Evidence map›Paper›PMID 41854159›Full record

ArticleDeutsches Arzteblatt international2026

Single or Double Embryo Transfer for Infertility: An Evaluation of Registry Data From Over 22 000 Treatment Cycles.

Jan-Steffen Krüssel, Markus Kimmel, Ute Czeromin, Verona Blumenauer, Sylvia Bartnitzky, Nicole Sänger, Daniel Fehr, Christoph Grewe, Markus Simon Kupka, Sascha Tauchert and 2 more

Abstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2026. 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

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

2 citing papers in PubMed.

  1. Review
  2. Fewer Premature Births After Assisted Reproduction.Deutsches Arzteblatt international · 2026
    Article
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.

Jan-Steffen KrüsselUniversity Interdisciplinary Fertility Center Düsseldorf (UniKiD), Department of Obstetrics and Gynecology, University Hospital Düsseldorf (UKD), Heinrich Heine University Düsseldorf, Düsseldorf, Germany
Markus KimmelGerman IVF Registry D·I·R, Düsseldorf, Germany
Ute CzerominFertility Clinic Gelsenkirchen, Gelsenkirchen, Germany
Verona BlumenauerLeipzig-Chemnitz Fertility Center, Leipzig, Germany
Sylvia BartnitzkyFertility Center Kinderwunschzentrum im Prinzenpark, Düsseldorf, Germany
Nicole SängerUniversity Medical Center Bonn (UKB), Department of Gynecological Endocrinology and Reproductive Medicine, VenusKIND am UKB, Bonn, Germany
Daniel Fehrgreen-ivf, Grevenbroich, Germany
Christoph GreweFertility Center Kinderwunsch Bremen, Bremen, Germany
Markus Simon KupkaUniversity Women‘s Hospital, LMU Munich, Munich, Germany
Sascha TauchertIVF-SAAR SaarbrückenKaiserslautern, Saarbrücken, Germany
Holger AustDATABRAINEO Dr. Holger Aust, Bonn, Germany
Andreas Tandler-SchneiderMVZ Fertility Center Berlin, Berlin, Germany

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSingle embryo transfer (SET) is considered the most effective method for reducing multiple pregnancies in assisted reproduction. Nevertheless, couples in Germany often opt for double embryo transfer (DET) in the hope of achieving a higher success rate. The aim of this study was to evaluate the effectiveness of two consecutive SETs compared to one DET.

methodsWe conducted a retrospective analysis of data from 133 German fertility clinics. Treatment cycles between January 2017 and December 2022 were analyzed. The parameters examined were the clinical pregnancy rate (CPR) and the live birth rate (LBR), the type of birth (single or multiple), the number of children born, the percentage of premature births, and birth weight.

resultsThe rates of clinical pregnancy and live birth after fresh transfer were higher after DET than after SET (49.2% vs. 45.1% and 38.4% vs. 35.2%, respectively), but more women achieved a live birth with two SETs than with one DET (5111 of 11 205 [45.6%] vs. 4304 of 11 205 [38.4%] after DET). The number of children born per 1000 women was higher after DET (503) than after two cycles of SET (464), but DET resulted in significantly more multiple births (30.3% vs. 1.7%), fewer singleton births (26.8% vs. 37.4%), more premature births (46.5% vs. 18.1%), lower birth weight (2924.8 ± 756.8 g vs. 3264.4 ± 487.0), and significantly more very premature births.

conclusionTwo consecutive SETs lower the risks associated with DET with a comparable success rate in terms of the number of babies born.

Indexed as

Embryo TransferInfertilitySingle Embryo TransferAdultFemaleGermanyHumansInfant, NewbornLive BirthPregnancyPregnancy, MultiplePregnancy OutcomePregnancy RatePremature BirthRegistriesRetrospective Studies

Identifiers

PMID41854159
PMCPMC13291626

What OpenQuestion holds

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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.