Evidence map›Paper›PMID 41214571›Full record

SynthesisBMC pregnancy and childbirth2025

Incidence of pregnancy outcomes among patients with recurrent implantation failure: a systematic review and meta-analysis.

Yunan He, Shaole Shi, Xiaoxiao Su, Ge Chen, Xiexiong Zhao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Yunan HeDepartment of Reproductive Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Shaole ShiDepartment of Obstetrics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Xiaoxiao SuReproductive Medicine Center, Department of Gynecology and Obstetrics, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Ge ChenDepartment of Reproductive Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China. gegewuchen@126.com.
Xiexiong ZhaoDepartment of Cardiology, the Third Xiangya Hospital, Central South University, No.138 of Tongzipo Road, Yuelu district, Changsha, Hunan, 410013, China. zhaoxiexiong@csu.edu.cn.

Funding

The China Postdoctoral Science Foundation 2025M772416
6 · The paper itself

Abstract

backgroundGlobally, there is no conclusive data on the pregnancy outcomes of patients with recurrent implantation failure (RIF) who received the next embryo transfer. The purpose of this study is to summarize the pregnancy outcomes of patients with RIF after embryo transfer and understand the disease burden of patients with RIF.

methodsWe searched for literature from databases such as PubMed, Web of Science, Embase, and Cochrane Central Register of Controlled Trials from inception to May 19, 2024, and extracted the pregnancy outcomes of patients with RIF in the blank control group, including implantation rate (IR), clinical pregnancy rate (CPR), ongoing pregnancy rate (OPR), miscarriage rate (MR), live birth rate (LBR), and ectopic pregnancy rate (EPR). Subsequently, meta-analyses of the rates were summarized and subgroup analyses were performed based on implantation failures, embryo type, fresh/frozen embryo transfer and regions.

resultsA total of 110 studies (14,159 patients) were included in the meta-analysis. Globally, the overall IR, CPR, OPR, MR, LBR, and EPR of patients with RIF were 19.3%, 29.4%, 24.6%, 19.9%, 23.0%, and 0.9%, respectively. No differences in pregnancy outcomes were found between RIF patients with three or more implantation failures and those with two or more implantation failures. RIF patients who transferred blastocyst achieved significantly higher IR, higher CPR, higher OPR, higher LBR and lower EPR, but no lower MR. There are differences in IR and CPR among patients with RIF in different regions, and no significant differences in other pregnancy outcomes.

conclusionThis study summarizes the global pregnancy outcomes of patients with RIF who undergo subsequent embryo transfer. Pregnancy outcomes in patients with RIF may not be related to the number of implantation failures. Frozen blastocyst transfer is recommended for patients with RIF. Pregnancy outcomes in patients with RIF vary across regions. PROTOCOL REGISTRATION: This study has been registered on PROSPERO (CRD 42024539968).

Indexed as

Embryo ImplantationEmbryo TransferPregnancy OutcomeAbortion, SpontaneousFemaleFertilization in VitroHumansIncidenceLive BirthPregnancyPregnancy, EctopicPregnancy RateTreatment FailureClinical pregnancy rateGlobalImplantation rateLive birth rateMiscarriage rateOngoing pregnancy rateRepeated implantation failure

Identifiers

PMID41214571
PMCPMC12604203

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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.