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

种族问题:辅助生殖技术协会报告结果中种族/民族差异的系统性回顾

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Abstract

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.

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