Evidence map›Paper›PMID 33835076›Full record

ArticleAsian journal of andrology

Random sperm DNA fragmentation index is not associated with clinical outcomes in day-3 frozen embryo transfer.

Qing-Xin Wang, Xia Wang, Min-Yan Yu, Hua Sun, Di Wang, Shu-Ping Zhong, Feng Guo

Open access · goldAbstract read
In one paragraph

Article in Asian journal of andrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

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  5. The role of sperm DNA fragmentation in reproduction: a SWOT analysis.Journal of assisted reproduction and genetics · 2025
    Review
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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

7 authors at 2 institutions in 1 country.

Qing-Xin WangCenter of Reproductive Medicine, the Affiliated Hospital of Nantong University, Nantong 226001, China.
Xia WangCenter of Reproductive Medicine, the Affiliated Hospital of Nantong University, Nantong 226001, China.
Min-Yan YuCenter of Reproductive Medicine, the Affiliated Hospital of Nantong University, Nantong 226001, China.
Hua SunCenter of Reproductive Medicine, the Affiliated Hospital of Nantong University, Nantong 226001, China.
Di WangCenter of Reproductive Medicine, the Affiliated Hospital of Nantong University, Nantong 226001, China.
Shu-Ping ZhongCenter of Reproductive Medicine, the Affiliated Hospital of Nantong University, Nantong 226001, China.
Feng GuoCenter of Reproductive Medicine, the Affiliated Hospital of Nantong University, Nantong 226001, China.
Affiliated Hospital of Nantong University · CNNantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Damage to sperm DNA was proposed to play an important role in embryonic development. Previous studies focused on outcomes after fresh embryo transfer, whereas this study investigated the influence of sperm DNA fragmentation index (DFI) on laboratory and clinical outcomes after frozen embryo transfer (FET). This retrospective study examined 381 couples using cleavage-stage FET. Sperm used for intracytoplasmic sperm injection (ICSI) or in vitro fertilization (IVF) underwent density gradient centrifugation and swim up processing. Sperm DFI had a negative correlation with sperm motility (r = -0.640, P < 0.01), sperm concentration (r = -0.289, P < 0.01), and fertilization rate of IVF cycles (r = -0.247, P < 0.01). Sperm DFI examined before and after density gradient centrifugation/swim up processing was markedly decreased after processing (17.1% vs 2.4%, P < 0.01; 65 randomly picked couples). Sperm progressive motility was significantly reduced in high DFI group compared with low DFI group for both IVF and ICSI (IVF: 46.9% ± 12.4% vs 38.5% ± 12.6%, respectively; ICSI: 37.6% ± 14.1% vs 22.3% ± 17.8%, respectively; both P < 0.01). The fertilization rate was significantly lower in high ( ≥25%) DFI group compared with low (<25%) DFI group using IVF (73.3% ± 23.9% vs 53.2% ± 33.6%, respectively; P < 0.01) but was equivalent in high and low DFI groups using ICSI. Embryonic development and clinical outcomes after FET were equivalent for low and high DFI groups using ICSI or IVF. In this study, sperm DFI did not provide sufficient information regarding embryo development or clinical outcomes for infertile couples using FET.

Indexed as

Embryo TransferSperm MotilityDNA FragmentationFemaleFertilization in VitroHumansMalePregnancyRetrospective StudiesSpermatozoaembryo qualityfertilizationfrozen embryo transferintracytoplasmic sperm injectionin vitropregnancysemen parameterssperm DNA fragmentation index

Identifiers

PMID33835076
PMCPMC8788616
OpenAlexW3145909940

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.