A computerized decision support system for ovarian stimulation by gonadotropins.
OBJECTIVE
To evaluate the effectiveness of a computerized decision support system for ovarian stimulation with gonadotropins.


METHODS
Retrospective and prospective randomized studies.


METHODS
Private and university teaching hospital.


METHODS
Women undergoing ovarian stimulation to treat infertility.


METHODS
Pregnancy rate.


RESULTS
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.


CONCLUSIONS
A computerized decision making system was as effective as skilled clinicians in achieving pregnancy by using ovarian stimulation with FSH.
Lesourd
Florence
F
Fédération de Gynécologie-Obstétrique et Médecine de la Reproduction, CHU La Grave, Toulouse, France.
Avril
Catherine
C
Boujennah
Arry
A
Parinaud
Jean
J
D000328:Adult; D003658:Decision Making, Computer-Assisted; D004958:Estradiol / Q000097:blood; D005260:Female; D005640:Follicle Stimulating Hormone / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D006080:Ovarian Follicle / Q000502:physiology; D010062:Ovulation Induction / Q000379:methods*; D011247:Pregnancy; D011446:Prospective Studies; D012189:Retrospective Studies
D004958:Estradiol; D005640:Follicle Stimulating Hormone