Table 2 Summary of studies assessing infertility treatment outcomes in Hispanic patients
From: A review of disparities in access to infertility care and treatment outcomes among Hispanic women
Authors | Year Published | Study Design | Location | Sample Size | Outcomes/Highlighted Findings | Study Limitations |
|---|---|---|---|---|---|---|
Grainger et al. [6] | 2004 | Retrospective cohort study of SART 1999-2000 | United States | 68,512 | No difference in clinical intrauterine gestation or live birth rates for Hispanic women compared to White women undergoing ART treatment | Fewer cycles in Hispanic women than more recent studies; variability in clinic reporting of race/ethnicity data |
Feinberg et al. [14] | 2007 | Retrospective chart review | Washington D.C. | 1,457 | No significant difference between Hispanic and White ART patients for outcomes of clinical pregnancy rates, live birth rates, implantation rates, or spontaneous abortion rates (all p-values non-significant) | Low number of Hispanic patients; specific military population |
Fujimoto et al. [21] | 2010 | Retrospective cohort study of SART-CORS 2004-2006 | United States | 139,027 | Hispanic women were 13% less likely than White women to have a live birth as their pregnancy outcome from ART (p=.005); Hispanic women were more likely to have preterm deliveries (p=.001) and low birth weight infants after ART treatment than White women (p<.0001) | Variability in clinic reporting of race/ethnicity data; lack of BMI and socioeconomic status data |
Shuler et al. [20] | 2011 | Retrospective chart review | Texas | 435 | No differences were seen between Hispanic patients and non-Hispanic White patients for clinical intrauterine gestation rates or live birth rates (p=.59 and p=.27, respectively) | Patients from single fertility center; lack of socioeconomic status data |
McQueen et al. [23] | 2015 | Retrospective chart review | Illinois | 4,045 | Hispanic women were more likely to have their IVF cycle cancelled than non-Hispanic White women (p=.001); Hispanic women had similar pregnancy outcomes to White women with similar clinical pregnancy rates (p=.50) spontaneous abortion rates (p=.97) and live birth rates (p=.48) | Patients from single fertility center; lack of ability to control for confounders including embryo quality and comorbidities; lack of socioeconomic status data |
Kotlyar, Simsek & Seifer [22] | 2021 | Retrospective cohort study of SART-CORS 2014-2016 | United States | 148,572 | Hispanic women had lower cumulative live birth rates compared to non-Hispanic White women; odds ratio for live birth in Hispanic women without prior ART was 0.82 (95% CI 0.73-0.91, p<.001) and with prior ART was 0.87 (95% CI 0.77-0.99, p=.031) | 39% of cycles lacked race/ethnicity data; lack of socioeconomic status data |