Race matters: a systematic review of?racial/ethnic disparity in Society for Assisted Reproductive Technology reported outcomes

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• 作者：Melissa F. Wellons ; M.D.^a ; ^{wello002@uab.edu} ; Victor Y. Fujimoto ; M.D.^b ; Valerie L. Baker ; M.D.^c ; Debbie S. Barrington ; Ph.D.^d ; ^e ; Diana Broomfield ; M.D.^f ; ^g ; William H. Catherino ; M.D. ; Ph.D.^h ; Gloria Richard-Davis ; M.D.ⁱ ; Mary Ryan ; M.L.S.^j ; Kim Thornton ; M.D.^k ; ^l ; Alicia Y. Armstrong ; M.D.^m
• 关键词：Race ; ethnicity ; disparity ; IVF ; SART
• 刊名：Fertility and Sterility
• 出版年：2012
• 出版时间：August, 2012
• 年：2012
• 卷：98
• 期：2
• 页码：406-409
• 全文大小：113 K

文摘

| Figures/TablesFigures/Tables | ReferencesReferences

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.