Cryopreserved oocyte versus fresh oocyte assisted reproductive technology cycles, United States, 2013
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- 作者：Sara Crawford ; Ph.D.<sup>asup><sup> ; sup><sup>sgv0@cdc.govsup> ; Sheree L. Boulet ; Dr.P.H. ; M.P.H.<sup>asup> ; Jennifer F. Kawwass ; M.D.<sup>asup><sup> ; sup><sup>bsup> ; Denise J. Jamieson ; M.D. ; M.P.H.<sup>asup> ; Dmitry M. Kissin ; M.D. ; M.P.H.<sup>asup>
- 关键词：Assisted reproductive technology (ART) ; egg freezing ; in vitro fertilization (IVF) ; vitrification
- 刊名：Fertility and Sterility
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：107
- 期：1
- 页码：110-118
- 全文大小：179 K
- 卷排序：107
文摘
To compare characteristics, explore predictors, and compare assisted reproductive technology (ART) cycle, transfer, and pregnancy outcomes of autologous and donor cryopreserved oocyte cycles with fresh oocyte cycles.DesignRetrospective cohort study from the National ART Surveillance System.SettingFertility treatment centers.Patient(s)Fresh embryo cycles initiated in 2013 utilizing embryos created with fresh and cryopreserved, autologous and donor oocytes.Intervention(s)Cryopreservation of oocytes versus fresh.Main Outcomes Measure(s)Cancellation, implantation, pregnancy, miscarriage, and live birth rates per cycle, transfer, and/or pregnancy.Result(s)There was no evidence of differences in cancellation, implantation, pregnancy, miscarriage, or live birth rates between autologous fresh and cryopreserved oocyte cycles. Donor cryopreserved oocyte cycles had a decreased risk of cancellation before transfer (adjusted risk ratio [aRR] 0.74, 95% confidence interval [CI] 0.57–0.96) as well as decreased likelihood of pregnancy (aRR 0.88, 95% CI 0.81–0.95) and live birth (aRR 0.87, 95% CI 0.80–0.95); however, there was no evidence of differences in implantation, pregnancy, or live birth rates when cycles were restricted to those proceeding to transfer. Donor cryopreserved oocyte cycles proceeding to pregnancy had a decreased risk of miscarriage (aRR 0.75, 95% CI 0.58–0.97) and higher live birth rate (aRR 1.05, 95% CI 1.01–1.09) with the transfer of one embryo, but higher miscarriage rate (aRR 1.28, 95% CI 1.07–1.54) and lower live birth rate (aRR 0.95, 95% CI 0.92–0.99) with the transfer of two or more.Conclusion(s)There was no evidence of differences in ART outcomes between autologous fresh and cryopreserved oocyte cycles. There was evidence of differences in per-cycle and per-pregnancy outcomes between donor cryopreserved and fresh oocyte cycles, but not in per-transfer outcomes.