Evidence map›Paper›PMID 36125650›Full record

ArticleJournal of assisted reproduction and genetics2022

What to advise to patients with only one good quality blastocyst, PGT-A or not? Outcomes of 2064 cycles.

Semra Kahraman, Ipek Nur Balin Duzguner, Yucel Sahin, Tulay Irez

Open access · hybridAbstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.9field-weighted citation impact, top 5% 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, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. PGT-A: Houston, we have a problem.Journal of assisted reproduction and genetics · 2023
    Article
  5. PGT-A in patients with a single blastocyst.Journal of assisted reproduction and genetics · 2023
    Article
  6. Article
  7. PGT-A for low responders: an authors' response.Journal of assisted reproduction and genetics · 2023
    Article
  8. What to do with one good quality blastocyst and where do we place the emphasis?Journal of assisted reproduction and genetics · 2023
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Semra KahramanART and Reproductive Genetics Center, Istanbul Memorial Hospital, Piyalepasa Bulvari, Sisli, 34384, Istanbul, Turkey. semkahraman@gmail.com.ORCID http://orcid.org/0000-0002-2686-4240
Ipek Nur Balin DuzgunerART and Reproductive Genetics Center, Istanbul Memorial Hospital, Piyalepasa Bulvari, Sisli, 34384, Istanbul, Turkey.
Yucel SahinART and Reproductive Genetics Center, Istanbul Memorial Hospital, Piyalepasa Bulvari, Sisli, 34384, Istanbul, Turkey.
Tulay IrezFaculty of Medicine, Department of Histology and Embryology, Biruni University, Istanbul, Turkey.
Istanbul Memorial Hospital · TRBiruni University · TRMemorial Sisli Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate whether preimplantation genetic testing for aneuploidy (PGT-A) is beneficial for patients who have only one blastocyst available for biopsy or transfer.

methodsThis retrospective study was based on 1126 single blastocyst PGT-A and 938 non-PGT-A cycles, a total of 2064 ART cycles which resulted in a single good quality blastocyst in women between 20 and 45 years old. The PGT-A group had 225 single euploid embryo transfer cycles and the non-PGT-A group had 938 single blastocyst embryo transfer cycles.

resultsIn the generalized linear mixed model (GLMM), female age and PGT-A variables were found to be significant variables on pregnancy outcomes. In the PGT-A cases, regardless of the effect of other variables, the probabilities of clinical pregnancy and live birth were found to be 3.907 and 3.448 fold higher respectively than in the non-PGT-A cases (p < 0.001). In non PGT-A cases, the probability of a total pregnancy loss was found to be 1.943 fold higher (p = 0.013).

conclusionPGT-A in the presence of a single blastocyst significantly increases clinical pregnancy and live birth rates and decreases total pregnancy losses regardless of age. In addition, aneuploid embryo transfer cancelations prevent ineffective and potentially risky transfers.

Indexed as

Abortion, SpontaneousPreimplantation DiagnosisAdultAneuploidyBlastocystFemaleGenetic TestingHumansMiddle AgedPregnancyPregnancy RateRetrospective StudiesYoung AdultClinical pregnancyLive birthPGT-ASingle blastocyst

Identifiers

PMID36125650
PMCPMC9723074
OpenAlexW4297855539

What OpenQuestion holds

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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.