Dilemas de la reproducción asistida

Zegers‐Hochschild, Fernando

doi:10.1590/s0102-311x1998000500002

Cited by 2 publications

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“…Results from IVF treatments have been published in several reports since the early application of the technique from national registers in Germany (1982), France (1986) and UK (1990). Later on, regional data were collected and summarized from USA and Canada since 1996 (SART, 1999), Australia and New Zealand since 1997 (Hurts et al , 1997) and Latin America since 1997 (Zegers-Hochschild and Galdames, 1997). In 1999, ESHRE organized an IVF data collection programme for Europe.…”

Section: Introductionmentioning

confidence: 99%

Trends over 15 years in ART in Europe: an analysis of 6 million cycles†

Ferraretti

Andersen

et al. 2017

Human Reproduction Open

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Study question Was the European IVF Monitoring (EIM) Consortium, established in 1999 by ESHRE, able to monitor the trend over time of ART in Europe? Summary answer The initial aims of the EIM programme (to collect and publish regional European data on census and trends on ART utilization, effectiveness, safety and quality) have been achieved. What is already known ART data in Europe have been collected and reported annually in Human Reproduction. Study design, size, duration A retrospective data analysis and summary of the first 15 years of ART activity in Europe (1997–2011) was carried out, using the key figures from the annual ESHRE reports and focusing on how the practice of ART has evolved over the years. Participants/materials, setting, method A total of 5 919 320 ART cycles are reported, including IVF, ICSI, frozen embryo relacment and egg donation, resulting in the birth of more than 1 million infants. A total of 1 548 967 IUIs are also reported, including husband/partner’s semen and donor semen cycles. The most relevant and complete data are analysed and discussed. Main results and the role of chance With some fluctuations, the number of countries and clinics reporting to EIM increases significantly from 1997 to 2011. A constant increase was also registered in the number of annual cycles reported. Since 2005, the estimation of the EIM coverage on the total European activity was >80%. In countries with 100% of coverage, the mean availability of ART increased from 765 cycles per million inhabitants in 1997 to 1269 cycles per million inhabitants in 2011, and the proportion of ART infants of the total number of infants born in the country increased from 1.3% to 2.4%. The proportion of women aged > 39 years undergoing IVF and ICSI cycles gradually increased. For 12 consecutive years, the proportion of ICSI versus IVF cycles showed a marked increase before reaching a plateau from 2008. The proportion of transfers with three or more embryos decreased constantly and the proportion of SETs increased over the time period. The triplets deliveries were reduced from 3.7% in 1997 to less than 1% since 2005 (0.6% in 2011). The effectiveness (evaluated as clinical pregnancy rate per aspiration and per embryo transfer) increased until 2007, then the figure remained stable. The cumulative percentage of documented pregnancy losses was 17%. No differences have been noted in terms of outcomes in the IUI cycles. Limitations, reasons for caution The data presented are accumulated from countries with different collection systems, regulations, insurance coverage and different practices. Each year a number of countries have been unable to provide some of the data. Wider implications of the finding(s) The first summary of 15 years of the EIM reports offers interesting data on census and trends on ART utilization, safety and quality in Europe. The primary aim of the ESHRE effort in supporting European data collection has been reached. Owing to its importance inside and outside the professional community, European data collection and publication on ART have to be supported and implemented. Study funding/competing interest(s) None.

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Section: Introductionmentioning

confidence: 99%

Trends over 15 years in ART in Europe: an analysis of 6 million cycles†

Ferraretti

Andersen

et al. 2017

Human Reproduction Open

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“…Los datos de los dos reportes internacionales corresponden, en primer lugar, al Registro Latinoamericano de Reproducción Asistida (RED LARA, año 2005)(12] y, en segundo lugar, al noveno reporte de resultados (año 2005), publicado en 2009 por la Sociedad Europea de Reproducción Humana y Embriología ESHRE (13). Reporte de la RED LARA.…”

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Tasas de éxito en clínicas de fertilidad

Cabrera

Kuri

Valdez

et al. 2020

mye

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Un tema muy significativo en relación con la infertilidad son las altas expectativas de éxito que se crean las parejas cuando acuden a las clínicas de fertilidad para realizar procedimientos como la fertilización in vitro (FIVET), la inyección intracitoplásmica de esperma (ICSI) o la inseminación artificial. Los índices de éxito anunciados por las clínicas suelen ser muy elevados, frecuentemente entre 60 y 90% de éxito. Aunque este porcentaje siempre ha parecido excesivamente elevado, el hecho nunca ha sido demostrado, por lo que el presente artículo compara los reportes de éxito de clínicas de fertilización asistida a través de sus páginas web, con los índices obtenidos por tres diferentes fuentes: los reportes internacionales de la Red Latinoamericana de Reproducción Asistida (RED LARA), los de la Sociedad Europea de Reproducción Humana y Embriología (ESHRE), así como los de un estudio de campo realizado en México. Los resultados demuestran que lo reportado por las clínicas son valores muy por arriba de lo obtenido por estas tres fuentes. Se analizan algunas posibles razones de dichas discrepancias. Se pone de manifiesto la necesidad y ventajas –tanto para los pacientes como para el mismo personal de salud– de ofrecer información fidedigna a las parejas infértiles, además de explorar el ecosistema informativo actual sobre el tema de infertilidad, en especial por la alta vulnerabilidad de las parejas en situación de infertilidad.

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Dilemas de la reproducción asistida

Cited by 2 publications

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Trends over 15 years in ART in Europe: an analysis of 6 million cycles†

Trends over 15 years in ART in Europe: an analysis of 6 million cycles†

Tasas de éxito en clínicas de fertilidad

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