The role of endometrial scratching prior to in vitro fertilization: an updated systematic review and meta-analysis

Autor: Maria Chrysoula Iakovidou, Efstratios Kolibianakis, Leonidas Zepiridis, Christos Venetis
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Reproductive Biology and Endocrinology, Vol 21, Iss 1, Pp 1-46 (2023)
Druh dokumentu: article
ISSN: 1477-7827
DOI: 10.1186/s12958-023-01141-2
Popis: Abstract Research question To evaluate the role of endometrial scratching performed prior to an embryo transfer cycle on the probability of pregnancy compared to placebo/sham or no intervention. Design A computerized literature (using a specific search strategy) search was performed across the databases MEDLINE, EMBASE, COCHRANE CENTRAL, SCOPUS and WEB OF SCIENCE up to June 2023 in order to identify randomized controlled trials (RCTs) evaluating the effect of endometrial scratching prior to an embryo transfer cycle on the probability of pregnancy, expressed either as live birth, ongoing pregnancy or clinical pregnancy (in order of significance) compared to placebo/sham or no intervention. Data were pooled using random-effects or fixed-effects model, depending on the presence or not of heterogeneity. Heterogeneity was assessed using the I 2 statistic. Subgroup analyses were performed based on the population studied in each RCT, as well as on the timing and method of endometrial biopsy. Certainty of evidence was assessed using the GRADEPro tool. Results The probability of live birth was significantly higher in embryo transfer cycles after endometrial scratching as compared to placebo/sham or no intervention (relative risk-RR: 1.12, 95% CI: 1.05–1.20; heterogeneity: I2=46.30%, p
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje