PMID- 21536284 OWN - NLM STAT- MEDLINE DCOM- 20110728 LR - 20220317 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 95 IP - 7 DP - 2011 Jun TI - International Committee for Monitoring Assisted Reproductive Technology (ICMART) world report: assisted reproductive technology 2003. PG - 2209-22, 2222.e1-17 LID - 10.1016/j.fertnstert.2011.03.058 [doi] AB - OBJECTIVE: To analyze information on assisted reproductive technologies (ART) performed globally. DESIGN: Data on access, efficacy, and safety of ART were collected for the year 2003 from 54 countries. SETTING: National and regional ART registries globally. PATIENT(S): Patients undergoing ART globally. INTERVENTION(S): Collection and analysis of international ART registry data. MAIN OUTCOME MEASURE(S): Number of cycles performed in reporting countries and regions globally for different ART procedures with resulting pregnancy, live birth and multiple birth rates. RESULT(S): A total of 433,427 initiated cycles reported in this registry resulted in 173,424 babies born. This corresponded to a delivery rate per aspiration of 22.4% for in vitro fertilization (IVF), 23.3% for intracytoplasmic sperm injection (ICSI), and a delivery rate per transfer of 17.1% for frozen embryo transfer. Although there is wide variation among countries and regions, the overall proportion of deliveries with twins and triplets from IVF and ICSI was 24.8% and 2.0%, respectively. There were wide variations in access, and compared with the previous report (year 2002), there was a 3.9% increase in the number of reported cycles and a minor increase in the delivery rate per aspiration. There was also a marginal decline in the mean number of embryos transferred and in the rate of multiple births. CONCLUSION(S): ART access, efficacy, and safety varies greatly globally. Collection and analysis of data over time will benefit ART patients, providers, and policy makers. CI - Copyright (c) 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. FAU - Nygren, Karl G AU - Nygren KG AD - IVF Unit, Queen Sophia Hospital, Stockholm, Sweden. FAU - Sullivan, Elizabeth AU - Sullivan E FAU - Zegers-Hochschild, Fernando AU - Zegers-Hochschild F FAU - Mansour, Ragaa AU - Mansour R FAU - Ishihara, Osamu AU - Ishihara O FAU - Adamson, G David AU - Adamson GD FAU - de Mouzon, Jacques AU - de Mouzon J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110504 PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM MH - Advisory Committees MH - Female MH - *Global Health MH - Humans MH - International Agencies MH - Live Birth MH - Multiple Birth Offspring/statistics & numerical data MH - Outcome and Process Assessment, Health Care/*statistics & numerical data MH - Pregnancy MH - Pregnancy Rate MH - Registries MH - Reproductive Techniques, Assisted/adverse effects/*statistics & numerical data MH - Risk Assessment MH - Risk Factors MH - Time Factors MH - Treatment Outcome EDAT- 2011/05/04 06:00 MHDA- 2011/07/29 06:00 CRDT- 2011/05/04 06:00 PHST- 2010/11/15 00:00 [received] PHST- 2011/03/18 00:00 [revised] PHST- 2011/03/22 00:00 [accepted] PHST- 2011/05/04 06:00 [entrez] PHST- 2011/05/04 06:00 [pubmed] PHST- 2011/07/29 06:00 [medline] AID - S0015-0282(11)00488-2 [pii] AID - 10.1016/j.fertnstert.2011.03.058 [doi] PST - ppublish SO - Fertil Steril. 2011 Jun;95(7):2209-22, 2222.e1-17. doi: 10.1016/j.fertnstert.2011.03.058. Epub 2011 May 4.