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Summary

Preimplantation genetic screening (PGS) adoption led to higher costs and lower effectiveness. Current advancements question if this new era of PGS offers genuine improvement or repeats past mistakes.

Keywords:
IVF/ICSIPGSaneuploidyefficacyrandomized controlled trials

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Area of Science:

  • Reproductive medicine
  • Genetics
  • In vitro fertilization

Background:

  • Past adoption of preimplantation genetic screening (PGS) using cleavage stage biopsy and fluorescence in situ hybridization (FISH) lacked cost-effectiveness evaluation.
  • This led to increased patient expenses and reduced treatment efficacy.

Purpose of the Study:

  • To evaluate the evolution and current state of preimplantation genetic screening (PGS).
  • To determine if recent advancements in PGS represent a true improvement or a recurrence of past issues.

Main Methods:

  • Review of historical data and clinical practices regarding PGS.
  • Analysis of current technological advancements and their implementation in genetic screening.

Main Results:

  • Initial widespread adoption of PGS without efficacy and cost-effectiveness studies proved detrimental.
  • Current trends in PGS suggest a potential for repeating previous suboptimal outcomes.

Conclusions:

  • The history of PGS highlights the critical need for rigorous evaluation before clinical implementation.
  • Ongoing advancements necessitate careful assessment to ensure improved patient outcomes and cost-effectiveness.