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. 2016 Nov 16;2016(11):CD008720. doi: 10.1002/14651858.CD008720.pub2

Zheng 2012.

Methods Randomised controlled study
82 women who were undergoing IVM cycles were randomised to 10,000 units hCG priming (N = 40) or no priming (N = 42)
Participants The participants all met the Rotterdam criteria for the diagnosis of polycystic ovarian syndrome. The age of the women ranged from 24 to 39 years; mean 30.2 years). "Basic patient characteristics, including mean female age, body mass index (BMI), and baseline FSH did not differ between the hCG primed (40 women) and the non‐primed (42 women) groups."
Interventions 10,000 units hCG priming 36 to 38 hours prior to oocyte collection or no priming
Outcomes No. of oocytes retrieved
Oocyte maturation rate at 32 hours
No. of oocytes fertilised
No. of oocytes cleaved
Cycles with embryo transfer
No. of embryos transferred
Implantation rate
Clinical pregnancy rate (presence of an intrauterine gestational sac on ultrasound on day 35 after embryo transfer)
Live birth rate
Miscarriage rate (pregnancy loss after ultrasonographic evidence of an intrauterine pregnancy)
No. of cycles with embryo freezing
Notes Funded by National Science Fund for Distinguished Young Scholars and State Basic Research Development Program of China. No competing interests declared. Author contacted but no response.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Treatment allocated using a "computerised random table"
Allocation concealment (selection bias) Unclear risk Not reported.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk " The patients and the embryologist were blind to the randomised results."
Comment: Patients unable to be blinded as were either receiving hCG priming by subcutaneous injection followed by oocyte collection 36 to 38 hours post priming or no hCG injection and immediate oocyte collection. There was no placebo used.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Embryologist "blind to the random results"
Comment: No explanation as to how the embryologists were blinded. No comment on blinding of other assessors e.g. sonographers, clinicians
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Withdrawals not reported.
Selective reporting (reporting bias) Unclear risk Study protocol not available to check whether outcomes were prespecified
Other bias Low risk Funding stated and no competing interests declared. No significant difference reported in basic patient characteristics between the two groups.

PCOS = polycystic ovarian syndrome

IVM = in vitro maturation

hCG = human chorionic gonadotrophin

IVF = in vitro fertilisation

ICSI = intracytoplasmic sperm injection

PCO = polycystic ovaries

FSH = follicle stimulating hormone