医学
窦卵泡
不育
辅助生殖技术
公制(单位)
生育率
妇科
人口
激素
内科学
怀孕
生物
运营管理
遗传学
环境卫生
经济
作者
Sandro C. Esteves,Hakan Yaralı́,Lan N. Vuong,Alessandro Conforti,Peter Humaıdan
标识
DOI:10.1016/j.bpobgyn.2022.05.003
摘要
The Patient-Oriented Strategies Encompassing IndividualizeDOocyte Number (POSEIDON) criteria identify and classify the so-called 'low-prognosis' patients undergoing assisted reproductive technology (ART). Recent large-scale studies using real-world data (RWD) have shown that patients classified under this system have distinct reproductive outcomes. Moreover, these studies also confirm that POSEIDON patients are commonly found in fertility centers. RWD has substantiated the validity of the POSEIDON biomarkers' thresholds (antral follicle count [AFC] and/or anti-Müllerian hormone [AMH]) for patient classification. Lastly, a predictive model has been developed and validated to estimate the POSEIDON metric of success (i.e., number of oocytes needed to achieve at least one euploid blastocyst). Although more evidence is needed in this area, current insights from RWD research indicate that infertility patients can be counseled and managed more effectively under the POSEIDON scope, with potential gains for all parties involved.
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