Outcomes of assisted reproductive technology procedures performed on weekdays versus weekends: a retrospective cohort study
Purpose To evaluate if assisted reproductive technology (ART) outcomes are different based on whether procedures – oocyte retrieval, insemination, embryo biopsy, or embryo transfer – are performed on a weekday versus weekend/holiday. Methods Retrospective cohort study of all patients ≥ 18 years old...
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| Veröffentlicht in: | Journal of assisted reproduction and genetics 2023-09, Vol.40 (9), p.2091-2099 |
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| container_title | Journal of assisted reproduction and genetics |
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| creator | Dolinko, Andrey V. Koelper, Nathanael C. Berger, Dara S. Dokras, Anuja |
| description | Purpose
To evaluate if assisted reproductive technology (ART) outcomes are different based on whether procedures – oocyte retrieval, insemination, embryo biopsy, or embryo transfer – are performed on a weekday versus weekend/holiday.
Methods
Retrospective cohort study of all patients ≥ 18 years old who underwent oocyte retrieval for in vitro fertilization or oocyte banking (
n
= 3,197 cycles), fresh or natural-cycle frozen embryo transfers (
n
= 1,739 transfers), or had embryos biopsied for pre-implantation genetic testing (
n
= 4,568 embryos) in a large academic practice from 2015–2020. The primary outcomes were as follows: oocyte maturity for oocyte retrievals; fertilization rate for insemination; rate of no result on pre-implantation genetic testing for embryo biopsy; and live birth rate for embryo transfers.
Results
The average number of procedures performed per embryologist per day was higher on weekends/holidays than weekdays. For oocyte retrievals performed on weekdays vs. weekends/holidays, there was no difference in oocyte maturity rate (88% vs 88%). There was no difference in the fertilization rate (82% vs 80%) in cycles that had intracytoplasmic sperm injection performed on weekdays vs. weekends/holidays. No difference was found in the no result rate for embryos biopsied on weekdays vs. weekends/holidays (2.5% vs 1.8%). Finally, there was no difference by weekday vs. weekend/holiday in the live birth rate per transfer among all transfers (39.6% vs 36.1%), or when stratified by fresh (35.1% vs 34.9%) or frozen embryo transfer (49.7% vs. 39.6%).
Conclusion
We found no differences in ART outcomes among women who had their oocyte retrievals, inseminations, embryo biopsies, or embryo transfers performed on weekdays versus weekends/holidays. |
| doi_str_mv | 10.1007/s10815-023-02872-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10440327</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2853692986</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-bff3556701fd44606433fd2f9b2265191279fb64db2dc92bca3c64a7181242a3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhiMEoqXwBzigSFy4BOyx4zhcEKr4kir10rvl2OPdlGy8eJxFK_48blPKx4GDZY_nmdczfqvqOWevOWPdG-JM87ZhIMrSHTTwoDrlbSeaTgj2sJxZqxsmlT6pnhBdM8Z6DeJxdSI6oUqpPq1-XC7ZxR1SHUNtiUbK6OuE-xT94vJ4wDqj285xiptjXW4d-iUVfI8pxLQrcJzr74hfvT1SfcBEC93GOHt6W9uilVOkPa5iLm5jyjXlxR-fVo-CnQif3e1n1dXHD1fnn5uLy09fzt9fNE6Cys0Qgmhb1TEevJSKKSlE8BD6AUC1vOfQ9WFQ0g_gXQ-Ds8IpaTuuOUiw4qx6t8rul6H063DOyU5mn8adTUcT7Wj-zszj1mziwXAmJRPQFYVXdwopfluQstmN5HCa7IxxIQNaMOC6VaqgL_9Br-OS5jJeoVqheuj1DQUr5crXUMJw3w1n5sZbs3prirfm1lsDpejFn3Pcl_wyswBiBaik5g2m32__R_YnOrey2g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2853692986</pqid></control><display><type>article</type><title>Outcomes of assisted reproductive technology procedures performed on weekdays versus weekends: a retrospective cohort study</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Dolinko, Andrey V. ; Koelper, Nathanael C. ; Berger, Dara S. ; Dokras, Anuja</creator><creatorcontrib>Dolinko, Andrey V. ; Koelper, Nathanael C. ; Berger, Dara S. ; Dokras, Anuja</creatorcontrib><description>Purpose
To evaluate if assisted reproductive technology (ART) outcomes are different based on whether procedures – oocyte retrieval, insemination, embryo biopsy, or embryo transfer – are performed on a weekday versus weekend/holiday.
