Evidence map›Paper›PMID 34223271›Full record

ArticleF&S reports2021

Cost-effectiveness of preimplantation genetic testing for aneuploidy for fresh donor oocyte cycles.

Maria Facadio Antero, Bhuchitra Singh, Apoorva Pradhan, Megan Gornet, William G Kearns, Valerie Baker, Mindy S Christianson

Open access · goldAbstract read
In one paragraph

Article in F&S reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Overview of ADPKD in Pregnancy.Kidney international reports · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Novel embryo selection strategies-finding the right balance.Frontiers in reproductive health · 2023
    Article
  14. Article
  15. Genetic counseling decisions in gestational carrier pregnancies.Journal of assisted reproduction and genetics · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Assessing the Ethical Considerations in the Era of Advanced Prenatal Testing and Genetic Counselling - Clinicians' Perspective.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
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.

Maria Facadio AnteroDivision of Reproductive Endocrinology and Infertility, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Bhuchitra SinghDepartment of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Apoorva PradhanPharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland.
Megan GornetDepartment of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
William G KearnsAdvaGenix, Rockville, Maryland.
Valerie BakerDepartment of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Mindy S ChristiansonDepartment of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Johns Hopkins University · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether in vitro fertilization (IVF) with preimplantation genetic testing for aneuploidy (PGT-A) is cost effective to achieve a live birth compared with IVF alone in fresh donor oocyte cycles.

designTheoretical cost-effectiveness study.

settingNot applicable. PATIENTS: None.

interventionsComparison between the cost of IVF with PGT-A vs. IVF alone to achieve a live birth. The model analyzed a hypothetical single fresh oocyte donor IVF cycle with PGT-A vs. IVF alone and followed the progression of a single embryo through the different decision nodes. Cost estimates assigned to each clinical event were based on data obtained from the literature and institutional costs.

main outcome measuresCost per live birth.

resultsIn the base-case analysis, IVF with PGT-A was not cost effective in fresh donor oocyte cycles when compared with IVF alone to achieve a live birth. The cycles using PGT-A cost an additional $6,018.66. The incremental cost-effectiveness ratio was found to be $119,606.59 per additional live birth achieved with IVF with PGT-A. Monte Carlo simulations demonstrated that IVF with PGT-A was not cost effective in nearly all iterations.

conclusionsPGT-A in fresh donor oocyte IVF cycles is not cost effective compared with IVF alone over a wide range of probabilities and costs.

Indexed as

cost effectiveOocyte donorpreimplantation genetic testing

Identifiers

PMID34223271
PMCPMC8244284
OpenAlexW3111994144

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.