Evidence map›Paper›PMID 38715065›Full record

ArticleReproductive biology and endocrinology : RB&E2024

Does growth hormone supplementation of in vitro fertilization/intracytoplasmic sperm injection improve cumulative live birth rates in women with poor embryonic development in the previous cycle?

Xitong Liu, Na Li, Dongyang Wang, Wen Wen, Li Tian, Hanying Zhou, Ben W Mol, Juanzi Shi, Tao Wang

Abstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Xitong Liu *The Assisted Reproduction Center, Northwest Women's and Children's Hospital, No. 73 Houzai Gate, Shaanxi Province, PO Box 710003, Xincheng District, Xi'an CityXi'an, China.ORCID http://orcid.org/0000-0001-9016-4946
Na Li *The Assisted Reproduction Center, Northwest Women's and Children's Hospital, No. 73 Houzai Gate, Shaanxi Province, PO Box 710003, Xincheng District, Xi'an CityXi'an, China.
Dongyang WangThe Assisted Reproduction Center, Northwest Women's and Children's Hospital, No. 73 Houzai Gate, Shaanxi Province, PO Box 710003, Xincheng District, Xi'an CityXi'an, China.
Wen WenThe Assisted Reproduction Center, Northwest Women's and Children's Hospital, No. 73 Houzai Gate, Shaanxi Province, PO Box 710003, Xincheng District, Xi'an CityXi'an, China.
Li TianThe Assisted Reproduction Center, Northwest Women's and Children's Hospital, No. 73 Houzai Gate, Shaanxi Province, PO Box 710003, Xincheng District, Xi'an CityXi'an, China.
Hanying ZhouThe Assisted Reproduction Center, Northwest Women's and Children's Hospital, No. 73 Houzai Gate, Shaanxi Province, PO Box 710003, Xincheng District, Xi'an CityXi'an, China.
Ben W MolDepartment of Obstetrics and Gynaecology, Monash Medical Centre, Monash University, Wellington Road, Clayton VIC 3800, Victoria, Australia.ORCID http://orcid.org/0000-0001-8337-550X
Juanzi ShiThe Assisted Reproduction Center, Northwest Women's and Children's Hospital, No. 73 Houzai Gate, Shaanxi Province, PO Box 710003, Xincheng District, Xi'an CityXi'an, China.ORCID http://orcid.org/0000-0002-9040-7829
Tao WangThe Assisted Reproduction Center, Northwest Women's and Children's Hospital, No. 73 Houzai Gate, Shaanxi Province, PO Box 710003, Xincheng District, Xi'an CityXi'an, China. wangtao29@126.com.

Funding

the General Projects of Social Development in Shaanxi Province No. 2022SF-565
6 · The paper itself

Abstract

backgroundGrowth hormone (GH) has been proposed as an adjunct in in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) cycles, especially in women with poor ovarian response. However, it is unclear whether GH supplementation is effective in women with poor embryonic development in the previous IVF cycle. The aim of this study was to evaluate the effectiveness of GH supplementation in IVF/ICSI cycles in women with poor embryonic development in the previous cycle.

methodsThis is a retrospective cohort study from a public fertility center in China, in which we performed propensity score-matching (PSM) for female age and AFC in a ratio of 1:1. We compared the cumulative live birth rate per started cycle, as well as a series of secondary outcomes. We included 3,043 women with poor embryonic development in the previous IVF/ICSI cycle, of which 1,326 had GH as adjuvant therapy and 1,717 had not. After PSM, there were 694 women in each group.

resultsAfter PSM, multivariate analyses showed the cumulative live birth rate to be significantly higher in the GH group than the control group [N = 694, 34.7% vs. N = 694, 27.5%, risk ratio (RR): 1.4 (95%CI: 1.1-1.8)]. Endometrial thickness, number of oocytes retrieved, number of embryos available, and number of good-quality embryos were significantly higher in the GH group compared to controls. Pregnancy outcomes in terms of birth weight, gestational age, fetal sex, preterm birth rate, and type of delivery were comparable. When we evaluated the impact of GH on different categories of female age, the observed benefit in the GH group did not appear to be significant. When we assessed the effect of GH in different AFC categories, the effect of GH was strongest in women with an AFC5-6 (32.2% versus 19.5%; RR 2.0; 95% CI 1.2-3.3).

conclusionsWomen with poor embryonic quality in the previous IVF/ICSI cycles have higher rates of cumulative live birth with GH supplementation.

Indexed as

Birth RateFertilization in VitroLive BirthSperm Injections, IntracytoplasmicAdultChinaCohort StudiesEmbryonic DevelopmentFemaleGrowth HormoneHuman Growth HormoneHumansPregnancyPregnancy RateRetrospective StudiesGrowth HormoneHuman Growth HormoneCumulative live birth rateEmbryo qualityGrowth hormoneIVFPropensity score matching

Identifiers

PMID38715065
PMCPMC11075314

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LicenceCC BY
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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.