title: Anti-Müllerian hormone-based prediction model for a live birth in assisted reproduction.
abstract: Prediction of assisted reproduction treatment outcome has been the focus of clinical research for many years, with a variety of prognostic models describing the probability of an ongoing pregnancy or a live birth. This study assessed whether serum anti-Müllerian hormone (AMH) concentrations may be incorporated into a model to enhance the prediction of a live birth in women undergoing their first IVF cycle, by analysing a database containing clinical and laboratory information on IVF cycles carried out between 2005 and 2008 at the Mother-Infant Department of University Hospital, Modena. Logistic regression was used to examine the association of live birth with baseline patient characteristics. Only AMH and age were demonstrated in regression analysis to predict live birth, so a model solely based on these two criteria was generated. The model permitted the identification of live birth with a sensitivity of 79.2% and a specificity of only 44.2%. In the prediction of a live birth following IVF, a distinction, however moderate, can be made between couples with a good and a poor prognosis. The success of IVF was found to mainly depend on maternal age and serum AMH concentrations, one of the most relevant and valuable markers of ovarian reserve.
authors.affiliation: Mother-Infant Department, Institute of Obstetrics and Gynecology, University of Modena and Reggio Emilia, 41100 Modena, Italy. antlamarca@libero.it
authors.forename: A
authors.initials: A
authors.lastname: La Marca
authors.forename: S M
authors.initials: SM
authors.lastname: Nelson
authors.forename: G
authors.initials: G
authors.lastname: Sighinolfi
authors.forename: M
authors.initials: M
authors.lastname: Manno
authors.forename: E
authors.initials: E
authors.lastname: Baraldi
authors.forename: L
authors.initials: L
authors.lastname: Roli
authors.forename: S
authors.initials: S
authors.lastname: Xella
authors.forename: T
authors.initials: T
authors.lastname: Marsella
authors.forename: D
authors.initials: D
authors.lastname: Tagliasacchi
authors.forename: R
authors.initials: R
authors.lastname: D'Amico
authors.forename: A
authors.initials: A
authors.lastname: Volpe
mesh_terms: D000367:Age Factors; D054304:Anti-Mullerian Hormone / Q000097:blood*; D005260:Female; D006801:Humans; D007558:Italy; D050498:Live Birth; D008954:Models, Biological; D011247:Pregnancy; D011379:Prognosis; D027724:Reproductive Techniques, Assisted / Q000706:statistics & numerical data*; D012680:Sensitivity and Specificity
chemical_list: D054304:Anti-Mullerian Hormone