Race Matters: A Systematic Review of Racial/Ethnic Disparity in Society for Assisted Reproductive Technology Reported Outcomes

Capsule:
Race/ethnicity is likely related to ART outcomes; however, race/ethnicity is indeterminate in >35% of SART-reported cycles. Racial/ethnic influences on ART outcomes would be better understood if race/ethnicity was universally reported.

Authors:
Melissa F. Wellons, M.D., Victor Y. Fujimoto, M.D., Valerie L. Baker, M.D., Debbie S. Barrington, Ph.D., Diana Broomfield, M.D., William H. Catherino, M.D., Ph.D., Gloria Richard-Davis, M.D., Mary Ryan, M.L.S., Kim Thornton, M.D., Alicia Y. Armstrong, M.D.

Volume 98, Issue 2 , Pages 406-409, August 2012

Abstract:

Objective:
To systematically review the reporting of race/ethnicity in Society for Assisted Reproductive Technology (SART) Clinic Outcome Reporting System (CORS) publications.

Design:
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.

Setting:
Not applicable.

Patient(s):
Not applicable.

Intervention(s):
In vitro fertilization cycles reported to SART.

Main Outcome Measure(s):
Any outcomes reported in SART CORS.

Result(s):
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.

Conclusion(s):
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.

  • Micah Hill

    I don’t know the answer to your question, but the authors certainly make a compelling case to include it.

  • Isiah Harris

    Is anyone aware if SART is planning to require race/ethnicity reporting?

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