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. 2013 Apr 30;2013(4):CD009391. doi: 10.1002/14651858.CD009391.pub2

Summary of findings for the main comparison. Brief co‐incubation compared to standard insemination for in vitro fertilization techniques.

Brief co‐incubation compared to standard insemination for in vitro fertilization techniques
Patient or population: patients with in vitro fertilization techniques 
 Settings:Intervention: Brief co‐incubation 
 Comparison: standard insemination
Outcomes Illustrative comparative risks* (95% CI) Relative effect 
 (95% CI) No of Participants 
 (studies) Quality of the evidence 
 (GRADE) Comments
Assumed risk Corresponding risk
Standard insemination Brief co‐incubation
Ongoing pregnancy per randomized woman 213 per 1000 396 per 1000 
 (296 to 505) OR 2.42 
 (1.55 to 3.77) 426 
 (2 studies) ⊕⊕⊝⊝ 
 low1  
Clinical pregnancy rate per randomized woman 177 per 1000 337 per 1000 
 (238 to 453) OR 2.36 
 (1.45 to 3.85) 372 
 (3 studies) ⊕⊕⊝⊝ 
 low2  
Miscarriage rate per randomized woman 24 per 1000 47 per 1000 
 (9 to 217) OR 1.98 
 (0.35 to 11.09) 167 
 (1 study) ⊕⊕⊝⊝ 
 low3  
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). 
 CI: Confidence interval; OR: Odds ratio;
GRADE Working Group grades of evidence 
 High quality: Further research is very unlikely to change our confidence in the estimate of effect. 
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. 
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. 
 Very low quality: We are very uncertain about the estimate.

1 One trial lacked adequate explanation for methods of randomization. Allocation concealment not mentioned in any trial. 
 2 Two trials lacked adequate explanation for randomization methods. Allocation concealment not mentioned in any trial. 
 3 One trial only and no method of randomization or allocation concealment stated.