Publications by authors named "Kawwass J"

Third- and fourth-year U.S. medical students applying to residency were surveyed between August 6 and October 22, 2022, to assess the impact of on medical student residency application location choices.

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  • The study investigates trends and outcomes associated with donor oocyte embryo transfer cycles in the US from 2013 to 2020, focusing on whether the state of the oocyte (fresh or frozen) affects clinical pregnancy and live birth rates.* -
  • Over the study period, the use of frozen embryos significantly increased, but live birth rates were found to be lower with frozen donor oocytes compared to fresh ones for both types of embryo transfer cycles.* -
  • The analysis also reports the rates of successful live births and neonates with healthy birthweights, with findings indicating that fresh donor embryos yield better outcomes than frozen ones.*
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Background: The increased use of gestational carriers has expanded family-building opportunities for people and couples unable to carry pregnancies on their own. National American Society of Reproductive Medicine guidelines for gestational carriers have changed over time to reflect advances in reproductive technology and mounting evidence supporting the medical benefits associated with singleton gestations.

Objective: Assess changes in gestational carrier cycle practice patterns and resultant pregnancy outcomes in the United States in relation to changing national American Society of Reproductive Medicine guidelines, which changed in 2013 and 2017.

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Purpose: Oocyte cryopreservation (OC) is a medical intervention for reproductive-aged women, a demographic that uses social media heavily. This study characterizes the top TikTok videos and Instagram reels on OC.

Methods: Five hashtags pertaining to OC were selected: #oocytepreservation, #oocytecryopreservation, #eggfreezing, #oocytefreezing, and #fertilitypreservation.

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Objective: To describe characteristics, trends, and outcomes of international gestational surrogacy cycles in the United States (US).

Design: Retrospective cohort study.

Setting: All assisted reproductive technology cycles in the US reported to the Society for Assisted Reproductive Technology Clinic Outcome Reporting Systems that included an embryo transfer to a gestational carrier from 2014 to 2020.

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Residency selection is a challenging process for medical students, one further complicated in the USA by the recent () decision over-ruling the federal right to abortion. We surveyed medical students to examine how is influencing the ideological, personal and professional factors they must reconcile when choosing where and how to complete residency.Between 6 August and 22 October 2022, third-year and fourth-year US medical students applying to US residency programmes were surveyed through social media and direct outreach to medical schools.

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Background: There are significant racial disparities in in vitro fertilization outcomes, which are poorly explained by individual-level characteristics. Environmental factors such as neighborhood-level socioeconomic factors may contribute to these disparities. However, few studies have directly addressed this research question in a large, racially diverse cohort.

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Purpose: To analyze the geographic distribution of REI fellowships and clinics across the USA and to strategize ways to improve patient access to care.

Methods: Cross-sectional study using population data obtained from publicly available United States Census Bureau, Society for Assisted Reproductive Technology (SART), and National Resident Matching Program websites. Outcomes include the number of REI clinics, REI fellowship-trained physicians, and REI fellowship programs.

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Objective: To determine factors associated with a positive male patient experience (PMPE) at fertility clinics among male patients.

Design: Cross-sectional study Setting: Not applicable Patients: Male respondents to the FertilityIQ questionnaire ( www.fertilityiq.

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Introduction: We evaluated fertility clinic management of male factor infertility, including patient education and referral for urological evaluation and care.

Methods: Using 2015-2018 Centers for Disease Control and Prevention Fertility Clinic Success Rates Reports, 480 operative fertility clinics in the United States were identified. Clinic websites were systematically reviewed for content regarding male infertility.

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Article Synopsis
  • * A survey sent to 441 U.S. ART clinics revealed that 49% responded, with 17% not offering NC-FETs, mainly due to concerns about timing and staff burdens.
  • * While NC-FETs are available at most clinics, they are only utilized in a small percentage of cases and often come with eligibility restrictions; overall, 65% of providers have a positive view of NC-FETs.
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Purpose: To determine the recurrence risk and risk factors for monozygotic splitting after elective single-embryo transfers (eSET).

Methods: A retrospective cohort study was performed investigating 65,664 eSET cycles that resulted in a clinical pregnancy as reported in the Society for Assisted Reproductive Technology (SART) Clinical Outcomes Reporting System (CORS) between 2004 and 2017. Monozygosity was defined as more than one fetal heart tone by the first-trimester ultrasound and concordant sex at live birth.

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  • In 2016, the FDA updated regulations to make it easier for people to access donated embryos for reproductive use, highlighting the need for current data on embryo donation cycles.
  • The study analyzed trends and outcomes related to frozen donated embryo transfers in the US from 2004 to 2019, focusing particularly on the years 2016 to 2019, to provide valuable insights for patients and healthcare providers.
  • Results showed an increase in both the number of frozen embryo transfers and their success rates, with 53.4% leading to pregnancy and 43.5% resulting in live births during the more recent years analyzed.
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  • The study investigates how state-mandated insurance coverage for fertility services impacts patients’ decisions to continue or discontinue assisted reproductive technology (ART) care after a failed cycle.
  • Researchers analyzed data from U.S. fertility clinics between 2016 and 2018, focusing on patients who did not achieve a live birth after their first ART cycle.
  • Results showed that a significant portion (26.4%) of patients discontinued care, prompting further examination of the relationship between the extent of insurance coverage and the rates of discontinuation.
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Objective: To determine the prevalence of physical intimate partner violence (IPV) among postpartum women reporting preconception fertility treatment compared with those who conceived without the use of assisted reproduction.

Design: Retrospective cross-sectional population-based study.

Setting: Not applicable.

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