Cochrane · systematic review · CD013497

GM‐CSF (granulocyte macrophage colony‐stimulating factor) supplementation in culture media for women undergoing assisted reproduction

Armstrong, S, MacKenzie, J, Woodward, B, 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
8
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 12.5%Very low 2 · 25%Low 5 · 62.5%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

GM‐CSF‐supplemented culture media compared to culture media not supplemented with GM‐CSF for women undergoing assisted reproduction

Population: women undergoing assisted reproduction
8 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth or ongoing pregnancy
GM‐CSF‐supplemented culture media vs culture media not supplemented with GM‐CSF
OR 1.19 [0.93, 1.52]2 studies · 1432 participantsLow
Downgraded: imprecision, inconsistency
Miscarriage
GM‐CSF‐supplemented culture media vs culture media not supplemented with GM‐CSF
OR 0.75 [0.41, 1.36]2 studies · 1432 participantsLow
Downgraded: imprecision
Clinical pregnancy
GM‐CSF‐supplemented culture media vs culture media not supplemented with GM‐CSF
OR 1.16 [0.93, 1.45]3 studies · 1532 participantsLow
Downgraded: risk of bias, inconsistency
Multiple gestation
GM‐CSF‐supplemented culture media vs culture media not supplemented with GM‐CSF
OR 1.24 [0.73, 2.1]2 studies · 1432 participantsVery low
Downgraded: imprecision, inconsistency
Preterm birth
GM‐CSF‐supplemented culture media vs culture media not supplemented with GM‐CSF
OR 1.2 [0.7, 2.04]2 studies · 1432 participantsVery low
Downgraded: imprecision, inconsistency
Birth defects
GM‐CSF‐supplemented culture media vs culture media not supplemented with GM‐CSF
OR 1.33 [0.59, 3.01]2 studies · 1432 participantsLow
Downgraded: imprecision
Aneuploidy
GM‐CSF‐supplemented culture media vs culture media not supplemented with GM‐CSF
OR 0.34 [0.03, 3.26]2 studies · 1432 participantsLow
Downgraded: imprecision
Stillbirth
GM‐CSF‐supplemented culture media vs culture media not supplemented with GM‐CSF
no estimate extracted2 studies · 1432 participantsUngraded