Methods
Retrospective cohort study of all patients ≥ 18 years old who underwent oocyte retrieval for in vitro fertilization or oocyte banking (
n
= 3,197 cycles), fresh or natural-cycle frozen embryo transfers (
n
= 1,739 transfers), or had embryos biopsied for pre-implantation genetic testing (
n
= 4,568 embryos) in a large academic practice from 2015–2020. The primary outcomes were as follows: oocyte maturity for oocyte retrievals; fertilization rate for insemination; rate of no result on pre-implantation genetic testing for embryo biopsy; and live birth rate for embryo transfers.
Results
The average number of procedures performed per embryologist per day was higher on weekends/holidays than weekdays. For oocyte retrievals performed on weekdays vs. weekends/holidays, there was no difference in oocyte maturity rate (88% vs 88%). There was no difference in the fertilization rate (82% vs 80%) in cycles that had intracytoplasmic sperm injection performed on weekdays vs. weekends/holidays. No difference was found in the no result rate for embryos biopsied on weekdays vs. weekends/holidays (2.5% vs 1.8%). Finally, there was no difference by weekday vs. weekend/holiday in the live birth rate per transfer among all transfers (39.6% vs 36.1%), or when stratified by fresh (35.1% vs 34.9%) or frozen embryo transfer (49.7% vs. 39.6%).
Conclusion
We found no differences in ART outcomes among women who had their oocyte retrievals, inseminations, embryo biopsies, or embryo transfers performed on weekdays versus weekends/holidays.</description><identifier>ISSN: 1058-0468</identifier><identifier>ISSN: 1573-7330</identifier><identifier>EISSN: 1573-7330</identifier><identifier>DOI: 10.1007/s10815-023-02872-2</identifier><identifier>PMID: 37368158</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Assisted Reproduction Technologies ; Biopsy ; Birth rate ; Cohort analysis ; Embryo transfer ; Embryos ; Female ; Fertilization in Vitro - methods ; Genetic screening ; Genetic testing ; Gynecology ; Holidays & special occasions ; Human Genetics ; Humans ; In vitro fertilization ; Live Birth - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Pregnancy ; Pregnancy Rate ; Reproductive Medicine ; Reproductive Techniques, Assisted ; Reproductive technologies ; Retrospective Studies ; Semen</subject><ispartof>Journal of assisted reproduction and genetics, 2023-09, Vol.40 (9), p.2091-2099</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-bff3556701fd44606433fd2f9b2265191279fb64db2dc92bca3c64a7181242a3</cites><orcidid>0000-0002-1973-1714</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440327/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440327/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,41486,42555,51317,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37368158$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dolinko, Andrey V.</creatorcontrib><creatorcontrib>Koelper, Nathanael C.</creatorcontrib><creatorcontrib>Berger, Dara S.</creatorcontrib><creatorcontrib>Dokras, Anuja</creatorcontrib><title>Outcomes of assisted reproductive technology procedures performed on weekdays versus weekends: a retrospective cohort study</title><title>Journal of assisted reproduction and genetics</title><addtitle>J Assist Reprod Genet</addtitle><addtitle>J Assist Reprod Genet</addtitle><description>Purpose
To evaluate if assisted reproductive technology (ART) outcomes are different based on whether procedures – oocyte retrieval, insemination, embryo biopsy, or embryo transfer – are performed on a weekday versus weekend/holiday.
