Assisted reproductive techniques in Latin America: The Latin American registry,
            2016

Zegers‐Hochschild, Fernando; Schwarze, Juan Enrique; Crosby, Javier; Musri, Carolina; Urbina, María Teresa

doi:10.5935/1518-0557.20190037

Cited by 11 publications

(17 citation statements)

References 6 publications

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“…17,18 Nevertheless, the scenario will probably improve in Latin America in the near future, since Argentina, Chile and Uruguay have changed their laws in 2013, providing universal access to ART, which will probably result in improved ART quality parameters in upcoming RLA reports. 18,19 Some countries in the European registry allow public access to the individual results of the clinics, a practice that also occurs in the US report. 20,21 The RLA does not report these data.…”

Section: Discussionmentioning

confidence: 99%

“…Our strategy for the present ecological study was to search scientific publications in Latin America and in Europe that reported data collection for the same time periods: data from ART performed in 2013 in Latin America and Europe (i.e., treatment cycles initiated between January 1 and December 31, 2013), and published by the ESHRE in 2017 and by the RLA in 2016. 8,9 As only members of the ESHRE and of the RLA can access and use the full registry databases for research purposes, we focused our comparisons in the published, summarized data. No Institutional Review Board approval was therefore required, since neither patients nor center level data were used.…”

Section: Data Extraction and Qualitymentioning

confidence: 99%

“…7 The Latin American Registry of Assisted Reproduction (RLA, in the Portuguese acronym) arose as the first multinational centralized registry of this kind, back in 1990. 8 The European IVF-monitoring Consortium (EIM), under the European Society of Human Reproduction and Embryology (ESHRE), started data collection in 1997. Like its Latin American counterpart, it includes information on in vitro fertilization/intracytoplasmatic sperm injection (IVF/ICSI), frozen-thawed embryo transfers (FET), oocyte donation (OD), intrauterine insemination (IUI) and preimplantation genetic diagnosis and screening (PGD/PGS), but also on in vitro maturation (IVM) and frozen oocyte replacements.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Assisted Reproductive Technologies in Latin America and Europe: a Comparative Analysis of Reported Databases for 2013

Duarte-Filho

Bianchi

Lobel

et al. 2019

Rev Bras Ginecol Obstet

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Objective To compare the Latin American and European assisted reproductive technology (ART) registries regarding data accessibility and quality, treatment utilization, effectiveness, safety, and quality of services. Methods We performed an ecological study using data from scientific publications of Latin American and European registries that report cycles initiated during 2013 (the most recent registries available until December of 2017). The summarized data are presented as frequencies, percentages, minimum-maximum values, and absolute numbers. Results Reporting clinics and cycle treatments were unevenly distributed between the participating countries for both registries, although access to ART is 15 times greater in Europe. In Latin America, individual services participate voluntarily reporting started cycles until cancellation, birth or miscarriage, while in Europe it varied among countries. It makes the data available from Latin America more uniform, although lesser representative when compared with European ones, given that reporting is compulsory for most countries. The cumulative live birth rate was better in Latin America. Female age, use of intracytoplasmic sperm injection (ICSI), cycles with transfer of ≥ 3 embryos, as well as multiple pregnancy rates were greater in the Latin American Register of Assisted Reproduction (RLA, in the Portuguese acronym). Assisted reproductive technology complications, such as ovarian hyperstimulation syndrome, hemorrhage, and infections were also higher in Latin America, although they are extremely uncommon in both regions. Conclusion Both regions have points to improve in the quality of their reports. Latin America has produced a more uniform reporting, their clinical results are generally comparable and sometimes higher than the European ones. In contrast, the safety of the treatment was higher in Europe, with lower rates of complications, especially multiple pregnancies.

