Evidence map›Paper›PMID 34492406›Full record

ArticleSocial science & medicine (1982)2021

The crafting of hope: Contextualising add-ons in the treatment trajectories of IVF patients.

Manuela Perrotta, Josie Hamper

Open access · hybridAbstract read
In one paragraph

Article in Social science & medicine (1982), 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
6.2field-weighted citation impact, top 3% 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, 41 citations in OpenAlex.

  1. Influence of Anecdotes of IVF Success on Treatment Decision Making: An Online Randomized Controlled Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2026
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  2. Article
  3. Women's Perspectives on Adjunct Therapies in IVF: Key Considerations and Influences.The Australian & New Zealand journal of obstetrics & gynaecology · 2026
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  7. Measuring IVF Success: Why the Field Still Lacks Unified Metrics?Journal of reproduction & infertility · 2025
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  19. ART constraints imposed by the complexities of oocyte activation.Journal of assisted reproduction and genetics · 2022
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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

2 authors at 1 institution in 1 country.

Manuela PerrottaDepartment of People and Organisations, School of Business and Management, Queen Mary University of London, UK. Electronic address: m.perrotta@qmul.ac.uk.
Josie HamperDepartment of People and Organisations, School of Business and Management, Queen Mary University of London, UK.
Queen Mary University of London · GB

Funding

Wellcome TrustWellcome Trust 108577/Z/15/Z
6 · The paper itself

Abstract

The proliferation and popularity of additional treatments in IVF, also known as add-ons, has generated widespread discussion and controversy in the UK, where concerns have addressed the lack of evidence to support the efficacy and safety of these treatments, their cost, and their connection to a wider context of privatisation of fertility treatment. Drawing on 42 interviews with IVF patients, this article explores the role of hope in the appeal of add-ons from the patient perspective. The analysis is presented in two parts: firstly, we investigate the role of hope in patients' decision-making on treatment, contextualising add-ons in the broader trajectory of their IVF experience; secondly, we examine how patients navigate the offer of add-ons, focusing on the role of hope in how they rationalise their decisions on whether to include them in their fertility treatment. Our analysis shows how patients craft their hope to navigate the increasing number of available options in their quest to find the treatment(s) that will "work" for them. We suggest that the imperative for patients to explore all options is intensified with the emergence of add-ons, which produces a novel context and version of a "hope technology".

Indexed as

Fertilization in VitroLive BirthFemaleFertilityHumansPregnancyReproductive Techniques, AssistedAdd-on treatmentHopeIVFTreatment decision-makingUnited Kingdom

Identifiers

PMID34492406
PMCPMC8505791
OpenAlexW3193885004

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.