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. 2020 Sep 8;2020(9):CD005291. doi: 10.1002/14651858.CD005291.pub3

Rubio 2013.

Study characteristics
Methods Study design: randomised controlled trial
Duration and location of the trial: between 2004 and December 2011, private infertility clinic, Valencia, Spain
Sample size: a sample size calculation was performed
90 women randomised
Participants Inclusion criteria: FSH levels < 10 IU/mL, E2 < 65 pg/mL, antral follicle count 8 or more, and 5 or more metaphase II (MII) oocytes in previous cycles. Women < 40 years; 3 or more implantation failures in previous IVF/ICSI cycle with transfer of at least 2 good‐quality, fresh embryos in each cycle; and no abnormality in the infertility work‐up performed
Exclusion criteria: any abnormality detected in the previous infertility work‐up; hydrosalpinx; previous ectopic pregnancies or miscarriages; presence of myomas, adhesions, or polyps; previous ET with high difficulty or bleeding, or both; patients with other indications for PGD/PGS; and patients with fewer than 5 MII oocytes in a single cycle
Interventions Type of biopsy: cleavage stage biopsy
Genetic analysis: genetic analysis with FISH analysis
Outcomes live birth rate
Miscarriage rate
Multiple pregnancy rate
Proportion of women reaching embryo transfer
Mean number of embryos per transfer
Notes Treatment procedure: ICSI only
Embryo transfer policy: maximum embryos for transfer not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Judgement comment: computer‐generated randomisation
Allocation concealment (selection bias) Unclear risk Judgement comment: concealment of allocation not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Judgement comment: not blinded
Blinding of outcome assessment (detection bias)
All outcomes Low risk Judgement comment: non‐blinding not likely to affect objective outcomes
Incomplete outcome data (attrition bias)
All outcomes Low risk Judgement comment: number of randomised participants is the number of analysed participants
Selective reporting (reporting bias) Low risk Judgement comment: no suggestion of selective reporting
Other bias Low risk Judgement comment: no suggestion of other bias.
Funding: unclear whether this was a sponsored trial