题名 | Frozen versus fresh single blastocyst transfer in ovulatory women: a multicentre, randomised controlled trial |
作者 | Wei, Daimin1,2,3; Liu, Jia-Yin4,5; Sun, Yun6,7,8; Shi, Yuhua1,2,3; Zhang, Bo9; Liu, Jian-Qiao10; Tan, Jichun11; Liang, Xiaoyan12; Cao, Yunxia13; Wang, Ze1,2,3; Qin, Yingying1,2,3; Zhao, Han1,2,3; Zhou, Yi14; Ren, Haiqin15; Hao, Guimin16; Ling, Xiufeng17; Zhao, Junzhao18; Zhang, Yunshan19; Qi, Xiujuan20; Zhang, Lin21; Deng, Xiaohui22; Chen, Xiaoli23; Zhu, Yimin24; Wang, Xiaohong25; Tian, Li-Feng26; Lv, Qun27; Ma, Xiang4,5; Zhang, Heping28; Legro, Richard S29; Chen, Zi-Jiang1,2,3,6,7,8
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发表日期 | 2019-03-30 |
发表期刊 | LANCET 影响因子和分区 |
语种 | 英语 |
原始文献类型 | Article |
其他关键词 | PERIIMPLANTATION ENDOMETRIUM ; ASSISTED REPRODUCTION ; EMBRYO-TRANSFER ; CLEAVAGE-STAGE ; IMPLANTATION ; CYCLES |
摘要 | Background Elective single embryo transfer (eSET) has been increasingly advocated, but concerns about the lower pregnancy rate after reducing the number of embryos transferred have encouraged transfer of multiple embryos. Extended embryo culture combined with electively freezing all embryos and undertaking a deferred frozen embryo transfer might increase pregnancy rate after eSET. We aimed to establish whether elective frozen single blastocyst transfer improved singleton livebirth rate compared with fresh single blastocyst transfer. Methods This multicentre, non-blinded, randomised controlled trial was undertaken in 21 academic fertility centres in China. 1650 women with regular menstrual cycles undergoing their first cycle of in-vitro fertilisation were enrolled from Aug 1,2016, to June 3,2017. Eligible women were randomly assigned to either fresh or frozen single blastocyst transfer. The randomisation sequence was computer generated, with block sizes of two, four, or six, stratified by study site. For those assigned to frozen blastocyst transfer, all blastocysts were cryopreserved and a delayed frozen-thawed single blastocyst transfer was done. The primary outcome was singleton livebirth rate. Analysis was by intention to treat. This trial is registered at the Chinese Clinical Trial Registry, number ChiCTR-I0R-14005405. Findings 825 women were assigned to each group and included in analyses. Frozen single blastocyst transfer resulted in higher rates of singleton livebirth than did fresh single blastocyst transfer (416 [50%] vs 329 [40%]; relative risk [RR]1.26,95% CI 1.14-1.41, p<0.0001). The risks of moderate or severe ovarian hyperstimulation syndrome (four of 825 [0.5%] in frozen single blastocyst transfer vs nine of 825 [14%] in fresh single blastocyst transfer; p=0.16), pregnancy loss (134 of 583 [23.0%] vs 124 of 481 [25.8%]; p=0.29), other obstetric complications, and neonatal morbidity were similar between the two groups. Frozen single blastocyst transfer was associated with a higher risk of pre-eclampsia (16 of 512 [3.1%] vs four of 401 [1.0%]; RR 3.13,95% CI 1.06-9.30, p=0.029). Interpretation Frozen single blastocyst transfer resulted in a higher singleton livebirth rate than did fresh single blastocyst transfer in ovulatory women with good prognosis. The increased risk of pre-eclampsia after frozen blastocyst transfer warrants further studies. Copyright (C) 2019 Elsevier Ltd. All rights reserved. |
资助项目 | National Key Research and Development Program of China |
出版者 | ELSEVIER SCIENCE INC |
出版地 | NEW YORK |
ISSN | 0140-6736 |
EISSN | 1474-547X |
卷号 | 393期号:10178页码:1310-1318 |
DOI | 10.1016/S0140-6736(18)32843-5 |
页数 | 9 |
WOS类目 | Medicine, General & Internal |
WOS研究方向 | General & Internal Medicine |
WOS记录号 | WOS:000462967700027 |
收录类别 | SCIE ; PUBMED ; SCOPUS |
URL | 查看原文 |
PubMed ID | 30827784 |
SCOPUSEID | 2-s2.0-85063326187 |
ESI高被引论文 | 2020-09 ; 2020-11 ; 2021-01 ; 2021-03 ; 2021-05 ; 2021-07 ; 2021-11 ; 2022-01 ; 2022-03 ; 2022-07 ; 2022-09 ; 2022-11 ; 2023-01 ; 2023-03 ; 2023-05 ; 2023-07 ; 2023-09 ; 2023-11 ; 2024-01 ; 2024-03 ; 2024-05 ; 2024-07 ; 2024-09 ; 2024-11 |
自科自定义期刊分类 | T1类 |
通讯作者地址 | [Chen, Zi-Jiang]Center for Reproductive Medicine,Cheeloo College of Medicine,Shandong University,Jinan,250021,China |
