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. 2012 Jul 11;2012(7):CD008950. doi: 10.1002/14651858.CD008950.pub2

Summary of findings 3. Embryo culture with low oxygen concentration compared to embryo culture with atmospheric oxygen concentration for clinical pregnancy rate.

Embryo culture with low oxygen concentration compared to embryo culture with atmospheric oxygen concentration for clinical pregnancy rate
Patient or population: Patients with clinical pregnancy rate 
 Settings: Assisted reproductive technologies 
 Intervention: Embryo culture with low oxygen concentration 
 Comparison: Embryo culture with atmospheric oxygen concentration
Outcomes Illustrative comparative risks* (95% CI) Relative effect 
 (95% CI) No of Participants 
 (studies) Quality of the evidence 
 (GRADE) Comments
Assumed risk Corresponding risk
Embryo culture with atmospheric oxygen concentration Embryo culture with low oxygen concentration
Clinical pregnancy rate 369 per 1000 442 per 1000 
 (387 to 494) OR 1.35 
 (1.08 to 1.67) 1382 
 (4 studies) ⊕⊕⊕⊝ 
 moderate1  
*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 of the trials had no allocation concealment and another trial did not detail the methods of allocation concealment