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Table 5 Self-reported primary infertility diagnosis at ART-FS compared to clinical recorda

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

 

Primary diagnosis from clinical records only

Any diagnosis from clinical record (primary, secondary, other)

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

0.41 (0.35, 0.48)

0.72 (0.67, 0.76)

0.70 (0.66, 0.74)

ART-FS recall

0.37 (0.30, 0.43)

0.66 (0.61, 0.70)

0.71 (0.67, 0.76)

Clinical records

 

+

–

Clinical records

 

+

–

+

256

102

+

281

146

–

130

303

–

105

259

PCOS

ART-FS recall

0.31 (0.18, 0.44)

0.39 (0.24, 0.54)

0.95 (0.94, 0.97)

ART-FS recall

0.35 (0.23, 0.48)

0.38 (0.25, 0.51)

0.96 (0.94, 0.97)

Clinical records

 

+

–

Clinical records

 

+

–

+

16

25

+

21

30

–

35

715

–

34

706

Endometriosis

ART-FS recall

0.48 (0.38, 0.57)

0.46 (0.37, 0.56)

0.96 (0.94, 0.97)

ART-FS recall

0.42 (0.34, 0.51)

0.38 (0.30, 0.46)

0.96 (0.95, 0.98)

Clinical records

 

+

–

Clinical records

 

+

–

+

51

59

+

58

94

–

29

652

–

22

617

Uterine factor infertility

ART-FS recall

0.01 (−0.07, 0.09)

0.06 (< 0.01, 0.16)

0.96 (0.95, 0.97)

ART-FS recall

0.02 (−0.06, 0.10)

0.06 (< 0.01, 0.14)

0.96 (0.94, 0.97)

Clinical records

 

+

–

Clinical records

 

+

–

+

1

17

+

2

32

–

31

742

–

30

727

Tubal factor infertility

ART-FS recall

0.62 (0.54, 0.70)

0.54 (0.46 0.63)

0.98 (0.98, 0.99)

ART-FS recall

0.39 (0.32, 0.46)

0.33 (0.27, 0.39)

0.99 (0.98, 1.00)

Clinical records

 

+

–

Clinical records

 

+

–

+

72

61

+

76

157

–

10

648

–

6

552

Diminished ovarian reserve/ Increased maternal age

ART-FS recall

0.07 (<−0.01, 0.14)

0.28 (0.17, 0.40)

0.83 (0.80, 0.86)

ART-FS recall

0.06 (−0.01, 0.14)

0.25 (0.16, 0.35)

0.83 (0.80, 0.86)

Clinical records

 

+

–

Clinical records

 

+

–

+

16

40

+

21

62

–

125

610

–

120

588

Male factor infertility

 

ART-FS recall

0.66 (0.61, 0.72)

0.67 (0.61, 0.72)

0.96 (0.94, 0.97)

 

ART-FS recall

0.61 (0.55, 0.66)

0.60 (0.55, 0.65)

0.97 (0.96, 0.99)

Clinical records

 

+

–

Clinical records

 

+

–

+

184

91

+

195

130

–

23

493

–

12

454

Other/ Unknown

ART-FS recall

0.30 (0.22, 0.38)

0.51 (0.43, 0.59)

0.82 (0.78, 0.84)

ART-FS recall

0.29 (0.21, 0.36)

0.49 (0.41, 0.56)

0.82 (0.78, 0.85)

Clinical records

 

+

–

Clinical records

 

+

–

+

81

77

+

84

88

–

117

516

–

114

505

  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