Evidence map›Paper›PMID 33817669›Full record

ArticleF&S reports2020

PROGNOSTIC VALUE OF BLASTOCYST GRADE AFTER FROZEN EUPLOID EMBRYO TRANSFER IN PATIENTS WITH RECURRENT PREGNANCY LOSS.

Gayathree Murugappan, Julia G Kim, Jonathan D Kort, Brent M Hanson, Shelby A Neal, Ashley W Tiegs, Emily K Osman, Richard T Scott, Ruth B Lathi

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in F&S reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Gayathree MurugappanDivision of Reproductive Endocrinology & Infertility, Department of Obstetrics & Gynecology, Stanford University.
Julia G KimIVI/Reproductive Medicine Associates of New Jersey.
Jonathan D KortIVI/Reproductive Medicine Associates of Northern California.
Brent M HansonIVI/Reproductive Medicine Associates of New Jersey.
Shelby A NealIVI/Reproductive Medicine Associates of New Jersey.
Ashley W TiegsIVI/Reproductive Medicine Associates of New Jersey.
Emily K OsmanIVI/Reproductive Medicine Associates of New Jersey.
Richard T ScottIVI/Reproductive Medicine Associates of New Jersey.
Ruth B LathiDivision of Reproductive Endocrinology & Infertility, Department of Obstetrics & Gynecology, Stanford University.
Thomas Jefferson University · USStanford Medicine · USReproductive Biology Associates · US

Funding

Stanford Women's Reproductive Health Research Career Development ProgramK12HD103084 · NICHD · STANFORD UNIVERSITY · PI LESLEE L SUBAK · 2020 to 2026
$2.2M
NICHD NIH HHS K12 HD103084
6 · The paper itself

Abstract

objectiveTo determine if trophectoderm (TE) grade or inner cell mass (ICM) grade have predictive value after euploid frozen embryo transfer (euFET) among RPL patients.

designRetrospective cohort study.

settingSingle fertility center, 2012-2018. PATIENTS: Patients with ≥ 2 prior pregnancy losses performing PGT-A with ≥1 euploid embryo for transfer.

interventionsAll patients underwent ICSI, trophectoderm biopsy, blastocyst grading and vitrification, and single euFET. Outcome of the first transfer was recorded.

main outcome measuresLive birth (LB) and clinical miscarriage (CM) rates.

results660 euFET were included. In a binomial logistic regression analysis accounting for age, BMI, AMH and day of blastocyst biopsy, ICM grade C was not significantly associated with odds of live birth (aOR 0.50, 95% CI 0.24-1.02 p=0.057), miscarriage (aOR 1.67, 95% CI 0.56-5.00, p=0.36) or biochemical pregnancy loss (aOR 1.58, 95% CI 0.53-4.75, p=0.42). TE grade C was significantly associated with odds of live birth (aOR 0.49, 95% CI 0.28-0.86, p=0.01) and was not associated with odds of miscarriage (aOR 2.00, 95% CI 0.89-4.47, p=0.09) or biochemical pregnancy loss (aOR 1.85, 95% CI 0.77-4.44, p=0.17). Blastocyst grade CC had significantly lower LB rate compared to all other blastocyst grades (p<0.05, chi-square analysis).

conclusionEmbryo grade CC and TE grade C are associated with decrease in odds of LB after euFET in RPL patients. Embryo grade is not associated with odds of CM in this cohort of RPL patients, suggesting that additional embryonic or uterine factors may influence risk of pregnancy loss.

Indexed as

embryo gradeeuploid transfermiscarriagePGT-Arecurrent pregnancy loss

Identifiers

PMID33817669
PMCPMC8016183
OpenAlexW3041685809

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.