Scopus学科分类 | Medicine (all) |
TOP期刊 | TOP期刊 |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | https://kms.wmu.edu.cn/handle/3ETUA0LF/20820 |
专题 | 第二临床医学院,附属第二医院、育英儿童医院 附属第二医院 |
通讯作者 | Chen, Zi-Jiang |
作者单位 | 1.Center for Reproductive Medicine,Cheeloo College of Medicine,Shandong University,Jinan,China; 2.The Key Laboratory of Reproductive Endocrinology of Ministry of Education,Jinan,China; 3.National Research Center for Assisted Reproductive Technology and Reproductive Genetics,Jinan,China; 4.Department of Reproductive Medicine,First Affiliated Hospital of Nanjing Medical University/Jiangsu Province Hospital,Nanjing,China; 5.State Key Laboratory of Reproductive Medicine,Nanjing,China; 6.Center for Reproductive Medicine,Ren Ji Hospital,Shanghai,China; 7.School of Medicine,Shanghai Jiao Tong University,Shanghai,China; 8.Shanghai Key Laboratory of Assisted Reproduction and Reproductive Genetics,Shanghai,China; 9.Center for Reproductive Medicine,Maternal and Child Health Hospital in Guangxi,Guangxi,China; 10.Department of Reproductive Medicine,Key Laboratory for Major Obstetric Diseases of Guangdong Province,Key Laboratory for Reproduction and Genetics of Guangdong Higher Education Institutes,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou,China; 11.Reproductive Medicine Center,Department of Obstetrics and Gynecology,Shengjing Hospital,China Medical University,Shenyang,China; 12.Reproductive Medicine Research Centre,the 6th Affiliated Hospital of Sun Yat-sen University,Guangzhou,China; 13.Department of Obstetrics and Gynecology,Reproductive Medicine Center,The First Affiliated Hospital,Anhui Medical University,Hefei,China; 14.Center for Reproductive Medicine,Qingdao Women's and Children's Hospital,Qingdao University,Qingdao,China; 15.Department of Reproductive Medicine,Shenyang Dongfang Jinghua Hospital,Shenyang,China; 16.Department of Reproductive Medicine,the Second Hospital of Hebei Medical University,Shijiazhuang,China; 17.Department of Reproductive Medicine,the affiliated Obstetrics and Gynecology Hospital with Nanjing Medical University,Nanjing Maternity and Child Health Care Hospital,Nanjing,China; 18.Reproductive Medical Center,the Second Affiliated Hospital of Wenzhou Medical College and Yuying Children's hospital,Wenzhou,China; 19.Center for Reproductive Medicine,Tianjin Central Hospital of Obstetrics and Gynecology,Tianjin,China; 20.Center for Reproductive Medicine,the Affiliated Hospital of Qingdao University,Qingdao,China; 21.Department of Occupational Hygiene,School of Public Health and Management,Weifang Medical University,Weifang,China; 22.Center for Reproductive Medicine,Qilu Hospital of Shandong University,Jinan,China; 23.Division of Reproductive Medicine,Department of Obstetrics and Gynecology,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou,China; 24.Department of Reproductive Endocrinology,Women's Hospital,School of Medicine,Zhejiang University,Hangzhou,China; 25.Reproductive Medical Center,Tangdu Hospital,the Fourth Military Medical University,Xi'an,China; 26.Reproductive Medical Center,Jiangxi Provincial Maternal and Child Health Hospital,Nanchang,China; 27.Center for Reproductive Medicine,Sichuan Provincial People's Hospital,Chengdu,China; 28.Department of Biostatistics,Yale University School of Public Health,New Haven,United States; 29.Department of Obstetrics and Gynecology,Penn State College of Medicine,Hershey,United States |
推荐引用方式 GB/T 7714 | Wei, Daimin,Liu, Jia-Yin,Sun, Yun,et al. Frozen versus fresh single blastocyst transfer in ovulatory women: a multicentre, randomised controlled trial[J]. LANCET,2019,393(10178):1310-1318. |
APA | Wei, Daimin., Liu, Jia-Yin., Sun, Yun., Shi, Yuhua., Zhang, Bo., ... & Chen, Zi-Jiang. (2019). Frozen versus fresh single blastocyst transfer in ovulatory women: a multicentre, randomised controlled trial. LANCET, 393(10178), 1310-1318. |
MLA | Wei, Daimin,et al."Frozen versus fresh single blastocyst transfer in ovulatory women: a multicentre, randomised controlled trial".LANCET 393.10178(2019):1310-1318. |
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