Vitamin D and assisted reproduction: should vitamin D be routinely screened and repleted prior to ART? A systematic review.

Abstract:

PURPOSE:To review the current literature regarding the role of vitamin D status in pregnancy outcomes in women undergoing assisted reproductive technology (ART) and to assess cost-effectiveness of routine vitamin D deficiency screening and repletion prior to initiation of ART. METHODS:A systematic literature review was conducted using PubMed. Relevant study outcomes were compared among the selected studies. A cost-benefit analysis was performed using a decision tree mathematical model with sensitivity analyses from the perspective of direct societal cost. Published data were used to estimate probabilities and costs in 2014 US dollars. RESULTS:Thirty-four articles were retrieved, of which eight met inclusion criteria. One study demonstrated a negative relationship between vitamin D status and ART outcomes, while two studies showed no association. The remaining five studies concluded that ART outcomes improved after vitamin D repletion. CONCLUSION:The majority of reviewed studies reported a decrement in ART outcomes in patients with vitamin D deficiency. Cost-benefit analyses suggested that screening and supplementing vitamin D prior to ART might be cost effective, but further evidence is needed. Given the absence of Level I evidence regarding vitamin D status and ART outcomes, full endorsement of routine vitamin D screening and supplementation prior to ART is premature.

journal_name

J Assist Reprod Genet

authors

Pacis MM,Fortin CN,Zarek SM,Mumford SL,Segars JH

doi

10.1007/s10815-014-0407-9

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

323-35

issue

3

eissn

1058-0468

issn

1573-7330

journal_volume

32

pub_type

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