Evidence map›Paper›PMID 42846290›Full record

ArticleReproductive medicine and biology

A Prospective Study on Clinical Utility of Preimplantation Genetic Testing for Aneuploidy and Structural Rearrangement Under Advanced Medical Care B in Japan.

Tsuyoshi Takiuchi, Fumie Saji, Mika Handa, Nao Wakui, Tatsuya Nakano, Ryota Kobayashi, Yoshie Nagatakidani, Tatsuya Miyake, Takeshi Iwasa, Akira Kuwahara and 7 more

Abstract read
In one paragraph

Article in Reproductive medicine and biology. 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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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Tsuyoshi TakiuchiDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Osaka Osaka Japan.ORCID https://orcid.org/0000-0002-0605-5219
Fumie SajiDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Osaka Osaka Japan.
Mika HandaDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Osaka Osaka Japan.ORCID https://orcid.org/0009-0009-7038-2132
Nao WakuiDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Osaka Osaka Japan.ORCID https://orcid.org/0009-0006-6829-3606
Tatsuya NakanoIVF Namba Clinic Osaka Osaka Japan.ORCID https://orcid.org/0000-0002-8451-1769
Ryota KobayashiIVF Osaka Clinic Osaka Japan.
Yoshie NagatakidaniHORAC GRANDFRONT IVF Osaka Clinic, Grand Front Osaka Tower B, Osaka Osaka Japan.
Tatsuya MiyakeDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Osaka Osaka Japan.
Takeshi IwasaDepartment of Obstetrics and Gynecology, Graduate School of Biomedical Sciences Tokushima University Tokushima Tokushima Japan.ORCID https://orcid.org/0000-0003-1014-5687
Akira KuwaharaDepartment of Obstetrics and Gynecology, Graduate School of Biomedical Sciences Tokushima University Tokushima Tokushima Japan.ORCID https://orcid.org/0000-0001-8890-7683
Minoru IraharaDepartment of Obstetrics and Gynecology, Graduate School of Biomedical Sciences Tokushima University Tokushima Tokushima Japan.
Yoshiharu NakaokaIVF Namba Clinic Osaka Osaka Japan.
Aisaku FukudaIVF Osaka Clinic Osaka Japan.
Yoshiharu MorimotoHORAC GRANDFRONT IVF Osaka Clinic, Grand Front Osaka Tower B, Osaka Osaka Japan.
Tomomi YamadaDepartment of Medical Innovation The University of Osaka Hospital Osaka Japan.
Michiko KodamaDepartment of Obstetrics and Gynecology, Graduate School of Medicine The University of Osaka Osaka Japan.ORCID https://orcid.org/0000-0003-4046-7572
Tadashi KimuraSakai City Hospital Osaka Japan.ORCID https://orcid.org/0000-0003-1279-9078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the clinical utility of preimplantation genetic testing for aneuploidy and structural rearrangements (PGT-A/SR) under Advanced Medical Care B in Japan. Methods: This prospective, single-arm, multicenter benchmarking study included couples with recurrent implantation failure, recurrent pregnancy loss, or structural chromosomal rearrangements who underwent PGT-A/SR and first transfer of a category A/B embryo. The primary endpoint was ongoing pregnancy rate per transfer (oPR) at 12-13 weeks; clinical pregnancy rate (cPR) was prespecified as supportive because the registry benchmark used cPR. Outcomes were compared with age-adjusted national registry thresholds using a one-sample proportion test with a normal approximation. Results: Of 375 couples, 344 underwent PGT-A/SR and 218 reached first transfer. oPR was 48.6% versus 42.4% ( Conclusions: On a per-transfer basis, PGT-A/SR was associated with higher cPR and lower miscarriage rate, particularly in women aged ≥ 35 years. Interpretation is limited by the single-arm design and the mismatch between the study endpoint and the registry comparator. Trial Registration: This study was registered in the Japan Registry of Clinical Trials (jRCT) (jRCT1052220197).

Indexed as

aneuploidyhealth insurancehealth servicespregnancy outcomepreimplantation genetic diagnosis

Identifiers

PMID42846290
PMCPMC13643508

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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.