Evidence map›Paper›PMID 40917346›Full record

ArticleFrontiers in endocrinology2025

Development and validation of a nomogram model for sleep disorders in patients with recurrent implantation failure based on physiological and lifestyle factors.

You Zhang, Ningxin Qin, Jing Hu, Jie Bai, Mengjia Pan, Yan Xu, Xin Huang, Ke Wang

Abstract readValidation Study
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

You ZhangInformation Center, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
Ningxin QinCenter of Reproductive Medicine, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
Jing HuSchool of International Medical Technology, Shanghai Sanda University, Shanghai, China.
Jie BaiCenter of Reproductive Medicine, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
Mengjia PanCenter of Reproductive Medicine, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
Yan XuSchool of International Medical Technology, Shanghai Sanda University, Shanghai, China.
Xin HuangCenter of Reproductive Medicine, Xinhua Hospital Affiliated Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Ke WangCenter of Reproductive Medicine, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To establish and validate a nomogram model for the quality of sleep in patients with recurrent implantation failure (RIF) and to evaluate its performance. Methods: From January 2023 to June 2023, 484 RIF patients who underwent ART fertilization treatment at the Reproductive Medicine Center of Tongji University-affiliated Obstetrics and Gynecology Hospital were selected as the modeling set and internal validation. Additionally, from July to September 2023, 223 RIF patients who underwent ART fertilization treatment at the Reproductive Medicine Center of Tongji University-affiliated Obstetrics and Gynecology Hospital were chosen as the external validation set. Their clinical data was collected. Lasso regression was used to screen potential predictive variables and multifactor logistic regression analysis was conducted to determine the final predictors. A nomogram model was established, and the model was evaluated using methods such as plotting receiver operating characteristic (ROC) curves, calibration curves, Hosmer-Lemeshow goodness of fit test, and decision curve analysis. Results: Through Lasso regression and multifactor logistic regression, 7 predictors were identified, including FSH, E2, depression mood (moderate, severe), daily exercise time, sun exposure, caffeine intake, and shift work (>16h/w) for constructing the nomogram model. The AUC for the modeling set was 0.971 (95%CI:0.952∼0.989), for the internal validation set was 0.960 (95%CI:0.937∼0.979), and for the external validation set was 0.850 (95%CI:0.739∼0.960), indicating good predictive performance of the model. Conclusion: This study established and validated a nomogram model composed of 7 clinical indicators for sleep disorders in RIF patients. The predictors include both physiological indicators and daily lifestyle habits, demonstrating significant predictive value and clinical application efficiency. It can be used for early identification of potential sleep disorders in RIF patients, providing certain reference significance for clinical work.

Indexed as

Embryo ImplantationInfertility, FemaleLife StyleNomogramsSleep Wake DisordersAdultFemaleHumansPregnancyLASSO regressionnomogramprediction modelrecurrent implantation failure of embryossleep quality

Identifiers

PMID40917346
PMCPMC12408289

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