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. 2023 Jan 10;40(4):719–734. doi: 10.1007/s10815-022-02710-x

Table 1.

Basic characteristics of the included studies

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)