Evidence map›Paper›PMID 36708429›Full record

ArticleJournal of assisted reproduction and genetics2023

What proportion of embryos should be considered for transfer following a mosaic diagnosis? A study of 115 clinics from a central diagnostic laboratory.

Kathryn D Sanders, Darren K Griffin, Henry J Martell, Joshua Blazek, Michael Large, Tony Gordon

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2023. 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
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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

6 authors.

Kathryn D SandersSchool of Biosciences, University of Kent, Canterbury, CT2 7NJ, UK. kathryn.d.sanders@hotmail.com.ORCID http://orcid.org/0000-0002-4774-5347
Darren K GriffinSchool of Biosciences, University of Kent, Canterbury, CT2 7NJ, UK.ORCID http://orcid.org/0000-0001-7595-3226
Henry J MartellSchool of Biosciences, University of Kent, Canterbury, CT2 7NJ, UK.ORCID http://orcid.org/0000-0002-7954-1672
Joshua BlazekCooperGenomics, Houston, TX, USA.
Michael LargeCooperGenomics, Houston, TX, USA.ORCID http://orcid.org/0000-0002-0170-3918
Tony GordonCooperGenomics, London, UK.ORCID http://orcid.org/0000-0003-2756-1943

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to identify what proportion of mosaic embryo diagnoses should be considered for transfer, and thereby assess the impact on patient cases.

methodsWe categorised mosaic embryos into 3 groups; high, medium and low priority for transfer based on the percentage of biopsy sample being aneuploid and the chromosomes involved. The categories were applied to those patients that had no euploid embryo diagnoses but 1 or more mosaic embryos identified as mosaic available after PGT-A.

resultsIn total, 6614 PGT-A cases from 115 clinics and a single diagnostic laboratory were reviewed. Further, 1384 [20.9%] cases only had aneuploid embryos, 4538 [68.6%] cases had one or more euploid embryos and 692 [10.5%] cases had no euploid and one or more mosaic embryo. The mosaic embryos in the no euploid, one or more mosaic group, when reviewed using priorities, resulted in: 111 [1.7%] of cases having at least one high priority mosaic available. 184 [2.8%] of cases having no high priority but at least one medium priority mosaic available. 397 [6.0%] of cases only having low priority mosaic embryos available.

conclusionBased on this data, embryos identified as mosaic will only be considered for transfer in the first instance for around 4.5% (when taking high and medium priority and excluding low priority cases) of all PGT-A cases.

Indexed as

Genetic TestingPreimplantation DiagnosisAneuploidyBlastocystChromosomesFemaleHumansMosaicismPregnancyMosaicPreimplantation genetic testing for aneuploidyRetrospective study

Identifiers

PMID36708429
PMCPMC10033805

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