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Table 4 Self-reported primary infertility diagnosis at ART-FS compared to self-report from IVF Studya

From: Self-reported infertility diagnoses and treatment history approximately 20 years after fertility treatment initiation

 

Women who self-reported a single diagnosis at IVF study enrollment (n = 509)

Women who self-reported any number of diagnoses at IVF study enrollment (n = 808)

Infertility diagnosis

 

Cohen’s kappa Κ (95% CI)

Sensitivity (95% CI)

Specificity

(95% CI)

 

Cohen’s kappa Κ (95% CI)

Sensitivity (95% CI)

Specificity (95% CI)

Any female factor infertilityb

ART-FS recall

0.61 (0.54, 0.68)

0.87 (0.81, 0.92)

0.79 (0.74, 0.83)

ART-FS recall

0.51 (0.45, 0.57)

0.78 (0.73, 0.82)

0.74 (0.70, 0.78)

IVF Study recall

 

+

–

IVF Study recall

 

+

–

+

148

23

+

273

79

–

70

257

–

114

325

PCOS

ART-FS recall

0.66 (0.51, 0.81)

0.72 (0.54, 0.90)

0.98 (0.97, 0.99)

ART-FS recall

0.53 (0.42, 0.64)

0.48 (0.37, 0.60)

0.98 (0.97, 0.99)

IVF Study recall

 

+

–

IVF Study recall

 

+

–

+

18

7

+

34

36

–

10

463

–

16

705

Endometriosis

ART-FS recall

0.76 (0.65, 0.86)

0.76 (0.62, 0.89)

0.98 (0.97, 0.99)

ART-FS recall

0.60 (0.51, 0.68)

0.53 (0.44, 0.61)

0.98 (0.97, 0.99)

IVF Study recall

 

+

–

IVF Study recall

 

+

–

+

31

10

+

68

61

–

8

449

–

13

647

Uterine factor infertility

ART-FS recall

0.07 (−0.09, 0.22)

0.17 (0.0, 0.46)

0.97 (0.95, 0.98)

ART-FS recall

0.14 (0.01, 0.26)

0.16 (0.04, 0.28)

0.96 (0.95, 0.98)

IVF Study recall

 

+

–

IVF Study recall

 

+

–

+

1

5

+

6

31

–

17

475

–

25

702

Tubal factor infertility

ART-FS recall

0.73 (0.64, 0.82)

0.66 (0.56, 0.77)

0.99 (0.98, 1.00)

ART-FS recall

0.59 (0.51, 0.67)

0.50 (0.42, 0.58)

0.99 (0.98, 1.00)

IVF Study recall

 

+

–

IVF Study recall

 

+

–

+

53

27

+

76

77

–

5

413

–

6

632

Diminished ovarian reserve/ Increased maternal age

ART-FS recall

0.25 (0.14, 0.37)

0.74 (0.54, 0.93)

0.87 (0.84, 0.90)

ART-FS recall

0.31 (0.21, 0.40)

0.65 (0.51, 0.79)

0.87 (0.85, 0.90)

IVF Study recall

 

+

–

IVF Study recall

 

+

–

+

14

5

+

30

16

–

61

418

–

86

585

Male factor infertility

ART-FS recall

0.82 (0.76, 0.87)

0.82 (0.76, 0.87)

0.97 (0.96, 0.99)

ART-FS recall

0.65 (0.60, 0.71)

0.64 (0.59, 0.69)

0.98 (0.96, 0.99)

IVF Study recall

 

+

–

IVF Study recall

 

+

–

+

149

33

+

196

110

–

8

308

–

12

471

Other/ Unknown

ART-FS recall

0.55 (0.47, 0.63)

0.62 (0.54, 0.70)

0.91 (0.88, 0.94)

ART-FS recall

0.34 (0.27, 0.41)

0.48 (0.41, 0.54)

0.85 (0.82, 0.88)

IVF Study recall

 

+

–

IVF Study recall

 

+

–

+

90

55

+

115

127

–

33

320

–

84

470

  1. ART-FS AfteR Treatment Follow-up Study, PCOS polycystic ovarian syndrome
  2. a Self-report at IVF Study enrollment used as gold standard to calculate specificity and sensitivity
  3. b Any female factor infertility includes at least one of: PCOS, endometriosis, uterine factor infertility, tubal factor infertility, or diminished reserve/advanced age