Evidence map›Paper›PMID 41370418›Full record

Observational studyJBRA assisted reproduction2025

Characterization of infertile couples and outcomes of their first in vitro fertilization cycle at public fertility centers in Northern and Central Portugal: a five-year cohort study.

Emídio Vale-Fernandes, Ricardo Sousa-Santos, Renato Silva-Martins, Fátima Silva, Filipa Brás, Andreia Leitão-Marques, Sandra Silva-Soares, Marta Osório

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in JBRA assisted reproduction, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
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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

8 authors.

Emídio Vale-FernandesICBAS - School of Medicine and Biomedical Sciences, UMIB - Unit for Multidisciplinary Research in Biomedicine, University of Porto, Porto, Portugal.
Ricardo Sousa-SantosHospital Senhora da Oliveira (HSO), Unidade Local de Saúde do Alto Ave (ULSAV), Guimarães, Portugal.
Renato Silva-MartinsCentro de Investigação em Ciências da Saúde, Faculdade de Ciências da Saúde da Universidade da Beira Interior, Covilhã, Portugal.
Fátima SilvaCentro Hospitalar de Vila Nova de Gaia/Espinho (CHVNG/E), Unidade Local de Saúde de Gaia/Espinho (ULSGE), Vila Nova de Gaia, Portugal.
Filipa BrásHospital Senhora da Oliveira (HSO), Unidade Local de Saúde do Alto Ave (ULSAV), Guimarães, Portugal.
Andreia Leitão-MarquesCentro Hospitalar e Universitário de Coimbra (CHUC), Unidade Local de Saúde de Coimbra (ULSC), Coimbra, Portugal.
Sandra Silva-SoaresCentro Hospitalar Universitário de São João (CHUSJ), Unidade Local de Saúde de São João (ULSSJ), Porto, Portugal.
Marta OsórioCentro Hospitalar de Vila Nova de Gaia/Espinho (CHVNG/E), Unidade Local de Saúde de Gaia/Espinho (ULSGE), Vila Nova de Gaia, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInfertility is a major global health issue, with assisted reproductive technologies (ART) commonly employed as a solution. Although numerous factors related to couple characteristics and ART cycles are implicated in pregnancy outcomes, data on infertile couples in Portugal are limited. The Portuguese Northern and Central Regions Infertility Study 2014-2018 (NORCE-INF 14-18) aimed to evaluate how couple characteristics and in vitro fertilization (IVF) cycle parameters affect the success of the first IVF treatment, specifically through cumulative live birth rate (CLBR).

methodsThis multicenter, observational, longitudinal, retrospective cohort study gathered data from six public fertility centers in Northern and Central Portugal, involving couples undergoing their first IVF treatment from January 2014 to December 2018, along with subsequent frozen embryo transfers (FET).

resultsThe analysis included 5,250 couples, with mean female and male ages of 34.3 and 36.1 years, respectively. The average duration of infertility was 45.88 months, predominantly resulting from male factor infertility. Among 3,767 cycles with fresh embryo transfers, the live birth rate was 29.5%. Additionally, the study found a CLBR of 25.5%, leading to 1,601 live births. Logistic regression identified female age as a key predictor of ART success, showing an inverse relationship with pregnancy rates.

conclusionsThe NORCE-INF 14-18 study represents the largest analysis of ART outcomes in Portugal, revealing that approximately 26% of couples achieved live births after their first IVF cycle, emphasizing the importance of demographic factors in treatment success.

Indexed as

Fertilization in VitroInfertilityAdultBirth RateCohort StudiesEmbryo TransferFemaleFertility ClinicsHumansLive BirthLongitudinal StudiesMalePortugalPregnancyPregnancy OutcomePregnancy Rateassisted reproductive techniquescumulative live birth rateinfertilitylive birth rate

Identifiers

PMID41370418
PMCPMC12694953

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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.