Evidence map›Paper›PMID 35389043›Full record

ArticleJBRA assisted reproduction2022

Tubal factor, cleavage stage and more than one embryo transferred were risk factors associated with ectopic pregnancy after assisted reproductive treatment.

Vanessa Devens Trindade, Marta Ribeiro Hentschke, Victória Campos Dornelles, Juliana Ferri-Guerra, Ariane Tieko Frare Kira, Talita Colombo, Alvaro Petracco, Rafaella Gehm Petracco, Joao Michelon, Bartira Ercilia Pinheiro Da Costa and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in JBRA assisted reproduction, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. 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

11 authors at 2 institutions in 2 countries.

Vanessa Devens TrindadePontifical Catholic University of Rio Grande do Sul, PUCRS. Graduate Program of Medicine and Health Sciences. Porto Alegre, Rio Grande do Sul, Brazil.
Marta Ribeiro HentschkePontifical Catholic University of Rio Grande do Sul, PUCRS. Graduate Program of Medicine and Health Sciences. Porto Alegre, Rio Grande do Sul, Brazil.
Victória Campos DornellesPontifical Catholic University of Rio Grande do Sul, PUCRS. Graduate Program of Medicine and Health Sciences. Porto Alegre, Rio Grande do Sul, Brazil.
Juliana Ferri-GuerraMount Sinai Medical Center, Department of Internal Medicine, Miami, USA.
Ariane Tieko Frare KiraPontifical Catholic University of Rio Grande do Sul, PUCRS. Graduate Program of Medicine and Health Sciences. Porto Alegre, Rio Grande do Sul, Brazil.
Talita ColomboFertilitat - Center for Reproductive Medicine. Medical Department. Porto Alegre, Rio Grande do Sul, Brazil.
Alvaro PetraccoFertilitat - Center for Reproductive Medicine. Medical Department. Porto Alegre, Rio Grande do Sul, Brazil.
Rafaella Gehm PetraccoPontifical Catholic University of Rio Grande do Sul, PUCRS. Graduate Program of Medicine and Health Sciences. Porto Alegre, Rio Grande do Sul, Brazil.
Joao MichelonPontifical Catholic University of Rio Grande do Sul, PUCRS. Graduate Program of Medicine and Health Sciences. Porto Alegre, Rio Grande do Sul, Brazil.
Bartira Ercilia Pinheiro Da CostaPontifical Catholic University of Rio Grande do Sul, PUCRS. Graduate Program of Medicine and Health Sciences. Porto Alegre, Rio Grande do Sul, Brazil.
Mariangela BadalottiPontifical Catholic University of Rio Grande do Sul, PUCRS. Graduate Program of Medicine and Health Sciences. Porto Alegre, Rio Grande do Sul, Brazil.
Fertility Medical Group · BRMount Sinai Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEctopic pregnancy is a well-known complication following in vitro fertilization with embryo transfer; studies have questioned, however, whether there are risk factors that could be identified before the procedure. The objective of this study was to investigate the possible risk factors involved in ectopic pregnancy following in vitro fertilization.

methodsRetrospective case-control study performed at an assisted reproduction clinic in Brazil. To select the control group, we used a 1:4 ratio. The study included 499 patients submitted to in vitro fertilization with clinical pregnancy. We collected the data from electronic records, between 2000-2019 and divided into: Group 1, ectopic pregnancy (n=90) and Group 2, intrauterine pregnancies (n=409).

resultsWhen comparing groups, the results observed were: Tubal factor infertility (35.6% vs. 21.1%, p=.005) (OR 2.0 [1.2-3.4], p=.004); Previous miscarriage history (15.1% vs. 7.1%, p<.05) (OR 2.0 [1.02-4.29], p=.044); Number of cleavage-stage embryo transfers (69.2% vs. 54.0 p=.028) (OR 1.9 [1.08-3.33], p=.025); Two or more embryos transferred (OR 2.5 [1.12-5.70], p=.025), all associated with greater ectopic pregnancy risk. Oocyte recipient patients were excluded from this analysis, but when included a difference was found when comparing the groups (9.4% (10/106) vs. 3.0% (13/434), p=.007), (OR 3.3 [1.41-7.98] p=.005); this result should be interpreted with caution because of the sample size.

conclusionsIn high-risk patients, a single blastocyst transfer seems to be a reasonable approach to decrease the ectopic pregnancy risk.

Indexed as

Abortion, SpontaneousPregnancy, EctopicCase-Control StudiesEmbryo TransferFemaleFertilization in VitroHumansPregnancyRetrospective StudiesRisk FactorsEctopic pregnancyin vitro fertilizationrisk factors

Identifiers

PMID35389043
PMCPMC9118970
OpenAlexW4214813505

What OpenQuestion holds

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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.