Literature DB >> 21947757

Reducing inter-observer variability in embryo evaluation by means of training courses.

Rafael Ruiz de Assin1, Ana Clavero, Maria Carmen Gonzalvo, Antonio Rosales, Sandra Zamora, Luis Martinez, Juan Mozas, Jose Antonio Castilla.   

Abstract

PURPOSE: To study the utility of a training session offered to junior embryologists, comparing the results obtained with those reported by a group of senior embryologists.
METHODS: The 62 junior embryologists participanting were asked to decide on the quality of the embryos and theg clinical decision to be taken.
RESULTS: The junior embryologists' success rate following the training course was significantly higher than before for embryo classification (48.4% ± 20.4 vs. 59.7% ±16.7) (p < 0.05) and for clinical decision (54.7% ± 19.6 vs. 68.7% ± 17.6) (p < 0.005). Comparison of the degree of agreement between the categories assigned by the junior embryologists and those assigned by consensus among the group of senior embryologists revealed kappa values of k = 0.32 before the course and of k = 0.54 after it. The comparison between pre- and post-training junior and senior embryologists also reflected an improvement in the kappa index for clinical decision, from k = 0.54 to k = 0.68.
CONCLUSIONS: Training courses are shown to be an effective tool for increasing the degree of agreement between junior and senior embryologists.

Mesh:

Year:  2011        PMID: 21947757      PMCID: PMC3224171          DOI: 10.1007/s10815-011-9639-0

Source DB:  PubMed          Journal:  J Assist Reprod Genet        ISSN: 1058-0468            Impact factor:   3.412


  16 in total

1.  Interobserver agreement and intraobserver reproducibility of embryo quality assessments.

Authors:  Joan-Carles Arce; Søren Ziebe; Kersti Lundin; Ronny Janssens; Lisbeth Helmgaard; Per Sørensen
Journal:  Hum Reprod       Date:  2006-04-10       Impact factor: 6.918

2.  Interobserver and intraobserver variation in day 3 embryo grading.

Authors:  Allison E Baxter Bendus; Jacob F Mayer; Sharon K Shipley; William H Catherino
Journal:  Fertil Steril       Date:  2006-10-30       Impact factor: 7.329

3.  Lessons learned from a sperm morphology quality control programme.

Authors:  D R Franken; T F Kruger
Journal:  Andrologia       Date:  2006-12       Impact factor: 2.775

4.  Construction of an evidence-based integrated morphology cleavage embryo score for implantation potential of embryos scored and transferred on day 2 after oocyte retrieval.

Authors:  J Holte; L Berglund; K Milton; C Garello; G Gennarelli; A Revelli; T Bergh
Journal:  Hum Reprod       Date:  2006-11-09       Impact factor: 6.918

5.  Revised guidelines for human embryology and andrology laboratories.

Authors: 
Journal:  Fertil Steril       Date:  2006-11       Impact factor: 7.329

6.  Learning curve of vitrification assessed by cumulative summation test for learning curve (LC-CUSUM).

Authors:  Lionel Dessolle; David J Biau; Vanina de Larouzière; Célia Ravel; Jean-Marie Antoine; Emile Daraï; Jacqueline Mandelbaum
Journal:  Fertil Steril       Date:  2009-03-26       Impact factor: 7.329

7.  Comparison of methods to determine the assigned value in an external quality control programme for embryo evaluation.

Authors:  R Ruiz de Assín; A Clavero; M C Gonzalvo; J P Ramírez; S Zamora; A Fernández; L Martínez; J A Castilla
Journal:  Reprod Biomed Online       Date:  2009-12       Impact factor: 3.828

8.  ESHRE basic semen analysis courses 1995-1999: immediate beneficial effects of standardized training.

Authors:  L Björndahl; C L R Barratt; L R Fraser; U Kvist; D Mortimer
Journal:  Hum Reprod       Date:  2002-05       Impact factor: 6.918

9.  The Graduated Embryo Score (GES) predicts blastocyst formation and pregnancy rate from cleavage-stage embryos.

Authors:  J D Fisch; H Rodriguez; R Ross; G Overby; G Sher
Journal:  Hum Reprod       Date:  2001-09       Impact factor: 6.918

10.  Morphological evaluation of human embryos and derivation of an embryo quality scoring system specific for day 3 embryos: a preliminary study.

Authors:  N N Desai; J Goldstein; D Y Rowland; J M Goldfarb
Journal:  Hum Reprod       Date:  2000-10       Impact factor: 6.918

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