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Section: Discussionmentioning

confidence: 99%

Section: Data Extraction and Qualitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assisted Reproductive Technologies in Latin America and Europe: a Comparative Analysis of Reported Databases for 2013

Duarte-Filho

Bianchi

Lobel

et al. 2019

Rev Bras Ginecol Obstet

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show abstract

“…Delivery rates per cycle in REDLARA are 25.05% for ICSI and 27.41% for IVF, respectively 7 , which are very similar to results in the United States and the best centers in Europe. However, PGT in all of Latin America is importantly limited compared to Europe and the US, with 2119 PGT cycles and only 95 deliveries, with a delivery rate per initiated fresh cycle of 4.7% and 36.40% delivery rate per embryo transfer in 2014 7 . Unfortunately, the REDLARA data on PGT 7 do not differentiate between PGT-A and PGT-M cycles to better estimate how often PGT-M is used in Latin-American countries to prevent Mendelian disorders.…”

Section: Discussionmentioning

confidence: 99%

Combined Preimplantation Genetic Testing for Aneuploidy and Monogenic Disease in a Mexican Family Affected by X-linked Hypohidrotic Ectodermal Dysplasia

Piña-Aguilar¹,

González-Ortega²,

Calull-Bago³

et al. 2018

RIC

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“…The method of collecting data in 2017 resembles previous years (Zegers-Hochschild et al, 2019), making results comparable. Definitions used refer to the latest publication of the International glossary on Infertility and Fertility Care (Zegers-Hochschild et al, 2017).…”

Section: Methodsmentioning

confidence: 99%

Assisted reproductive techniques in Latin America: The Latin American Registry, 2017

Zegers‐Hochschild¹,

Crosby²,

Musri³

et al. 2020

JBRA Assisted Reproduction

Self Cite

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Research question: What was the utilization, effectiveness and safety of assisted reproductive techniques performed in Latin America during 2017. Design: Retrospective collection of multinational data on ART performed in 188 institutions from 15 Latin American countries. Results: We are reporting 93,600 initiated cycles, 16,976 deliveries and the birth of 20,404 babies. ART utilization was 221 cycles/million inhabitants (15 to 535). Despite women aged ≥40 represented 30.5% of fresh IVF/ ICSI, after removing freeze-all cycles, delivery rate per oocyte retrieval was 19.9% for ICSI and 20.2% for IVF. Overall, single embryo transfer (SET) represented 26.9% of fresh transfers, with 18.2% delivery rate per transfer; increasing to 32.3% in elective SET. Delivery rate in double embryo transfers (DET) was 28.3% increasing to 37.3% with elective DET. This 5% increment in births in eDET over eSET resulted in10-fold increase in twin births, almost 3 weeks' shorter gestations and 3-fold increase in perinatal mortality. Delivery rate in frozen/thawed SET, reached 25.5% increasing to 30.8% with DET; the majority being blastocysts transfers. Of all births, 67% were singletons, 31.4% twins, and 1.6% triplets and higher. Overall, preterm deliveries reached 9.5% in singletons, 64.3% in twins and 97.9% in triplets; and perinatal mortality was 9.4‰ in singletons, 25.3‰ in twins, and 63.3‰ in high-order multiples. Conclusions: The number of initiated cycles slowly increases. Frozen embryo transfers, blastocyst transfers and SET are also increasing. Our data shows that especially in young women and oocyte recipients, when there is more than one blastocyst for transfer, elective SET should be the rule.

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Assisted reproductive techniques in Latin America: The Latin American registry, 2016

Cited by 11 publications

References 6 publications

Assisted Reproductive Technologies in Latin America and Europe: a Comparative Analysis of Reported Databases for 2013

Assisted Reproductive Technologies in Latin America and Europe: a Comparative Analysis of Reported Databases for 2013

Combined Preimplantation Genetic Testing for Aneuploidy and Monogenic Disease in a Mexican Family Affected by X-linked Hypohidrotic Ectodermal Dysplasia

Assisted reproductive techniques in Latin America: The Latin American Registry, 2017

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