Table 1.
Author, year, country | Study design | Period | Participants’ main characteristics | Sample size (pET/sET) | Age (pET/sET) | Embryo characteristics and endometrial preparation protocols | Outcomes |
---|---|---|---|---|---|---|---|
Bassil et al., 2018 Canada [46] |
Single-center retrospective cohort | April 2016 to March 2017 |
pET group: patients who were < 42 years old, undergoing their first to third embryo transfer attempt; sET group: patients who underwent their first or second frozen embryo transfer at our clinic, < 42 years old; No patients with RIF in each group |
53/503 | (36.3 ± 0.40)a / (35.6 ± 4.00)a |
Oocyte source: Unclear; Developmental stage: blastocyst (inferring from the endometrial preparation protocol); PGT for aneuploidy: 34.1% and 14.7% for the pET and sET groups, respectively; No. of embryos transferred: (1.1 ± 0.4) and (1.1 ± 0.3) for the pET and sET groups, respectively; Endometrial preparation protocol: programmed or modified natural protocols |
OPR |
Bergin et al., 2021 USA [9] |
Single-center retrospective cohort | January 2014 to June 2019 | Patients with different prior numbers of embryo transfers | After PSM: 133/353 | After PSM: (36.25 ± 3.85)a / (36.05 ± 3.81)a |
Oocyte source: autologous; Developmental stage: blastocyst (inferring from the endometrial preparation protocol); PGT for aneuploidy: 75.19% and 72.80% for the pET and sET groups, respectively; No. of embryos transferred: (1.09 ± 0.42) and (1.10 ± 0.30) for the pET and sET groups, respectively; Endometrial preparation protocol: natural or programmed protocols |
CPR; LBR; MR; HCG positivity rate |
Cozzolino et al., 2022 Spain [11] |
Multicenter retrospective cohort | Unclear | Patients presenting with a previously failed embryo transfer |
Autologous cycles: 255/1862; Donor cycles: 319/639 |
Autologous cycles: (36.79 ± 3.50)a / (35.95 ± 3.82)a; Donor cycles: (41.13 ± 4.19)a / (42.16 ± 4.00)a |
Oocyte source: both autologous and donated; Developmental stage: both cleavage stage and blastocyst; PGT for aneuploidy: 31.9% and 36.5% for the pET and sET groups, respectively; No. of embryos transferred: ≥ 1; Endometrial preparation protocol: programmed protocol with GnRH downregulation |
CPR; LBR; MR; OPR; HCG positivity rate; BPR |
Doyle et al., 2022 USA [47] |
Single-center retrospective cohort | 2018 to 2019 | Patients with different prior numbers of embryo transfers | 307/2284 | (36.70 ± 4.10)a / (36.70 ± 4.30)a |
Oocyte source: autologous; Developmental stage: blastocyst; PGT for aneuploidy: all embryos transferred; No. of embryos transferred: 1; Endometrial preparation protocol: programmed protocol |
CPR; LBR; HCG positivity rate |
Fodina et al., 2021 Latvia [48] |
Single-center retrospective cohort | 2017 to 2020 | RIF: patients who failed to achieve a clinical pregnancy after transfers of at least three good-quality embryos in different single fresh or frozen embryo transfers |
PGT cycles: 72/87; Non-PGT cycles: 22/72 |
pET: (34.0 [38.0; 32.5])b; pET + PGT: (35.0 [37.0; 33.0])b; sET: (34.0 [37.0; 32.0])b; sET + PGT: (36.0 [38.0; 34.0])b |
Oocyte source: unclear; Developmental stage: blastocyst; PGT for aneuploidy: 76.6% and 54.7% for the pET and sET groups, respectively; No. of embryos transferred: unclear; Endometrial preparation protocol: unclear |
CPR; MR; HCG positivity rate; BPR |
Jia et al., 2022 China [13] |
Single-center retrospective cohort | November 2019 to March 2021 | Patients with multiple embryo implantation failures (at least 2 cycles of embryo transfer, or transfer of at least 3 good-quality blastocysts with a Gardner’s score of 4BB or higher) | 140/141 | (32.01 ± 2.99)a / (31.87 ± 3.21)a |
Oocyte source: unclear; Developmental stage: blastocyst; PGT for aneuploidy: unclear; No. of embryos transferred: ≥ 1; Endometrial preparation protocol: unclear |
CPR; MR; IR; HCG positivity rate; BPR |
Neves et al., 2019 Spain [49] |
Single-center retrospective cohort | October 2012 to December 2018 | Patients who had undergone one of the following: (a) ≥ 1 previous failed euploid embryo transfer (Euploid-ET) and (b) ≥ 2 previous failed ET from reception cycles (Donor-ET) without PGT-A | 24/119 | (39.25 ± 3.99)a / (39.18 ± 3.80)a |
Oocyte source: both autologous and donated; Developmental stage: blastocyst; PGT for aneuploidy: all autologous embryos; No. of embryos transferred: ≥ 1; Endometrial preparation protocol: programmed protocol |
CPR; IR |
Ohara et al., 2022 Japan [50] |
Two-center retrospective cohort | April 2019 to June 2020 | RIF: patients who failed to achieve clinical pregnancy with three or more IVF cycles in which one or two morphologically good-quality blastocysts were transferred | After PSM: 215/215 | After PSM: (38.50 ± 4.10)a / (38.20 ± 4.30)a |
Oocyte source: autologous; Developmental stage: blastocyst; PGT for aneuploidy: none; No. of embryos transferred: (1.39 ± 0.5) and (1.41 ± 0.5) for the pET and sET groups, respectively; Endometrial preparation protocol: programmed protocol |
CPR; MR; LBR |
Riestenberg et al., 2021 USA [10] |
Single-center prospective not randomized cohort | January 2018 to April 2019 | Patients who had their first single euploid FET in a programmed cycle | 147/81 | (36.90 ± 3.80)a / (34.90 ± 3.80)a |
Oocyte source: autologous; Developmental stage: blastocyst; PGT for aneuploidy: all embryos transferred; No. of embryos transferred: 1; Endometrial preparation protocol: programmed protocol |
CPR; LBR; MR; HCG positivity rate; BPR |
Simón et al., 2020 Spain [12] |
Multicentre RCT | November 2013 to April 2017 | Patients without recurrent miscarriage (more than two previous biochemical pregnancies or spontaneous abortions); implantation failure (more than three failed IVF cycles with good-quality embryos transferred) | Per-protocol analysis set: 80/92 | (33.00 ± 3.10)a / (32.80 ± 3.40)a |
Oocyte source: per-protocol analysis set: autologous; Developmental stage: both cleavage stage and blastocyst; PGT for aneuploidy: 4.3% and 2.7% for the pET and sET groups, respectively; No. of embryos transferred: ≥ 1; Endometrial preparation protocol: programmed protocol |
IR; LBR; MR; HCG positivity rate; BPR |
pET, personalized embryo transfer; sET, standard embryo transfer; No., number; FET, frozen-thawed embryo transfer; RIF, recurrent implantation failure; PGT, preimplantation genetic testing; CPR, clinical pregnancy rate; LBR, live birth rate; HCG, human chorionic gonadotropin; BPR, biochemical pregnancy rate; MR, miscarriage rate; IR, implantation rate; OPR, ongoing pregnancy rate; PSM, propensity score matching; RCT, randomized controlled trial; GnRH, gonadotropin-releasing hormone
aAges shown as mean age ± (standard deviation)
bAges shown as median age (interquartile range)