Evidence map›Paper›PMID 34036454›Full record

SynthesisJournal of assisted reproduction and genetics2021

ART outcomes following ovarian stimulation in the luteal phase:a systematic review and meta-analysis.

Buo-Jia Lu, Chien-Ju Lin, Bou-Zenn Lin, Li Huang, Li-Ting Chien, Chi-Huang Chen

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. 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

6 authors.

Buo-Jia LuDivision of Reproductive Medicine, Department of Obstetrics and Gynecology, Taipei Medical University Hospital, No.252, Wu Hsing Street, Taipei, 110, Taiwan.
Chien-Ju LinDepartment of Family Medicine, Hsinchu MacKay Memorial Hospital, No. 690, Section 2, Guangfu Road, East District, Hsinchu, 30071, Taiwan.
Bou-Zenn LinDepartment of Gastroenterology, Ren-Ai Branch, Taipei City Hospital, No. 10, Sec. 4, Ren-Ai Rd., Da'an Dist, Taipei, 106, Taiwan.
Li HuangDepartment of Family Medicine, Taipei Medical University Hospital, No.252, Wu Hsing Street, Taipei, 110, Taiwan.
Li-Ting ChienTaipei Medical University Library, No.250, Wu Hsing Street, Taipei, 110, Taiwan.
Chi-Huang ChenDivision of Reproductive Medicine, Department of Obstetrics and Gynecology, Taipei Medical University Hospital, No.252, Wu Hsing Street, Taipei, 110, Taiwan. d102095012@gmail.com.ORCID http://orcid.org/0000-0002-4483-1645

Funding

Ministry of Science and Technology No. 106-2314-B-038-076Ministry of Science and Technology No. 107-2314-B-038-058Ministry of Science and Technology No. 108-2314-B-038-095Taipei Medical University Hospital TMU109-F-002
6 · The paper itself

Abstract

purposeThis study aimed to evaluate the impact of luteal phase ovarian stimulation (LPS) on the outcomes of assisted reproductive technology (ART) for infertile couples and patients desiring non-urgent egg cryopreservation.

methodsWe included all studies reported patients who received LPS and that used follicular phase ovarian stimulation (FPS) as a comparison group until January 2021. Prior meta-analysis regarding the outcomes of LPS in double stimulation and fertility preservation have already been published, so these studies were excluded. Risk of Bias in Non-randomized Studies of Interventions was used to assess the study quality. The study was registered in the International Prospective Register of Systematic Reviews database (CRD42020183946).

resultsTwelve studies with a total of 4433 patients were included. The regimen employed can be categorized into two groups, but there is currently no evidence to support one over the other. After we excluded the largest study, the clinical pregnancy rate and live birth rate were similar after FPS and LPS. There were significantly more stimulation days and total gonadotropins used in the LPS group. After subgroup analysis, we found that poor responders received significantly more cumulus oocyte complexes (+0.64) in the LPS group.

conclusionCurrent evidence indicates that patients in the LPS group could achieve pregnancy outcomes non-inferior to those in the FPS group. Because of current debate over freeze-all policy and the limited data about live birth rate, the universal use of LPS is considered controversial. In the future, more well-designed studies are necessary to investigate the indications for LPS and its cost-effectiveness.

Indexed as

FemaleHumansLuteal PhaseOvulation InductionPregnancyPregnancy OutcomeReproductive Techniques, AssistedLuteal phaseOvarian stimulationPoor respondersRandom start

Identifiers

PMID34036454
PMCPMC8417163

What OpenQuestion holds

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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.