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Table 2 Subgroup analysis of outcomes

From: A systematic review and meta-analysis of randomized controlled studies comparing follicular flushing versus aspiration during oocyte retrieval in IVF cycles

   

No of studies

No of participants

Effect estimates

Number of oocytes retrieved

Participants ovarian response

Poor responders

7

771

-0.32 [-0.83, 0.19]

Normal responders

1

274

-0.84 [-1.91, 0.23]

Unspecified

6

875

0.50 [-0.96, 1.95]

No of flushes

One

5

800

-0.70 [-1.16, -0.24]

Two

2

385

0.95 [-1.58, 3.48]

Three

4

439

-0.14 [-0.67, 0.39]

Four

1

50

-1.00 [-2.45, 0.45]

Five

2

246

0.82 [-3.77, 5.41]

Oocyte/follicle ratio

Participants ovarian response

Poor responders

2

455

0.73 [0.28, 1.91]

Unspecified

3

5596

1.37 [0.68, 2.74]

No of flushes

Two

2

4163

1.68 [0.64, 4.45]

Three

2

455

0.73 [0.28, 1.91]

Six

1

1433

0.89 [0.69, 1.15]

Number of MII oocytes

Participants ovarian response

Poor responders

6

519

-0.20 [-0.68, 0.28]

Normal responders

1

274

-0.92 [-2.58, 0.74]

Unspecified

4

795

0.90 [-0.12, 1.92]

No of flushes

One

3

504

-0.16 [-1.09, 0.77]

Two

2

385

0.57 [-1.27, 2.42]

Three

4

439

-0.17 [-0.70, 0.37]

Four

1

50

-0.80 [-1.70, 0.10]

Five

1

210

2.00 [1.37, 2.63]

Fertilization rate

Participants ovarian response

Poor responders

1

164

2.00 [1.07, 3.74]

Unspecified

2

2924

1.20 [0.68, 2.13]

No of flushes

One

1

243

2.10 [1.18, 3.71]

Two

2

2924

1.20 [0.68, 2.13]

Five

1

164

2.00 [1.07, 3.74]

Implantation rate

Participants ovarian response

Poor responders

4

413

0.60 [0.16, 2.28]

Normal responders

1

808

1.17 [0.86, 1.61]

Unspecified

1

220

1.15 [0.64, 2.06]

No of flushes

One

2

867

0.83 [0.30, 2.32]

Two

1

220

1.15 [0.64, 2.06]

Three

2

250

1.63 [0.34, 7.89]

Four

1

104

0.10 [0.02, 0.44]

Clinical pregnancy rate

Participants ovarian response

Poor responders

5

617

0.90 [0.40, 2.01]

Normal responders

1

274

1.28 [0.80, 2.07]

Unspecified

5

651

1.47 [0.94, 2.28]

No of flushes

One

3

726

1.25 [0.90, 1.74]

Two

2

317

2.08 [0.62, 6.95]

Three

2

151

1.67 [0.24, 11.67]

Four

1

50

0.07 [0.01, 0.64]

Five

2

198

0.95 [0.40, 2.23]

Six

1

100

1.11 [0.45, 2.75]

Ongoing/livebirth rate

Participants ovarian response

Poor responders

7

727

0.85 [0.52, 1.38]

Normal responders

1

173

1.18 [0.64, 2.16]

Unspecified

3

366

1.23 [0.79, 1.91]

No of flushes

One

4

655

1.10 [0.76, 1.60]

Two

1

132

1.17 [0.58, 2.38]

Three

3

231

1.26 [0.55, 2.90]

Four

1

50

0.17 [0.02, 1.55]

Five

2

198

0.85 [0.34, 2.11]

Time of procedure

Participants ovarian response

Poor responders

5

311

147.67 [73.08, 222.26]

Normal responders

1

274

255.60 [223.94, 287.26]

Unspecified

2

400

210.84 [81.49, 340.19]

No of flushes

One

3

504

241.99 [194.99, 288.98]

Two

1

200

144.00 [79.32, 208.68]

Three

3

231

141.59 [38.34, 244.84]

Four

1

50

138.00 [66.89, 209.11]

Cancellation rate

Participants ovarian response

Poor responders

3

382

0.63 [0.39, 1.00]

Normal responders

1

274

0.83 [0.28, 2.44]

Unspecified

1

200

0.70 [0.27, 1.83]

No of flushes

One

3

726

0.61 [0.39, 0.95]

Three

1

80

1.00 [0.39, 2.55]

Four

1

50

0.32 [0.01, 8.25]