ORCID http://orcid.org/0000-0003-4788-6569
Capital Medical University · CN

Funding

Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support XMLX201825Beijing Natural Science Foundation 7202052Famous Doctors Personnel Training Plan of Chao-Yang Hospital YL CYMY-2017-21National Natural Science Foundation of China 81471511New Star Personnel Training Plan of Chao-Yang Hospital WHZ CYXX-2017-19
6 · The paper itself

Abstract

backgroundA rapid development in assisted reproductive technology (ART) has led to a surge in its popularity among target couples. However, elucidation on the molecular mechanism and effective solutions for a common problem posed by ART, namely transfer failure, is still lacking. The new therapeutic potential of cyclosporin A (CsA), a typical immunosuppressant widely used in the treatment of rejection after organ transplantation, in recurrent pregnancy loss (RPL) patients may inspire some novel transfer failure therapies in the future. To further explore the clinical effects of CsA, this study investigated whether its application can improve clinical pregnancy outcomes in patients with a history of unexplained transfer failure in frozen-thawed embryo transfer (FET) cycles.

methodsData from a retrospective cohort investigation (178 frozen-thawed embryo transfer cycles in 178 patients) were analysed using binary logistic regression to explore the relationship between CsA treatment and clinical pregnancy outcomes; the odds ratios (ORs) and 95 % confidence intervals (CIs) were calculated as a measure of relevancy. Implantation rate was the main outcome measure.

resultsThere was no difference in the fine adjusted OR (95 % CI) of the implantation rate [1.251 (0.739-2.120)], clinical pregnancy rate [1.634 (0.772-3.458)], chemical pregnancy rate [1.402 (0.285-6.909)], take-home baby rate [0.872 (0.423-1.798)], multiple births rate [0.840 (0.197-3.590)], preterm birth [1.668 (0.377-7.373)], abnormal birth weight [1.834 (0.533-6.307)] or sex ratio [0.956 (0.339-2.698)] between the CsA-treated group and control group. No birth defects were observed in the present study.

conclusionsAlthough CsA does not affect infant characteristics, it has no beneficial effects on the clinical pregnancy outcomes in patients with a history of unexplained transfer failure in FET cycles.

Indexed as

Pregnancy OutcomeTreatment FailureAdultCohort StudiesCryopreservationCyclosporineEmbryo TransferFemaleHumansImmunosuppressive AgentsInfant, NewbornInfertility, FemaleMalePregnancyPregnancy RateRetrospective StudiesCyclosporineImmunosuppressive AgentsClinical pregnancyCyclosporine AObstetric outcomesPerinatal outcomesTransfer failure

Identifiers

PMID33726772
PMCPMC7962312
OpenAlexW3136350768

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.