Cargando…

Development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer

OBJECTIVE: This study aimed to develop a nomogram that predicts ongoing pregnancy after in vitro fertilization and embryo transfer (IVF-ET) using patient age and serum hormonal markers. METHODS: A total of 284 IVF-ET cycles were retrospectively analyzed. At 14 days post-oocyte pick-up (OPU), the ser...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Seul Ki, Kim, Hyein, Oh, Soohyun, Lee, Jung Ryeol, Jee, Byung Chul, Kim, Seok Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236090/
https://www.ncbi.nlm.nih.gov/pubmed/30474013
http://dx.doi.org/10.5468/ogs.2018.61.6.669
_version_ 1783370970196606976
author Kim, Seul Ki
Kim, Hyein
Oh, Soohyun
Lee, Jung Ryeol
Jee, Byung Chul
Kim, Seok Hyun
author_facet Kim, Seul Ki
Kim, Hyein
Oh, Soohyun
Lee, Jung Ryeol
Jee, Byung Chul
Kim, Seok Hyun
author_sort Kim, Seul Ki
collection PubMed
description OBJECTIVE: This study aimed to develop a nomogram that predicts ongoing pregnancy after in vitro fertilization and embryo transfer (IVF-ET) using patient age and serum hormonal markers. METHODS: A total of 284 IVF-ET cycles were retrospectively analyzed. At 14 days post-oocyte pick-up (OPU), the serum human chorionic gonadotropin (HCG) and progesterone levels were measured. The main predicted outcome was ongoing pregnancy. RESULTS: Patient age and serum of HCG and progesterone levels at 14 days post-OPU were good predictors of ongoing pregnancy. The cut-off value and area under the curve (AUC) (95% confidence interval) were 36.5 years and 0.666 (0.599–0.733), respectively, for patient age; 67.8 mIU/mL and 0.969 (0.951–0.987), respectively, for serum HCG level; and 29.8 ng/mL and 0.883 (0.840–0.925), respectively, for serum progesterone level. When the prediction model was constructed using these three parameters, the addition of serum progesterone level to the prediction model did not increase its overall predictability. Furthermore, a high linear co-relationship was found between serum HCG and progesterone levels. Therefore, we developed a new nomogram using patient age and HCG serum level only. The AUC of the newly developed nomogram for predicting ongoing pregnancy after IVF-ET cycles using patient age and serum HCG level was as high as 0.975. CONCLUSION: We showed that ongoing pregnancy may be predicted using only patient age and HCG serum level. Our nomogram could help clinicians and patients predict ongoing pregnancy after IVF-ET if the serum JCG level was ≥5 IU/L at 14 days post-OPU.
format Online
Article
Text
id pubmed-6236090
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society
record_format MEDLINE/PubMed
spelling pubmed-62360902018-11-25 Development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer Kim, Seul Ki Kim, Hyein Oh, Soohyun Lee, Jung Ryeol Jee, Byung Chul Kim, Seok Hyun Obstet Gynecol Sci Original Article OBJECTIVE: This study aimed to develop a nomogram that predicts ongoing pregnancy after in vitro fertilization and embryo transfer (IVF-ET) using patient age and serum hormonal markers. METHODS: A total of 284 IVF-ET cycles were retrospectively analyzed. At 14 days post-oocyte pick-up (OPU), the serum human chorionic gonadotropin (HCG) and progesterone levels were measured. The main predicted outcome was ongoing pregnancy. RESULTS: Patient age and serum of HCG and progesterone levels at 14 days post-OPU were good predictors of ongoing pregnancy. The cut-off value and area under the curve (AUC) (95% confidence interval) were 36.5 years and 0.666 (0.599–0.733), respectively, for patient age; 67.8 mIU/mL and 0.969 (0.951–0.987), respectively, for serum HCG level; and 29.8 ng/mL and 0.883 (0.840–0.925), respectively, for serum progesterone level. When the prediction model was constructed using these three parameters, the addition of serum progesterone level to the prediction model did not increase its overall predictability. Furthermore, a high linear co-relationship was found between serum HCG and progesterone levels. Therefore, we developed a new nomogram using patient age and HCG serum level only. The AUC of the newly developed nomogram for predicting ongoing pregnancy after IVF-ET cycles using patient age and serum HCG level was as high as 0.975. CONCLUSION: We showed that ongoing pregnancy may be predicted using only patient age and HCG serum level. Our nomogram could help clinicians and patients predict ongoing pregnancy after IVF-ET if the serum JCG level was ≥5 IU/L at 14 days post-OPU. Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2018-11 2018-10-08 /pmc/articles/PMC6236090/ /pubmed/30474013 http://dx.doi.org/10.5468/ogs.2018.61.6.669 Text en Copyright © 2018 Korean Society of Obstetrics and Gynecology http://creativecommons.org/licenses/by-nc/3.0/ Articles published in Obstet Gynecol Sci are open-access, distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Seul Ki
Kim, Hyein
Oh, Soohyun
Lee, Jung Ryeol
Jee, Byung Chul
Kim, Seok Hyun
Development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer
title Development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer
title_full Development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer
title_fullStr Development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer
title_full_unstemmed Development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer
title_short Development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer
title_sort development of a novel nomogram for predicting ongoing pregnancy after in vitro fertilization and embryo transfer
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236090/
https://www.ncbi.nlm.nih.gov/pubmed/30474013
http://dx.doi.org/10.5468/ogs.2018.61.6.669
work_keys_str_mv AT kimseulki developmentofanovelnomogramforpredictingongoingpregnancyafterinvitrofertilizationandembryotransfer
AT kimhyein developmentofanovelnomogramforpredictingongoingpregnancyafterinvitrofertilizationandembryotransfer
AT ohsoohyun developmentofanovelnomogramforpredictingongoingpregnancyafterinvitrofertilizationandembryotransfer
AT leejungryeol developmentofanovelnomogramforpredictingongoingpregnancyafterinvitrofertilizationandembryotransfer
AT jeebyungchul developmentofanovelnomogramforpredictingongoingpregnancyafterinvitrofertilizationandembryotransfer
AT kimseokhyun developmentofanovelnomogramforpredictingongoingpregnancyafterinvitrofertilizationandembryotransfer