Evidence map›Paper›PMID 35338417›Full record

ArticleJournal of assisted reproduction and genetics2022

The impact of preimplantation genetic testing for aneuploidies (PGT-A) on clinical outcomes in high risk patients.

Amelia Pantou, Anastasios Mitrakos, Georgia Kokkali, Konstantina Petroutsou, Georgia Tounta, Leandros Lazaros, Alexandros Dimopoulos, Konstantinos Sfakianoudis, Konstantinos Pantos, Michael Koutsilieris and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
11.4field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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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

13 authors at 2 institutions in 2 countries.

Amelia Pantou *Genesis Genoma Lab, Genetic Diagnosis, Clinical Genetics and Research, Athens, Greece.
Anastasios Mitrakos *Genesis Genoma Lab, Genetic Diagnosis, Clinical Genetics and Research, Athens, Greece. amitrakos@med.uoa.gr.ORCID http://orcid.org/0000-0002-1375-7956
Georgia KokkaliGenesis Athens IVF Clinic, Athens, Greece.
Konstantina PetroutsouGenesis Athens IVF Clinic, Athens, Greece.
Georgia TountaGenesis Genoma Lab, Genetic Diagnosis, Clinical Genetics and Research, Athens, Greece.
Leandros LazarosGenesis Genoma Lab, Genetic Diagnosis, Clinical Genetics and Research, Athens, Greece.
Alexandros DimopoulosBiomedical Sciences Research Center "Alexander Fleming", Athens, Greece.
Konstantinos SfakianoudisGenesis Athens IVF Clinic, Athens, Greece.
Konstantinos PantosGenesis Athens IVF Clinic, Athens, Greece.
Michael KoutsilierisExperimental Physiology Laboratory, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Ariadni MavrouGenesis Genoma Lab, Genetic Diagnosis, Clinical Genetics and Research, Athens, Greece.
Emmanuel KanavakisGenesis Genoma Lab, Genetic Diagnosis, Clinical Genetics and Research, Athens, Greece.
Maria TzetisLaboratory of Medical Genetics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GRHellenic Naval Academy · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate whether preimplantation genetic testing for aneuploidy (PGT-A) improves the clinical outcome in patients with advanced maternal age (AMA), recurrent miscarriages (RM), and recurrent implantation failure (RIF).

methodsRetrospective cohort study from a single IVF center and a single genetics laboratory. One hundred seventy-six patients undergoing PGT-A were assigned to three groups: an AMA group, an RM group, and a RIF group. Two hundred seventy-nine patients that did not undergo PGT-A were used as controls and subgrouped similarly to the PGT-A cohort. For the PGT-A groups, trophectoderm biopsy was performed and array comparative genomic hybridization was used for PGT-A. Clinical outcomes were compared with the control groups.

resultsIn the RM group, we observed a significant decrease of early pregnancy loss rates in the PGT-A group (18.1% vs 75%) and a significant increase in live birth rate per transfer (50% vs 12.5%) and live birth rate per patient (36% vs 12.5%). In the RIF group, a statistically significant increase in the implantation rate per transfer (69.5% vs 33.3%) as well as the live birth rate per embryo transfer (47.8% vs 19%) was observed. In the AMA group, a statistically significant reduction in biochemical pregnancy loss was observed (3.7% vs 31.5%); however, live birth rates per embryo transfer and per patient were not significantly higher than the control group.

conclusionOur results agree with recently published studies, which suggest caution in the universal application of PGT-A in women with infertility. Instead, a more personalized approach by choosing the right candidates for PGT-A intervention should be followed.

Indexed as

Abortion, HabitualPreimplantation DiagnosisAneuploidyComparative Genomic HybridizationFemaleFertilization in VitroGenetic TestingHumansPregnancyPregnancy RateRetrospective StudiesaCGHAdvanced maternal age (AMA)Preimplantation genetic testing for aneuploidies (PGT-A)Recurrent implantation failure (RIF)Recurrent miscarriages (RM)

Identifiers

PMID35338417
PMCPMC9174385
OpenAlexW4220716798

What OpenQuestion holds

Textmetadata
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.