Evidence map›Paper›PMID 36001210›Full record

ArticleJournal of assisted reproduction and genetics2022

Association of extended culture to blastocyst and pre-malignant gestational trophoblastic disease risk following IVF/ICSI-assisted reproduction cycles: an analysis of large UK national database.

B G I K Bambaranda, R Bomiriya, P Mehlawat, M Choudhary

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

B G I K BambarandaDepartment of Reproductive Medicine, Newcastle Fertility Centre at Life, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, NE1 4EP, UK.ORCID http://orcid.org/0000-0002-6878-1048
R BomiriyaDepartment of Statistics, R S Metrics Asia Holdings, Battaramulla, 10120, Sri Lanka.
P MehlawatRoyal Grammar School, Newcastle upon Tyne, UK.
M ChoudharyDepartment of Reproductive Medicine, Newcastle Fertility Centre at Life, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, NE1 4EP, UK. meenakshi.choudhary@nhs.net.ORCID http://orcid.org/0000-0003-0483-3627
Newcastle upon Tyne Hospital · GBLancaster Royal Grammar School · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess whether there is an association between extended in vitro culture based on embryo developmental stage at transfer and pre-malignant gestational trophoblastic disease (GTD) risk of molar pregnancy during assisted reproduction.

methodsA retrospective study was carried out using Human Fertilization and Embryology Authority (HFEA) anonymized register from 1999 to 2016. A total of 540,376 cycles were eligible to be included in the study after excluding any kind of donor treatment or surrogacy, frozen embryo transfers, and cycles with incomplete data. Subgroup analysis was carried out in subjects with primary infertility aiming to exclude an increased risk in those with a previous GTD. Multivariate logistic regression analysis was used to adjust for possible confounders, and the effect of day of embryo transfer in IVF (in vitro fertilization)/ICSI (intracytoplasmic sperm injection) treatment on a molar pregnancy GTD outcome was analyzed.

resultsThe prevalence of a molar pregnancy GTD among the study population was 3.4/10,000 livebirths (53/156,683) with a higher risk in the over 40 age category. No significant difference of pre-malignant GTD incidence was seen between IVF and ICSI (0.01% vs 0.009% respectively). No association was seen with GTD based on type/cause of infertility or number of embryos transferred. Crude (1.06; 95% CI 0.852-1.31) and adjusted (1.07; 95% CI (0.857-1.32) odds ratios were calculated to see an association between day of embryo transfer and the occurrence of a GTD. There was no association between day of embryo transfer and molar GTD risk after adjusting for age and secondary infertility.

conclusionNo significant association between pre-malignant molar gestational trophoblastic disease and extended in vitro embryo culture was found after analyzing 540,376 cycles of IVF and ICSI.

Indexed as

Gestational Trophoblastic DiseaseHydatidiform MoleInfertilityBlastocystFemaleFertilization in VitroHumansMalePregnancyPregnancy OutcomePregnancy RateRetrospective StudiesSemenSperm Injections, IntracytoplasmicUnited KingdomBlastocyst transferExtended cultureGestational trophoblastic diseaseICSIIVFMolar pregnancy

Identifiers

PMID36001210
PMCPMC9596624
OpenAlexW4292869209

What OpenQuestion holds

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Registered trials

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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.