Race matters: a systematic review of racial/ethnic disparity in Society for Assisted Reproductive Technology reported outcomes.

Wellons MF, Fujimoto VY, Baker VL, Barrington DS, Broomfield D, Catherino WH, Richard-Davis G, Ryan M, Thornton K, Armstrong AY
Fertil Steril. 2012 98 (2): 406-9

PMID: 22698638 · PMCID: PMC3409320 · DOI:10.1016/j.fertnstert.2012.05.012

OBJECTIVE - To systematically review the reporting of race/ethnicity in Society for Assisted Reproductive Technology (SART) Clinic Outcome Reporting System (CORS) publications.

DESIGN - Systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology of literature published in PubMed on race/ethnicity that includes data from SART CORS.

SETTING - Not applicable.

PATIENT(S) - Not applicable.

INTERVENTION(S) - In vitro fertilization cycles reported to SART.

MAIN OUTCOME MEASURE(S) - Any outcomes reported in SART CORS.

RESULT(S) - Seven publications were identified that assessed racial/ethnic disparities in IVF outcomes using SART data. All reported a racial/ethnic disparity. However, more than 35% of cycles were excluded from analysis because of missing race/ethnicity data.

CONCLUSION(S) - Review of current publications of SART data suggests significant racial/ethnic disparities in IVF outcomes. However, the potential for selection bias limits confidence in these findings, given that fewer than 65% of SART reported cycles include race/ethnicity. Our understanding of how race/ethnicity influences ART outcome could be greatly improved if information on race/ethnicity was available for all reported cycles.

Copyright © 2012 American Society for Reproductive Medicine. All rights reserved.

MeSH Terms (10)

Continental Population Groups Ethnic Groups Female Healthcare Disparities Humans Male Reproductive Techniques, Assisted Research Report Societies, Medical Treatment Outcome

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