Methods
Retrospective cohort study of all patients ≥ 18 years old who underwent oocyte retrieval for in vitro fertilization or oocyte banking (
n
= 3,197 cycles), fresh or natural-cycle frozen embryo transfers (
n
= 1,739 transfers), or had embryos biopsied for pre-implantation genetic testing (
n
= 4,568 embryos) in a large academic practice from 2015–2020. The primary outcomes were as follows: oocyte maturity for oocyte retrievals; fertilization rate for insemination; rate of no result on pre-implantation genetic testing for embryo biopsy; and live birth rate for embryo transfers.
Results
The average number of procedures performed per embryologist per day was higher on weekends/holidays than weekdays. For oocyte retrievals performed on weekdays vs. weekends/holidays, there was no difference in oocyte maturity rate (88% vs 88%). There was no difference in the fertilization rate (82% vs 80%) in cycles that had intracytoplasmic sperm injection performed on weekdays vs. weekends/holidays. No difference was found in the no result rate for embryos biopsied on weekdays vs. weekends/holidays (2.5% vs 1.8%). Finally, there was no difference by weekday vs. weekend/holiday in the live birth rate per transfer among all transfers (39.6% vs 36.1%), or when stratified by fresh (35.1% vs 34.9%) or frozen embryo transfer (49.7% vs. 39.6%).
Conclusion
We found no differences in ART outcomes among women who had their oocyte retrievals, inseminations, embryo biopsies, or embryo transfers performed on weekdays versus weekends/holidays.</description><subject>Assisted Reproduction Technologies</subject><subject>Biopsy</subject><subject>Birth rate</subject><subject>Cohort analysis</subject><subject>Embryo transfer</subject><subject>Embryos</subject><subject>Female</subject><subject>Fertilization in Vitro - methods</subject><subject>Genetic screening</subject><subject>Genetic testing</subject><subject>Gynecology</subject><subject>Holidays & special occasions</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>In vitro fertilization</subject><subject>Live Birth - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>Reproductive Medicine</subject><subject>Reproductive Techniques, Assisted</subject><subject>Reproductive technologies</subject><subject>Retrospective Studies</subject><subject>Semen</subject><issn>1058-0468</issn><issn>1573-7330</issn><issn>1573-7330</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU1v1DAQhiMEoqXwBzigSFy4BOyx4zhcEKr4kir10rvl2OPdlGy8eJxFK_48blPKx4GDZY_nmdczfqvqOWevOWPdG-JM87ZhIMrSHTTwoDrlbSeaTgj2sJxZqxsmlT6pnhBdM8Z6DeJxdSI6oUqpPq1-XC7ZxR1SHUNtiUbK6OuE-xT94vJ4wDqj285xiptjXW4d-iUVfI8pxLQrcJzr74hfvT1SfcBEC93GOHt6W9uilVOkPa5iLm5jyjXlxR-fVo-CnQif3e1n1dXHD1fnn5uLy09fzt9fNE6Cys0Qgmhb1TEevJSKKSlE8BD6AUC1vOfQ9WFQ0g_gXQ-Ds8IpaTuuOUiw4qx6t8rul6H063DOyU5mn8adTUcT7Wj-zszj1mziwXAmJRPQFYVXdwopfluQstmN5HCa7IxxIQNaMOC6VaqgL_9Br-OS5jJeoVqheuj1DQUr5crXUMJw3w1n5sZbs3prirfm1lsDpejFn3Pcl_wyswBiBaik5g2m32__R_YnOrey2g</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Dolinko, Andrey V.</creator><creator>Koelper, Nathanael C.</creator><creator>Berger, Dara S.</creator><creator>Dokras, Anuja</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1973-1714</orcidid></search><sort><creationdate>20230901</creationdate><title>Outcomes of assisted reproductive technology procedures performed on weekdays versus weekends: a retrospective cohort study</title><author>Dolinko, Andrey V. ; Koelper, Nathanael C. ; Berger, Dara S. ; Dokras, Anuja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-bff3556701fd44606433fd2f9b2265191279fb64db2dc92bca3c64a7181242a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Assisted Reproduction Technologies</topic><topic>Biopsy</topic><topic>Birth rate</topic><topic>Cohort analysis</topic><topic>Embryo transfer</topic><topic>Embryos</topic><topic>Female</topic><topic>Fertilization in Vitro - methods</topic><topic>Genetic screening</topic><topic>Genetic testing</topic><topic>Gynecology</topic><topic>Holidays & special occasions</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>In vitro fertilization</topic><topic>Live Birth - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pregnancy</topic><topic>Pregnancy Rate</topic><topic>Reproductive Medicine</topic><topic>Reproductive Techniques, Assisted</topic><topic>Reproductive technologies</topic><topic>Retrospective Studies</topic><topic>Semen</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dolinko, Andrey V.