Personalized prediction of first-cycle in vitro fertilization success

Personalized first-cycle IVF live birth predictions can better identify patients with good-to-excellent prognoses.

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Authors

Bokyung Choi, Ph.D., Ernesto Bosch, M.D., Benjamin M. Lannon, M.D., Marie-Claude Leveille, Ph.D., Wing H. Wong, Ph.D., Arthur Leader, M.D., Antonio Pellicer, M.D., Alan S. Penzias, M.D., Mylene W. M. Yao, M.D.

Volume 99, Issue 7, Pages 1905-1911, June 2013

Abstract

Objective:

To test whether the probability of having a live birth (LB) with the first IVF cycle (C1) can be predicted and personalized for patients in diverse environments.

Design:

Retrospective validation of multicenter prediction model.

Setting:

Three university-affiliated outpatient IVF clinics located in different countries.

Patient(s):

Using primary models aggregated from >13,000 C1s, we applied the boosted tree method to train a preIVF-diversity model (PreIVF-D) with 1,061 C1s from 2008 to 2009, and validated predicted LB probabilities with an independent dataset comprising 1,058 C1s from 2008 to 2009.

Intervention(s):

None.

Main Outcome Measure(s):

Predictive power, reclassification, receiver operator characteristic analysis, calibration, dynamic range.

Result(s):

Overall, with PreIVF-D, 86% of cases had significantly different LB probabilities compared with age control, and more than one-half had higher LB probabilities. Specifically, 42% of patients could have been identified by PreIVF-D to have a personalized predicted success rate >45%, whereas an age-control model could not differentiate them from others. Furthermore, PreIVF-D showed improved predictive power, with 36% improved log-likelihood (or 9.0-fold by log-scale; >1,000-fold linear scale), and prediction errors for subgroups ranged from 0.9% to 3.7%.

Conclusion(s):

Validated prediction of personalized LB probabilities from diverse multiple sources identify excellent prognoses in more than one-half of patients.

Read the full text at: http://www.fertstert.org/article/S0015-0282(13)00273-2/fulltext


Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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