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Prospective observational cohort study: Computational models for early prediction of ongoing pregnancy in fresh IVF/ICSI-ET protocols

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机构: [1]Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China [2]Key Laboratory of Assisted Reproduction (Peking University), Ministry of Education, Beijing 100191, China [3]National Clinical Research Center for Obstetrics and Gynecology, Beijing 100191, China [4]Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing 100191, China [5]Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China [6]Center for Clinical Epidemiology & Evidence-based Medicine, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China [7]Department of Urology, Peking University Third Hospital, Beijing 100191, China
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关键词: hCG Ongoing pregnancy Multiple forward logistic regression 5-Fold cross-validation

摘要:
Purpose: This study sought to identify the significant factors related to ongoing pregnancy (OP) and to discover the most reliable model to distinguish OP from non-OP in early gestational age. Methods: A total of 1650 cycles were enrolled in this study. Univariate Logistic Regression was used to identify the predictors included in multivariable analysis. The dataset was then randomly split into training set and test set with proportion of 70% and 30%. Forward stepwise multivariable logistic regression with 5-fold cross validation was used to build the final mathematic model. The performance of the model was determined by the arguments of test set. The area under receiver operating characteristic curve (AUC), sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and misclassification rate (MR) were then calculated for model evaluation. Results: Seven predictors were related to OP by univariate analysis. The serum hCG level on 14th day post-embryo-transfer (hCG(14)) and 21th day post-embryo-transfer (hCG(21)) were linear correlated. Therefore, different multivariate regression models were built using hCG(14) or hCG(21), respectively. After multivariate regression with 5-fold validation, the final indicators in model-1 were age_group, hCG(21) and hCG(21)/hCG(14), while age_group, hCG(14), and calculated 48-hour-rising-ratio of hCG were the significant predictors in model-2. Model-2 showed better sensitivity and NPV, lower MR, and similar specificity and PPV. Conclusion: This study provided an effective mathematic model for early prediction of OP. The model could be of better clinical significance, especially for clinical counseling to manage patients' stress and anxiety, and for early warning of threatened miscarriage.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 3 区 医学:研究与实验 3 区 药学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 医学:研究与实验 2 区 药学
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出版当年[2017]版:
Q2 PHARMACOLOGY & PHARMACY Q2 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q1 MEDICINE, RESEARCH & EXPERIMENTAL Q1 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者机构: [1]Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China [2]Key Laboratory of Assisted Reproduction (Peking University), Ministry of Education, Beijing 100191, China [3]National Clinical Research Center for Obstetrics and Gynecology, Beijing 100191, China [4]Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing 100191, China
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通讯作者:
通讯机构: [1]Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China [2]Key Laboratory of Assisted Reproduction (Peking University), Ministry of Education, Beijing 100191, China [3]National Clinical Research Center for Obstetrics and Gynecology, Beijing 100191, China [4]Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing 100191, China [*1]Department of Obstetrics and Gynecology, Reproductive Medical Center, Peking University Third Hospital, 49 Huayuan North Road, Haidian District, Beijing 100191, China
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