</creatorcontrib><creatorcontrib>Koelper, Nathanael C.</creatorcontrib><creatorcontrib>Berger, Dara S.</creatorcontrib><creatorcontrib>Dokras, Anuja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of assisted reproduction and genetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dolinko, Andrey V.</au><au>Koelper, Nathanael C.</au><au>Berger, Dara S.</au><au>Dokras, Anuja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of assisted reproductive technology procedures performed on weekdays versus weekends: a retrospective cohort study</atitle><jtitle>Journal of assisted reproduction and genetics</jtitle><stitle>J Assist Reprod Genet</stitle><addtitle>J Assist Reprod Genet</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>40</volume><issue>9</issue><spage>2091</spage><epage>2099</epage><pages>2091-2099</pages><issn>1058-0468</issn><issn>1573-7330</issn><eissn>1573-7330</eissn><abstract>Purpose
To evaluate if assisted reproductive technology (ART) outcomes are different based on whether procedures – oocyte retrieval, insemination, embryo biopsy, or embryo transfer – are performed on a weekday versus weekend/holiday.
Methods
Retrospective cohort study of all patients ≥ 18 years old who underwent oocyte retrieval for in vitro fertilization or oocyte banking (
n
= 3,197 cycles), fresh or natural-cycle frozen embryo transfers (
n
= 1,739 transfers), or had embryos biopsied for pre-implantation genetic testing (
n
= 4,568 embryos) in a large academic practice from 2015–2020. The primary outcomes were as follows: oocyte maturity for oocyte retrievals; fertilization rate for insemination; rate of no result on pre-implantation genetic testing for embryo biopsy; and live birth rate for embryo transfers.
Results
The average number of procedures performed per embryologist per day was higher on weekends/holidays than weekdays. For oocyte retrievals performed on weekdays vs. weekends/holidays, there was no difference in oocyte maturity rate (88% vs 88%). There was no difference in the fertilization rate (82% vs 80%) in cycles that had intracytoplasmic sperm injection performed on weekdays vs. weekends/holidays. No difference was found in the no result rate for embryos biopsied on weekdays vs. weekends/holidays (2.5% vs 1.8%). Finally, there was no difference by weekday vs. weekend/holiday in the live birth rate per transfer among all transfers (39.6% vs 36.1%), or when stratified by fresh (35.1% vs 34.9%) or frozen embryo transfer (49.7% vs. 39.6%).
Conclusion
We found no differences in ART outcomes among women who had their oocyte retrievals, inseminations, embryo biopsies, or embryo transfers performed on weekdays versus weekends/holidays.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37368158</pmid><doi>10.1007/s10815-023-02872-2</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1973-1714</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1058-0468 |
| ispartof | Journal of assisted reproduction and genetics, 2023-09, Vol.40 (9), p.2091-2099 |
| issn | 1058-0468 1573-7330 1573-7330 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10440327 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Assisted Reproduction Technologies Biopsy Birth rate Cohort analysis Embryo transfer Embryos Female Fertilization in Vitro - methods Genetic screening Genetic testing Gynecology Holidays & special occasions Human Genetics Humans In vitro fertilization Live Birth - epidemiology Male Medicine Medicine & Public Health Pregnancy Pregnancy Rate Reproductive Medicine Reproductive Techniques, Assisted Reproductive technologies Retrospective Studies Semen |
| title | Outcomes of assisted reproductive technology procedures performed on weekdays versus weekends: a retrospective cohort study |
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