Evidence map›Paper›PMID 35272939›Full record

SynthesisReproductive biomedicine online2022

Endometrial scratch in women undergoing first-time IVF treatment: a systematic review and meta-analysis of randomized controlled trials.

Mostafa Metwally, Robin Chatters, David White, Jamie Hall, Stephen Walters

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Reproductive biomedicine online, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Endometrial scratching before euploid embryo transfer: a case-control study.Journal of assisted reproduction and genetics · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Mostafa MetwallyObstetrics, Gynaecology and Neonatology, Sheffield Teaching Hospitals NHS Foundation Trust and The University of Sheffield, Sheffield, UK. Electronic address: m.metwally@sheffield.ac.uk.
Robin ChattersSheffield Clinical Trials Research Unit, School of Health and Related Research, The University of Sheffield, Sheffield, UK.
David WhiteSheffield Clinical Trials Research Unit, School of Health and Related Research, The University of Sheffield, Sheffield, UK.
Jamie HallSheffield Clinical Trials Research Unit, School of Health and Related Research, The University of Sheffield, Sheffield, UK.
Stephen WaltersSheffield Clinical Trials Research Unit, School of Health and Related Research, The University of Sheffield, Sheffield, UK.
University of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The endometrial scratch procedure is an IVF 'add-on' sometimes provided prior to the first IVF cycle. A 2019 systematic review concluded that there was insufficient evidence to show whether endometrial scratch has a significant effect on pregnancy outcomes (including live birth rate, LBR) when undertaken prior to the first IVF cycle. Further evidence was published following this review, including the Endometrial Scratch Trial (ISRCTN23800982). The objective of the current review was to synthesize and critically appraise the evidence for the clinical effectiveness and safety of the endometrial scratch procedure in women undergoing their first IVF cycle. Databases searched include MEDLINE, Embase, CINAHL and ClinicalTrials.gov. Eligible randomized controlled trials included women undergoing IVF for the first time that reported the effectiveness and/or safety of the endometrial scratch procedure; 12 studies were included. Meta-analysis showed no evidence of a significant effect of the endometrial scratch on LBR (10 trials, odds ratio [OR] 1.17, 95% confidence interval [CI] 0.76-1.79) or other pregnancy outcomes. This review confirms that there is a lack of evidence that endometrial scratch improves pregnancy outcomes, including LBR, for women undergoing their first IVF cycle. Clinicians are recommended not to perform this procedure in individuals undergoing their first cycle of IVF.

Indexed as

Live BirthSperm Injections, IntracytoplasmicFemaleFertilization in VitroHumansPregnancyPregnancy RateRandomized Controlled Trials as TopicEndometrial scratchFirst cycleInduced endometrial traumaIVFLive birth rateSystematic review

Identifiers

PMID35272939
PMCPMC9089309
OpenAlexW4200557489

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.