Table 3.
Adjusted ORsa for IVF/ICSI failures in relation to serum PCB quartiles (Q) among cycles with an embryo transfer.b
| Table 3. Adjusted ORsa for IVF/ICSI failures in relation to serum PCB quartiles (Q) among cycles with an embryo transfer.b | ||||||||||||||||
| No. of cycles | No. of women | Failed implantation | Chemical pregnancy | Spontaneous abortion | ||||||||||||
| Exposure quartiles | No. of events | ORs (95% CI) | No. of events | ORs (95% CI) | No. of events | ORs (95% CI) | ||||||||||
| PCB-118 | ||||||||||||||||
| Q1 | 196 | 185 | 43 | Referent | 54 | Referent | 25 | Referent | ||||||||
| Q2 | 196 | 183 | 59 | 1.81 (1.11–2.97) | 38 | 0.72 (0.43–1.22) | 34 | 1.50 (0.79–2.83) | ||||||||
| Q3 | 190 | 176 | 71 | 2.34 (1.42–3.84) | 38 | 0.89 (0.52–1.51) | 33 | 1.70 (0.87–3.32) | ||||||||
| Q4 | 192 | 185 | 61 | 1.60 (0.96–2.69) | 47 | 0.91 (0.54–1.53) | 41 | 1.29 (0.66–2.53) | ||||||||
| p for trend | 0.06 | 0.87 | 0.42 | |||||||||||||
| PCB-138 | ||||||||||||||||
| Q1 | 197 | 184 | 49 | Referent | 45 | Referent | 31 | Referent | ||||||||
| Q2 | 198 | 189 | 59 | 1.42 (0.87–2.30) | 41 | 0.98 (0.58–1.68) | 25 | 0.68 (0.36–1.34) | ||||||||
| Q3 | 185 | 170 | 62 | 1.51 (0.91–2.48) | 46 | 1.18 (0.68–2.05) | 30 | 1.10 (0.57–2.15) | ||||||||
| Q4 | 194 | 190 | 64 | 1.39 (0.83–2.30) | 45 | 1.10 (0.63–1.91) | 38 | 1.14 (0.59–2.20) | ||||||||
| p for trend | 0.24 | 0.61 | 0.41 | |||||||||||||
| PCB-153 | ||||||||||||||||
| Q1 | 197 | 188 | 46 | Referent | 45 | Referent | 30 | Referent | ||||||||
| Q2 | 193 | 182 | 57 | 1.63 (0.99–2.71) | 42 | 1.04 (0.60–1.78) | 26 | 0.89 (0.46–1.73) | ||||||||
| Q3 | 192 | 179 | 59 | 1.59 (0.95–2.66) | 46 | 1.09 (0.63–1.90) | 33 | 1.18 (0.61–2.27) | ||||||||
| Q4 | 192 | 186 | 72 | 1.99 (1.16–3.40) | 44 | 1.17 (0.66–2.10) | 35 | 1.13 (0.56–2.27) | ||||||||
| p for trend | 0.02 | 0.58 | 0.56 | |||||||||||||
| Group 1 PCBs | ||||||||||||||||
| Q1 | 195 | 186 | 59 | Referent | 41 | Referent | 28 | Referent | ||||||||
| Q2 | 194 | 187 | 50 | 0.87 (0.54–1.41) | 46 | 1.06 (0.63–1.80) | 34 | 1.20 (0.64–2.26) | ||||||||
| Q3 | 195 | 187 | 57 | 0.99 (0.61–1.61) | 44 | 0.97 (0.56–1.68) | 30 | 0.83 (0.43–1.62) | ||||||||
| Q4 | 190 | 183 | 68 | 1.19 (0.72–1.93) | 46 | 1.13 (0.65–1.98) | 32 | 0.93 (0.46–1.85) | ||||||||
| p for trend | 0.38 | 0.76 | 0.59 | |||||||||||||
| Group 2 PCBs | ||||||||||||||||
| Q1 | 196 | 185 | 51 | Referent | 46 | Referent | 27 | Referent | ||||||||
| Q2 | 197 | 187 | 56 | 1.27 (0.78–2.08) | 41 | 0.91 (0.53–1.55) | 27 | 0.91 (0.47–1.76) | ||||||||
| Q3 | 191 | 178 | 60 | 1.44 (0.87–2.36) | 41 | 0.97 (0.56–1.68) | 39 | 1.66 (0.86–3.18) | ||||||||
| Q4 | 190 | 184 | 67 | 1.38 (0.82–2.32) | 49 | 1.17 (0.67–2.05) | 31 | 1.07 (0.53–2.14) | ||||||||
| p for trend | 0.20 | 0.54 | 0.44 | |||||||||||||
| Group 3 PCBs | ||||||||||||||||
| Q1 | 198 | 189 | 46 | Referent | 45 | Referent | 30 | Referent | ||||||||
| Q2 | 191 | 180 | 57 | 1.44 (0.88–2.38) | 39 | 0.90 (0.53–1.55) | 30 | 1.01 (0.53–1.93) | ||||||||
| Q3 | 193 | 178 | 59 | 1.42 (0.85–2.38) | 51 | 1.26 (0.74–2.17) | 27 | 0.94 (0.48–1.85) | ||||||||
| Q4 | 192 | 187 | 71 | 1.75 (1.03–2.97) | 42 | 1.02 (0.57–1.84) | 37 | 1.13 (0.57–2.25) | ||||||||
| p for trend | 0.05 | 0.65 | 0.79 | |||||||||||||
| ∑PCB | ||||||||||||||||
| Q1 | 197 | 187 | 46 | Referent | 42 | Referent | 28 | Referent | ||||||||
| Q2 | 194 | 186 | 52 | 1.13 (0.68–1.85) | 43 | 1.08 (0.69–1.85) | 33 | 1.19 (0.63–2.26) | ||||||||
| Q3 | 193 | 182 | 58 | 1.33 (0.81–2.18) | 48 | 1.34 (0.78–2.31) | 32 | 1.36 (0.70–2.65) | ||||||||
| Q4 | 190 | 184 | 73 | 1.70 (1.02–2.85) | 44 | 1.27 (0.71–2.29) | 31 | 1.07 (0.53–2.15) | ||||||||
| p for trend | 0.03 | 0.30 | 0.75 | |||||||||||||
| aJoint models for multiple outcomes and multiple cycles per woman were used. Models were adjusted for serum lipids, study site, study phase, race/ethnicity, previous live birth, maternal age, BMI, smoking status, ampules of gonadotropins, protocol, ICSI, number of embryos transferred, and primary infertility diagnosis. bThere were 827 cycles with serum samples analyzed for PCB concentrations. However, because of missing covariates, only 774 cycles from 720 women contributed to the multivariate analysis. Missing ethnicity, infertility diagnosis, and previous live birth were recoded as a separate category so that cycles missing this information were in the multivariate models. If a cycle was missing any other covariate, that cycle was dropped from the multivariate analysis. Specifically, 13 cycles were missing lipids, 2 cycles were missing ampules of gonadotropins, 32 cycles were missing number of embryos transferred, and 6 cycles were missing BMI. | ||||||||||||||||