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职能科室临床流行病与循证医学中心首都医科大学附属北京儿童医院[7]Department of Urology, Peking University Third Hospital, Beijing 100191, China
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.
基金:
National Key Research and Development Program of China [2016YFC1000201, 2016YFC1000302]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81300373, 81771650]; Capital Health Research and Development of Special [2018-1-4091]; Program for Innovative Research Team of Yunnan, China [2017HC009]; Major National RD Projects [2017ZX09304012-012]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
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
JCR分区:
出版当年[2017]版:
Q2PHARMACOLOGY & PHARMACYQ2MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q1MEDICINE, RESEARCH & EXPERIMENTALQ1PHARMACOLOGY & PHARMACY
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
共同第一作者:
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
推荐引用方式(GB/T 7714):
Xu Huiyu,Wei Yuan,Yang Rui,et al.Prospective observational cohort study: Computational models for early prediction of ongoing pregnancy in fresh IVF/ICSI-ET protocols[J].LIFE SCIENCES.2019,222:221-227.doi:10.1016/j.lfs.2019.03.012.
APA:
Xu, Huiyu,Wei, Yuan,Yang, Rui,Feng, Guoshuang,Tang, Wenhao...&Qiao, Jie.(2019).Prospective observational cohort study: Computational models for early prediction of ongoing pregnancy in fresh IVF/ICSI-ET protocols.LIFE SCIENCES,222,
MLA:
Xu, Huiyu,et al."Prospective observational cohort study: Computational models for early prediction of ongoing pregnancy in fresh IVF/ICSI-ET protocols".LIFE SCIENCES 222.(2019):221-227