| What do consistently high-performing in vitro fertilization programs in the U.S. do? | |
| | |
MedLine Citation:
|
PMID: 20674899 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To identify common clinical and laboratory practices among consistently high-performing IVF programs. DESIGN: Questionnaire study of selected IVF programs. SETTING: Academic and private practice IVF programs. PATIENT(S): Ten of 12 programs identified as having consistently high singleton delivery rates per cycle. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Common clinical practices. RESULT(S): Common clinical practices identified among these programs included testing all patients for ovarian reserve, endometrial defects, and hydrosalpinges; use of a mixed LH and FSH stimulation protocol with step-down dosing; and use of ultrasound guidance for ET. Common laboratory practices included selective use of intracytoplasmic sperm injection, group culture of embryos in microdrops, and use of blastocyst ET in selected cases. Common laboratory features included good air quality using filtration and heated stages for oocyte and embryo work. CONCLUSION(S): Although a number of factors were identified in this best-practices questionnaire, programs often differed in many aspects of care. However, high-performing programs cited experience of physicians, embryologists, and staff members as well as consistency of approach, attention to detail, and good communication as being vital to excellent outcomes. |
| | |
Authors:
|
Bradley J Van Voorhis; Mika Thomas; Eric S Surrey; Amy Sparks |
Related Documents
:
|
18678139 - Factors that impact clinical laboratory scientists' commitment to their work organizati... 10495809 - Remote delivery of cognitive science laboratories: a solution for small disciplines in ... 7440439 - Regulation of animal care and research. the final order on good laboratory practices. 11186799 - Information system issues facing clinical laboratories serving complex integrated deliv... 12120479 - The history and threat of biological warfare and terrorism. 7707059 - Protocol for the introduction of new bacillus thuringiensis israelensis products into t... 10280629 - Radiologic technologist licensure. an assessment of economic considerations. 15493239 - The effectiveness of a highly explicit, teacher-directed strategy instruction routine: ... 20196479 - Ihi program building foundation for more quality-conscious providers. |
Publication Detail:
|
Type: Comparative Study; Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-08-02 |
Journal Detail:
|
Title: Fertility and sterility Volume: 94 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-27 Completed Date: 2010-09-20 Revised Date: 2011-06-06 |
Medline Journal Info:
|
Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
|
Languages: eng Pagination: 1346-9 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, Iowa City, Iowa 52254, USA. brad-van-voorhis@uiowa.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Clinical Competence Data Collection Efficiency, Organizational Female Fertilization in Vitro / methods*, statistics & numerical data Humans Medical Staff / supply & distribution Pregnancy Pregnancy Rate Professional Practice* / statistics & numerical data Questionnaires Reproductive Techniques, Assisted / instrumentation United States |
| Comments/Corrections | |
Erratum In:
|
Fertil Steril. 2011 May;95(6):e23 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Uterine luminal epithelium-specific proline-rich acidic protein 1 (PRAP1) as a marker for successful...
Next Document: A superior mesenteric vein thrombosis associated with in vitro fertilization.