Cochrane · systematic review · CD013063

Endometrial injection of embryo culture supernatant for subfertile women in assisted reproduction

Siristatidis, CS, Sertedaki, E, Karageorgiou, V, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Gynaecology and FertilityAMSTAR 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
14
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 7 · 50%Low 1 · 7.1%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

Embryo culture supernatant injection compared to no intervention for subfertile women in assisted reproduction

Population: Subfertile women undergoing assisted reproduction
7 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth/ongoing pregnancy
Embryo culture supernatant injection vs no intervention
OR 1.11 [0.73, 1.7]3 studies · 340 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Miscarriage
Embryo culture supernatant injection vs no intervention
OR 0.89 [0.44, 1.78]4 studies · 430 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Clinical pregnancy
Embryo culture supernatant injection vs no intervention
OR 1.13 [0.8, 1.61]5 studies · 526 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Ectopic pregnancy
Embryo culture supernatant injection vs no intervention
OR 0.32 [0.01, 8.24]2 studies · 250 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Multiple pregnancy
Embryo culture supernatant injection vs no intervention
OR 0.7 [0.26, 1.83]2 studies · 150 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Preterm delivery
Embryo culture supernatant injection vs no intervention
OR 0.63 [0.17, 2.42]1 study · 90 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Foetal abnormalities
Embryo culture supernatant injection vs no intervention
OR 3.1 [0.12, 79.23]1 study · 60 participantsLow
Downgraded: imprecision

Embryo culture supernatant compared to culture medium injection for subfertile women in assisted reproduction

Population: Subfertile women undergoing assisted reproduction
7 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth/ongoing pregnancy
Embryo culture supernatant vs culture medium injection
no estimate extractedNRNo studies
Miscarriage
Embryo culture supernatant vs culture medium injection
no estimate extractedNRNo studies
Clinical pregnancy
Embryo culture supernatant vs culture medium injection
OR 1.09 [0.48, 2.46]1 study · 96 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Ectopic pregnancy
Embryo culture supernatant vs culture medium injection
no estimate extractedNRNo studies
Multiple pregnancy
Embryo culture supernatant vs culture medium injection
no estimate extractedNRNo studies
Preterm delivery
Embryo culture supernatant vs culture medium injection
no estimate extractedNRNo studies
Foetal abnormalities
Embryo culture supernatant vs culture medium injection
no estimate extractedNRNo studies