Race Matters: A Systematic Review of Racial/Ethnic Disparity in Society for Assisted Reproductive Technology Reported Outcomes

Race/ethnicity is likely related to ART outcomes; however, race/ethnicity is indeterminate in >35% of SART-reported cycles. Racial/ethnic influences on ART outcomes would be better understood if race/ethnicity was universally reported.

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Authors

Melissa F. Wellons, M.D., Victor Y. Fujimoto, M.D., Valerie L. Baker, M.D., Debbie S. Barrington, Ph.D., Diana Broomfield, M.D., William H. Catherino, M.D., Ph.D., Gloria Richard-Davis, M.D., Mary Ryan, M.L.S., Kim Thornton, M.D., Alicia Y. Armstrong, M.D.

Vol 98, Issue 2 , Pages 406-409

Abstract

Objective:

To systematically review the reporting of race/ethnicity in Society for Assisted Reproductive Technology (SART) Clinic Outcome Reporting System (CORS) publications.

Design:

Systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology of literature published in PubMed on race/ethnicity that includes data from SART CORS.

Setting:

Not applicable.

Patient(s):

Not applicable.

Intervention(s):

In vitro fertilization cycles reported to SART.

Main Outcome Measure(s):

Any outcomes reported in SART CORS.

Result(s):

Seven publications were identified that assessed racial/ethnic disparities in IVF outcomes using SART data. All reported a racial/ethnic disparity. However, more than 35% of cycles were excluded from analysis because of missing race/ethnicity data.

Conclusion(s):

Review of current publications of SART data suggests significant racial/ethnic disparities in IVF outcomes. However, the potential for selection bias limits confidence in these findings, given that fewer than 65% of SART reported cycles include race/ethnicity. Our understanding of how race/ethnicity influences ART outcome could be greatly improved if information on race/ethnicity was available for all reported cycles.

Read the full text at: http://www.fertstert.org/article/S0015-0282(12)00566-3/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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