Evidence map›Paper›PMID 37061986›Full record

ArticleArchives of gynecology and obstetrics2023

Patient- and cycle-specific factors affecting the outcome of frozen-thawed embryo transfers.

Verena Holschbach, Hannah Kordes, Jens Erik Dietrich, Thomas Bruckner, Thomas Strowitzki, Ariane Germeyer

Abstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

8 citing papers in PubMed.

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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

6 authors.

Verena Holschbach *Department of Gynecologic Endocrinology and Fertility Disorders, Heidelberg University Hospital, INF440, 69120, Heidelberg, Germany. verena.holschbach@med.uni-heidelberg.de.ORCID 0000-0001-9742-6398
Hannah Kordes *Department of Gynecologic Endocrinology and Fertility Disorders, Heidelberg University Hospital, INF440, 69120, Heidelberg, Germany.
Jens Erik DietrichDepartment of Gynecologic Endocrinology and Fertility Disorders, Heidelberg University Hospital, INF440, 69120, Heidelberg, Germany.
Thomas BrucknerInstitute of Medical Biometry and Informatics, University of Heidelberg, INF 130, 69120, Heidelberg, Germany.
Thomas StrowitzkiDepartment of Gynecologic Endocrinology and Fertility Disorders, Heidelberg University Hospital, INF440, 69120, Heidelberg, Germany.
Ariane GermeyerDepartment of Gynecologic Endocrinology and Fertility Disorders, Heidelberg University Hospital, INF440, 69120, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study attempted at identifying the main parameters influencing the outcome of frozen embryo transfers.

methodsThis is a single-center retrospective cohort study of 830 frozen-embryo-transfer cycles performed at a German university hospital from January 2012 to December 2016. Main outcome parameters were the clinical pregnancy and live birth rate. Twelve patient- and cycle-dependent factors were analyzed in terms of their influence on the outcome of frozen embryo transfers. Multivariate logistic regression analysis was used for the modelling of the dependency of the different parameters on outcomes.

resultsThe clinical pregnancy rate in our study was 25.5%, the live birth rate was 16.1% with an average maternal age of 34.2 years at the time of the oocyte retrieval. In the univariate analysis age, number of transferred embryos, blastocyst versus cleavage stage transfer, embryo quality and mode of endometrial preparation affected the birth rate significantly. The birth rate after artificial endometrial preparation was significantly lower than the birth rate after transfers in modified natural cycles (12.8 versus 20.6% with p = 0.031). The multivariate logistic regression analysis showed a significant independent influence of age, number of transferred embryos, culture duration and mode of endometrial preparation on the frozen embryo transfer success rates. Body mass index, nicotine abuse, a history of PCO syndrome or endometriosis and the co-transfer of a second poor-quality embryo to a good-quality embryo appeared to be irrelevant for the outcome in our collective.

conclusionAge, number of transferred embryos, embryo culture duration and the mode of endometrial preparation are independent predictive factors of frozen embryo transfer outcomes.

Indexed as

Birth RateCryopreservationEmbryo TransferFemaleHumansLive BirthOocyte RetrievalPregnancyPregnancy RateRetrospective StudiesCryopreservationEndometrial preparationFETIVF/ICSIPrognostic factor

Identifiers

PMID37061986
PMCPMC10147814

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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.