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.