Cochrane · systematic review · CD011320

Time‐lapse systems for embryo incubation and assessment in assisted reproduction

Armstrong, S, Bhide, P, Jordan, V, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Gynaecology and Fertility3 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
12
current version
GRADE rated
10
No studies
1
Included studies
NR
No studies 1 · 8.3%Ungraded 1 · 8.3%Very low 6 · 50%Low 4 · 33.3%Moderate 0 · 0%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

Show all 3 versions

TLS with conventional morphological assessment of still TLS images compared to conventional incubation and assessment for embryo incubation and assessment in assisted reproduction

Population: couples undergoing assisted reproductive technology
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth or ongoing pregnancy
TLS with conventional morphological assessment of still TLS images vs conventional incubation and assessment
OR 0.91 [0.67, 1.23]3 studies · 826 participantsLow
Downgraded: risk of bias, imprecision
Miscarriage
TLS with conventional morphological assessment of still TLS images vs conventional incubation and assessment
OR 1.9 [0.99, 3.61]3 studies · 826 participantsLow
Downgraded: risk of bias, imprecision
Stillbirth
TLS with conventional morphological assessment of still TLS images vs conventional incubation and assessment
OR 1 [0.13, 7.49]1 study · 76 participantsLow
Downgraded: risk of bias, imprecision
Clinical pregnancy
TLS with conventional morphological assessment of still TLS images vs conventional incubation and assessment
OR 1.06 [0.79, 1.41]4 studies · 875 participantsLow
Downgraded: risk of bias, imprecision

TLS utilising embryo selection software compared to TLS with conventional morphological assessment of still TLS images for embryo incubation and assessment in assisted reproduction

Population: couples undergoing assisted reproductive technology
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth or ongoing pregnancy
TLS utilising embryo selection software vs TLS with conventional morphological assessment of still TLS images
OR 0.61 [0.32, 1.2]1 study · 163 participantsVery low
Downgraded: risk of bias, imprecision
Miscarriage
TLS utilising embryo selection software vs TLS with conventional morphological assessment of still TLS images
OR 1.39 [0.64, 3.01]2 studies · 463 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Stillbirth
TLS utilising embryo selection software vs TLS with conventional morphological assessment of still TLS images
no estimate extractedNRNo studies
Clinical pregnancy
TLS utilising embryo selection software vs TLS with conventional morphological assessment of still TLS images
OR 0.97 [0.67, 1.42]2 studies · 463 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

TLS utilising embryo selection software compared to conventional incubation and assessment for embryo incubation and assessment in assisted reproduction

Population: couples undergoing ART
4 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth or ongoing pregnancy
TLS utilising embryo selection software vs conventional incubation and assessment
OR 1.12 [0.92, 1.36]3 studies · 1617 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Miscarriage
TLS utilising embryo selection software vs conventional incubation and assessment
OR 0.63 [0.45, 0.89]3 studies · 1617 participantsVery low
Downgraded: risk of bias, indirectness
Stillbirth
TLS utilising embryo selection software vs conventional incubation and assessment
no estimate extracted1 study · 600 participantsUngraded
Clinical pregnancy
TLS utilising embryo selection software vs conventional incubation and assessment
OR 0.95 [0.78, 1.16]3 studies · 1617 participantsVery low
Downgraded: risk of bias, inconsistency, indirectness