Evidence map›Paper›PMID 33790862›Full record

ArticleFrontiers in endocrinology2021

Low Prognosis by the POSEIDON Criteria in Women Undergoing Assisted Reproductive Technology: A Multicenter and Multinational Prevalence Study of Over 13,000 Patients.

Sandro C Esteves, Hakan Yarali, Lan N Vuong, José F Carvalho, İrem Y Özbek, Mehtap Polat, Ho L Le, Toan D Pham, Tuong M Ho

2 registry-linked trialsOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 7% 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.

NCT06911840 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Assessment of Male Factor Infertility Across India: An Observational Cross-Sectional Study Using the Aphrodite Criteria, a Hospital-based Study

TypeobservationalSponsorIndira IVF Hospital Pvt LtdRan2026 to 2026Enrolled1,090ConditionsMale Infertility Due to AzoospermiaArmsNo Intervention: Observational Cohort
NCT07540611 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

"Gonadotropin Therapy in Idiopathic Hypogonadal Non-Obstructive Azoospermia (APHRODITE Groups 3-4): A Multicenter Randomized Controlled Trial"

TypeinterventionalSponsorIndira IVF Hospital Pvt LtdRan2026 to 2027Enrolled860ConditionsAPHRODITE GroupArmsNo intervention, hCG + FSH therapy
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 27 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

9 authors at 2 institutions in 2 countries.

Sandro C EstevesANDROFERT, Andrology and Human Reproduction Clinic, Campinas, Brazil.
Hakan YaraliAnatolia IVF, Ankara, Turkey.
Lan N VuongDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
José F CarvalhoStatistika Consulting, Campinas, Brazil.
İrem Y ÖzbekAnatolia IVF, Ankara, Turkey.
Mehtap PolatAnatolia IVF, Ankara, Turkey.
Ho L LeDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Toan D PhamDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Tuong M HoDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Viet Duc Hospital · VNHacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To estimate the prevalence of low-prognosis patients according to the POSEIDON criteria using real-world data. Design: Multicenter population-based cohort study. Settings: Fertility clinics in Brazil, Turkey, and Vietnam. Patients: Infertile women undergoing assisted reproductive technology using standard ovarian stimulation with exogenous gonadotropins. Interventions: None. Main outcome measures: Per-period prevalence rates of POSEIDON patients (overall, stratified by POSEIDON groups and by study center) and the effect of covariates on the probability that a patient be classified as "POSEIDON". Results: A total of 13,146 patients were included. POSEIDON patients represented 43.0% (95% confidence interval [CI] 42.0-43.7) of the studied population, and the prevalence rates varied across study centers (range: 38.6-55.7%). The overall prevalence rates by POSEIDON groups were 44.2% (group 1; 95% CI 42.6-45.9), 36.1% (group 2; 95% CI 34.6-37.7), 5.2% (group 3; 95% CI 4.5-6.0), and 14.4% (group 4; 95% CI: 13.3-15.6). In general, POSEIDON patients were older, had a higher body mass index (BMI), lower ovarian reserve markers, and a higher frequency of female factor as the primary treatment indication than non-POSEIDON patients. The former required larger doses of gonadotropin for ovarian stimulation, despite achieving a 2.5 times lower number of retrieved oocytes than non-POSEIDON patients. Logistic regression analyses revealed that female age, BMI, ovarian reserve, and a female infertility factor were relevant predictors of the POSEIDON condition. Conclusions: The estimated prevalence of POSEIDON patients in the general population undergoing ART is significant. These patients differ in clinical characteristics compared with non-POSEIDON patients. The POSEIDON condition is associated with female age, ovarian reserve, BMI, and female infertility. Efforts in terms of diagnosis, counseling, and treatment are needed to reduce the prevalence of low-prognosis patients.

Indexed as

Fertilization in VitroOvulation InductionReproductive Techniques, AssistedAdultBrazilCohort StudiesFemaleGonadotropinsHumansInfertilityOvarian ReservePrevalencePrognosisRetrospective StudiesTreatment OutcomeTurkeyGonadotropinsassisted reproductive technologyinfertilityPOSEIDON criteriaprevalence studyreal-world evidence

Identifiers

PMID33790862
PMCPMC8006427
OpenAlexW3139197109

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.