Evidence map›Paper›PMID 39375693›Full record

ArticleReproductive biology and endocrinology : RB&E2024

Identifying key predictive features for live birth rate in advanced maternal age patients undergoing single vitrified-warmed blastocyst transfer.

Lidan Liu, Bo Liu, Ming Liao, Qiuying Gan, Qianyi Huang, Yihua Yang

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 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lidan Liu *Guangxi Reproductive Medical Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. liulidan2022@126.com.ORCID http://orcid.org/0000-0002-0369-8200
Bo Liu *Guangxi Reproductive Medical Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Ming LiaoGuangxi Reproductive Medical Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Qiuying GanReproductive Center, Nanning Maternity and Child Health Hospital, Nanning, Guangxi, China.
Qianyi HuangGuangxi Reproductive Medical Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Yihua YangGuangxi Reproductive Medical Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China. workyyh@163.com.

Funding

Self-funded scientific research project of the Health and Family Planning Commission of Guangxi Zhuang Autonomous Region Z-A20230585
6 · The paper itself

Abstract

backgroundInfertility affects one in six couples worldwide, with advanced maternal age (AMA) posing unique challenges due to diminished ovarian reserve and reduced oocyte quality. Single vitrified-warmed blastocyst transfer (SVBT) has shown promise in assisted reproductive technology (ART), but success rates in AMA patients remain suboptimal. This study aimed to identify and refine predictive factors for live birth following SVBT in AMA patients, with the goal of enhancing clinical decision-making and enabling personalized treatment strategies.

methodsThis retrospective cohort study analyzed 1,168 SVBT cycles conducted between June 2016 and December 2022 at the First Affiliated Hospital of Guangxi Medical University and Nanning Maternity and Child Health Hospital. Nineteen machine-learning models were applied to identify key predictive factors for live birth. Feature selection and 10-fold cross-validation were employed to validate the models.

resultsThe most significant predictors of live birth included inner cell mass quality, trophectoderm quality, number of oocytes retrieved, endometrial thickness, and the presence of 8-cell blastomeres on day 3. The stacking model demonstrated the best predictive performance (AUC: 0.791), followed by Extra Trees (AUC: 0.784) and Random Forest (AUC: 0.768). These models outperformed traditional methods, achieving superior accuracy, sensitivity, and specificity.

conclusionLeveraging advanced machine-learning models and identifying critical predictive factors can improve the accuracy of live birth outcome predictions for AMA patients undergoing SVBT. These findings offer valuable insights for enhancing clinical decision-making and managing patient expectations. Further research is needed to validate these results in larger, multi-center cohorts and to explore additional factors, including fresh embryo transfers, to broaden the applicability of these models in clinical practice.

Indexed as

Embryo TransferLive BirthMaternal AgeVitrificationAdultBirth RateCryopreservationFemaleHumansMachine LearningPregnancyPregnancy RateRetrospective StudiesAdvanced maternal age (AMA)Assisted Reproductive Technology (ART)Live birth rateMachine-learningPredictive modelingSingle vitrified-warmed blastocyst transfer (SVBT)

Identifiers

PMID39375693
PMCPMC11457422

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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.