Evidence map›Paper›PMID 39254797›Full record

ArticleJournal of assisted reproduction and genetics2024

Personalized embryo transfer guided by rsERT with hourly precision improves pregnancy outcomes in patients with a receptive window of implantation: a pilot study.

Tianli Yang, Zhaojuan Hou, Qiong Zhang, Jing Zhao, Nenghui Liu, Donge Liu, Yumei Li, Yonggang Wang, Bin Xu, Yangyun Zou and 2 more

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

12 authors.

Tianli Yang *Reproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China. xinzifan@aliyun.com.
Zhaojuan Hou *Reproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China.
Qiong ZhangReproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China.
Jing ZhaoReproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China.
Nenghui LiuReproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China.
Donge LiuReproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China.
Yumei LiReproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China.
Yonggang WangReproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China.
Bin XuReproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China.
Yangyun ZouDepartment of Clinical Research, Yikon Genomics Company, Ltd., Suzhou, 215123, Jiangsu, P. R. China.
Cheng WanDepartment of Clinical Research, Yikon Genomics Company, Ltd., Suzhou, 215123, Jiangsu, P. R. China.
Yanping LiReproductive Medicine Center, Xiangya Hospital of Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, P. R. China. liyanp@csu.edu.cn.ORCID http://orcid.org/0000-0002-4193-7321

Funding

National Natural Science Foundation of China 82371682Postdoctoral Fellowship Program of CPSF GZC20233157
6 · The paper itself

Abstract

purposeTo investigate whether personalized embryo transfer (pET) predicted by a modified RNA-sequencing-based endometrial receptivity test (rsERT) model can improve intrauterine pregnancy rate (IPR) in patients with a receptive window of implantation (WOI).

designA retrospective pilot study was conducted in the Center for Reproductive Medicine, Central South University, from January 2018 to December 2023. A total of 524 patients with receptive WOI results from rsERT were assigned into two groups based on whether they underwent conventional embryo transfer (conventional ET) or pET. Patients in the conventional ET were matched with those in the pET group at a 1:1 ratio using propensity score matching (PSM).

resultsBefore PSM, the IPR (55.73% vs. 46.19%, P = 0.032) and implantation rate (IR) (47.51% vs. 34.03%, P = 0.000) in the pET group were significantly higher than that in the conventional ET group. However, the number and types of transferred embryos differed significantly between the two groups. After adjusting for confounding factors, IPR (57.38% vs. 44.81, P = 0.016) and IR (46.81% vs. 33.10%, P = 0.001) remained significantly higher in the pET group compared to the conventional ET group. The implantation failure rate was significantly lower in the pET group compared to controls (42.62% vs. 55.19%, P = 0.016). Additionally, the multiple-pregnancy rate was significantly higher in the pET group compared to the conventional ET group (10.29% vs. 1.68%, P = 0.001).

conclusionsWomen with receptive WOI results could benefit from the receptivity-timed pET predicted by the newly refined rsERT. These findings provide a basis for future research in precision medicine for embryo transfer.

Indexed as

Embryo ImplantationEmbryo TransferPregnancy OutcomePregnancy RateAdultEndometriumFemaleFertilization in VitroHumansPilot ProjectsPrecision MedicinePregnancyRetrospective StudiesEndometrial receptivityFrozen embryo transferPersonalized embryo transferRNA sequencingWindow of implantation

Identifiers

PMID39254797
PMCPMC11534956

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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.