TY - JOUR
T1 - EuMAR stakeholder engagement
T2 - an analysis of medically assisted reproduction (MAR) data collection practices in EU countries†
AU - Achótegui Sebastián, Elena
AU - Calhaz-Jorge, Carlos
AU - De Geyter, Christian
AU - Ebner, Thomas
AU - Plancha, Carlos E
AU - Goossens, Veerle
AU - Pinborg, Anja
AU - Polyzos, Nikolaos P
AU - Rossignoli, Laura
AU - Rugescu, Ioana Adina
AU - Smeenk, Jesper
AU - Strowitzki, Thomas
AU - Tassot, Johanna
AU - Mocanu, Edgar V
AU - Vermeulen, Nathalie
AU - Wyns, Christine
AU - Magli, M Cristina
N1 - © The Author(s) 2024. Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology.
PY - 2024/11/1
Y1 - 2024/11/1
N2 - STUDY QUESTION: What are the current national medically assisted reproduction (MAR) data collection systems across EU Member States, and how can these countries contribute to a unique, cycle-by-cycle registry for the European Monitoring of Medically Assisted Reproduction (EuMAR) project?SUMMARY ANSWER: The study identified significant variation in MAR data collection practices across Member States, with differences in data types, collection methods, and reporting requirements; the EuMAR project emerges as an opportunity to enhance data standardization and improve MAR data collection in the EU.WHAT IS KNOWN ALREADY: There is a need for new approaches in MAR data collection that include long-term and cross border follow-up. The EuMAR project intends to establish a unified, cycle-by-cycle registry of data on MAR treatments in EU countries, from which accurate cumulative outcomes can be calculated.STUDY DESIGN, SIZE, DURATION: This cross-sectional study involved a survey and interviews with stakeholders from 26 EU Member States conducted in 2023 over a period of seven months.PARTICIPANTS/MATERIALS, SETTING, METHODS: Representatives from national competent authorities and professional associations involved in MAR data collection in EU countries were invited to complete the survey and interviewed to assess current data flows, information requirements, and their interest in the EuMAR project.MAIN RESULTS AND THE ROLE OF CHANCE: Half of the participating countries reported having a national MAR registry with cycle-by-cycle data (n = 13), while 31% reported having a national registry with aggregated data (n = 8) and 19% reported having no national registry (n = 5). Of the countries with a national cycle-by-cycle registry, eight countries collect identifiable data, five countries collect pseudonymized data, and one country collects fully anonymized data. Informed consent is required in 10 countries. The main advantages that participants expected from a European registry like EuMAR were the possibility of obtaining national statistics in the absence of a national registry and improving the calculation of cumulative outcomes.LIMITATIONS, REASONS FOR CAUTION: The results of the study are based on self-reported data, which may be subject to bias, however, the validity of the collected information was verified with different means, including follow-up calls for clarifications and sharing final transcript reports. The feasibility of the proposed data flow models will be tested in a pilot study.WIDER IMPLICATIONS OF THE FINDINGS: Despite the heterogeneity of data collection practices across EU countries, the results show that stakeholders have high expectations of the benefits that the EuMAR registry can bring, namely the improvement of data consistency, cross-border comparability, and cumulative live birth rates, leading to better information for patients, health care providers and policy makers.STUDY FUNDING/COMPETING INTEREST(S): The EuMAR project was co-founded by ESHRE and the European Commission (101079865-EuMAR-EU4H-2021-PJ2). No competing interests were declared.TRIAL REGISTRATION NUMBER: N/A.
AB - STUDY QUESTION: What are the current national medically assisted reproduction (MAR) data collection systems across EU Member States, and how can these countries contribute to a unique, cycle-by-cycle registry for the European Monitoring of Medically Assisted Reproduction (EuMAR) project?SUMMARY ANSWER: The study identified significant variation in MAR data collection practices across Member States, with differences in data types, collection methods, and reporting requirements; the EuMAR project emerges as an opportunity to enhance data standardization and improve MAR data collection in the EU.WHAT IS KNOWN ALREADY: There is a need for new approaches in MAR data collection that include long-term and cross border follow-up. The EuMAR project intends to establish a unified, cycle-by-cycle registry of data on MAR treatments in EU countries, from which accurate cumulative outcomes can be calculated.STUDY DESIGN, SIZE, DURATION: This cross-sectional study involved a survey and interviews with stakeholders from 26 EU Member States conducted in 2023 over a period of seven months.PARTICIPANTS/MATERIALS, SETTING, METHODS: Representatives from national competent authorities and professional associations involved in MAR data collection in EU countries were invited to complete the survey and interviewed to assess current data flows, information requirements, and their interest in the EuMAR project.MAIN RESULTS AND THE ROLE OF CHANCE: Half of the participating countries reported having a national MAR registry with cycle-by-cycle data (n = 13), while 31% reported having a national registry with aggregated data (n = 8) and 19% reported having no national registry (n = 5). Of the countries with a national cycle-by-cycle registry, eight countries collect identifiable data, five countries collect pseudonymized data, and one country collects fully anonymized data. Informed consent is required in 10 countries. The main advantages that participants expected from a European registry like EuMAR were the possibility of obtaining national statistics in the absence of a national registry and improving the calculation of cumulative outcomes.LIMITATIONS, REASONS FOR CAUTION: The results of the study are based on self-reported data, which may be subject to bias, however, the validity of the collected information was verified with different means, including follow-up calls for clarifications and sharing final transcript reports. The feasibility of the proposed data flow models will be tested in a pilot study.WIDER IMPLICATIONS OF THE FINDINGS: Despite the heterogeneity of data collection practices across EU countries, the results show that stakeholders have high expectations of the benefits that the EuMAR registry can bring, namely the improvement of data consistency, cross-border comparability, and cumulative live birth rates, leading to better information for patients, health care providers and policy makers.STUDY FUNDING/COMPETING INTEREST(S): The EuMAR project was co-founded by ESHRE and the European Commission (101079865-EuMAR-EU4H-2021-PJ2). No competing interests were declared.TRIAL REGISTRATION NUMBER: N/A.
KW - Cross-Sectional Studies
KW - Data Collection/methods
KW - Europe
KW - European Union
KW - Female
KW - Humans
KW - Pregnancy
KW - Registries/standards
KW - Reproductive Techniques, Assisted/statistics & numerical data
KW - Stakeholder Participation
KW - Surveys and Questionnaires
KW - health data registries
KW - registry
KW - medically assisted reproduction
KW - data collection
KW - database
UR - http://www.scopus.com/inward/record.url?scp=85206945092&partnerID=8YFLogxK
U2 - 10.1093/humrep/deae209
DO - 10.1093/humrep/deae209
M3 - Journal article
C2 - 39276145
SN - 0268-1161
VL - 39
SP - 2379
EP - 2386
JO - Human Reproduction
JF - Human Reproduction
IS - 11
ER -