Lesourd F, Avril C, Boujennah A, Parinaud J. A computerized decision support system for ovarian stimulation by gonadotropins.
Fertil Steril 2002;
77:456-60. [PMID:
11872193 DOI:
10.1016/s0015-0282(01)03231-9]
[Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE
To evaluate the effectiveness of a computerized decision support system for ovarian stimulation with gonadotropins.
DESIGN
Retrospective and prospective randomized studies.
SETTING
Private and university teaching hospital.
PATIENT(S)
Women undergoing ovarian stimulation to treat infertility.
MAIN OUTCOME MEASURE(S)
Pregnancy rate.
RESULT(S)
In the retrospective study, computer-generated decisions were compared with clinicians' decisions in 118 stimulated cycles in 53 patients. In 90% of cases, the choice of FSH regimens and adjustments to dosages were identical. In the prospective study, the computer-generated decisions achieved a pregnancy rate per cycle of 18% (15 of 82 cycles), compared with 16% (13 of 82 cycles) achieved by clinicians.
CONCLUSION(S)
A computerized decision making system was as effective as skilled clinicians in achieving pregnancy by using ovarian stimulation with FSH.
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