Race matters: a systematic review of racial/ethnic disparity in Society for Assisted Reproductive Technology reported outcomes.
OBJECTIVE
To systematically review the reporting of race/ethnicity in Society for Assisted Reproductive Technology (SART) Clinic Outcome Reporting System (CORS) publications.


METHODS
Systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology of literature published in PubMed on race/ethnicity that includes data from SART CORS.


METHODS
Not applicable.


METHODS
Not applicable.


METHODS
In vitro fertilization cycles reported to SART.


METHODS
Any outcomes reported in SART CORS.


RESULTS
Seven publications were identified that assessed racial/ethnic disparities in IVF outcomes using SART data. All reported a racial/ethnic disparity. However, more than 35% of cycles were excluded from analysis because of missing race/ethnicity data.


CONCLUSIONS
Review of current publications of SART data suggests significant racial/ethnic disparities in IVF outcomes. However, the potential for selection bias limits confidence in these findings, given that fewer than 65% of SART reported cycles include race/ethnicity. Our understanding of how race/ethnicity influences ART outcome could be greatly improved if information on race/ethnicity was available for all reported cycles.
Division of Reproductive Endocrinology and Infertility, University of Alabama at Birmingham, Birmingham, Alabama 35249-7333, USA. wello002@uab.edu
Melissa F
MF
Wellons
Victor Y
VY
Fujimoto
Valerie L
VL
Baker
Debbie S
DS
Barrington
Diana
D
Broomfield
William H
WH
Catherino
Gloria
G
Richard-Davis
Mary
M
Ryan
Kim
K
Thornton
Alicia Y
AY
Armstrong
D005006:Ethnicity / Q000208:ethnology*; D005260:Female; D054625:Healthcare Disparities / Q000208:ethnology / Q000592:standards; D006801:Humans; D008297:Male; D044469:Racial Groups / Q000208:ethnology*; D027724:Reproductive Techniques, Assisted / Q000592:standards; D058028:Research Report / Q000592:standards; D012955:Societies, Medical / Q000592:standards; D016896:Treatment Outcome