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Fertil Steril. 2002 Mar;77(3):456-60.

A computerized decision support system for ovarian stimulation by gonadotropins.

Author information

  • 1Fédération de Gynécologie-Obstétrique et Médecine de la Reproduction, CHU La Grave, Toulouse, France.

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.

Comment in

PMID:
11872193
[PubMed - indexed for MEDLINE]
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