Cochrane · systematic review · CD003719

Recombinant versus urinary human chorionic gonadotrophin for final oocyte maturation triggering in IVF and ICSI cycles

Youssef, MA, Abou‐Setta, AM, Lam, WS · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Gynaecology and Fertility2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 10%Very low 4 · 40%Low 2 · 20%Moderate 3 · 30%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

RhCG compared to uhCG for final oocyte maturation triggering in IVF and ICSI cycles

Population: women undergoing final oocyte maturation triggering in IVF and ICSI cycles
CD003719.PUB4 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Ongoing pregnancy/live birth rate per woman
RhCG vs uhCG
OR 1.15 [0.89, 1.49]7 studies · 1136 participantsModerate
OHSS per woman ‐ moderate to severe OHSS
RhCG vs uhCG
OR 1.76 [0.37, 8.45]3 studies · 417 participantsLow
Clinical pregnancy rate per woman
RhCG vs uhCG
OR 1.06 [0.87, 1.29]13 studies · 1806 participantsModerate
Miscarriage rate per woman
RhCG vs uhCG
OR 0.72 [0.41, 1.25]9 studies · 1347 participantsLow
Adverse events per woman
RhCG vs uhCG
OR 0.52 [0.35, 0.76]5 studies · 561 participantsModerate

RhLH compared to uhCG for final oocyte maturation triggering in IVF and ICSI cycles

Population: women undergoing final oocyte maturation triggering in IVF and ICSI cycles
CD003719.PUB4 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Ongoing pregnancy/live birth rate per woman
RhLH vs uhCG
OR 0.95 [0.51, 1.78]2 studies · 289 participantsVery low
Downgraded: risk of bias
OHSS per woman ‐ Moderate OHSS
RhLH vs uhCG
OR 0.83 [0.4, 1.7]2 studies · 289 participantsVery low
Downgraded: risk of bias
Clinical pregnancy rate per woman
RhLH vs uhCG
OR 0.94 [0.54, 1.64]2 studies · 289 participantsVery low
Downgraded: risk of bias
Miscarriage rate per woman
RhLH vs uhCG
OR 0.95 [0.38, 2.4]2 studies · 280 participantsVery low
Downgraded: risk of bias
Adverse events per woman
RhLH vs uhCG
no estimate extracted1 study · 259 participantsUngraded

rhCG versus uhCG for triggering ovulation for final oocyte maturation triggering in IVF and ICSI cycles

Population: patients with final oocyte maturation triggering in IVF and ICSI cycles
CD003719.PUB3 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Ongoing pregnancy / live birth rate per woman
rhCG vs uhCG
OR 1.04 [0.79, 1.37]6 studies · 1019 participantsHigh
Clinical pregnancy rate per woman
rhCG vs uhCG
OR 1.28 [1, 1.65]8 studies · 1206 participantsHigh
Miscarriage rate per woman
rhCG vs uhCG
OR 0.69 [0.41, 1.18]7 studies · 1106 participantsHigh
Severe OHSS per woman
rhCG vs uhCG
OR 1.49 [0.54, 4.1]3 studies · 549 participantsModerate
Adverse events per woman
rhCG vs uhCG
OR 0.39 [0.25, 0.61]3 studies · 374 participantsHigh

rhLH compared to uhCG for final oocyte maturation triggering in IVF and ICSI cycles

Population: patients with final oocyte maturation triggering in IVF and ICSI cycles
CD003719.PUB3 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Ongoing pregnancy / live birth rate per woman
rhLH vs uhCG
OR 0.94 [0.5, 1.76]2 studies · 280 participantsLow
Downgraded: risk of bias
Clinical pregnancy rate per woman
rhLH vs uhCG
OR 0.93 [0.53, 1.63]2 studies · 280 participantsLow
Downgraded: risk of bias
Miscarriage rate per woman
rhLH vs uhCG
OR 0.94 [0.37, 2.38]2 studies · 280 participantsLow
Downgraded: risk of bias
Severe OHSS
rhLH vs uhCG
OR 0.82 [0.39, 1.69]2 studies · 280 participantsLow
Downgraded: risk of bias
Adverse events per woman
rhLH vs uhCG
OR 0.7 [0.42, 1.16]1 study · 250 participantsModerate