{"id":"https://openalex.org/W7225326995","doi":"https://doi.org/10.2196/101829","title":"Miscarriage Risk Prediction for Women With Polycystic Ovary Syndrome Who Achieve Clinical Pregnancy After Fresh Embryo Transfer: Multicenter Development, Geographic External Validation, and Prospective Temporal Validation Study","display_name":"Miscarriage Risk Prediction for Women With Polycystic Ovary Syndrome Who Achieve Clinical Pregnancy After Fresh Embryo Transfer: Multicenter Development, Geographic External Validation, and Prospective Temporal Validation Study","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225326995","doi":"https://doi.org/10.2196/101829","pmid":"https://pubmed.ncbi.nlm.nih.gov/42987309"},"language":"en","primary_location":{"id":"doi:10.2196/101829","doi":"https://doi.org/10.2196/101829","is_oa":true,"landing_page_url":"https://doi.org/10.2196/101829","pdf_url":null,"source":{"id":"https://openalex.org/S17147534","display_name":"Journal of Medical Internet Research","issn_l":"1438-8871","issn":["1438-8871","1439-4456"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-2","medline","norway-2","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Internet Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.2196/101829","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108643851","display_name":"Juncheng Tong","orcid":"https://orcid.org/0009-0008-0597-9285","observed_orcids":["https://orcid.org/0009-0008-0597-9285"]},"institutions":[{"id":"https://openalex.org/I180726961","display_name":"Shenzhen University","ror":"https://ror.org/01vy4gh70","country_code":"CN","type":"education","lineage":["https://openalex.org/I180726961"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Juncheng Tong","raw_affiliation_strings":["Department of Basic Medical Sciences, Shenzhen University, Shenzhen, Guangdong, China","The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China"],"raw_orcid":"https://orcid.org/0009-0008-0597-9285","affiliations":[{"raw_affiliation_string":"Department of Basic Medical Sciences, Shenzhen University, Shenzhen, Guangdong, China","institution_ids":["https://openalex.org/I180726961"]},{"raw_affiliation_string":"The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China","institution_ids":["https://openalex.org/I180726961"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160782971","display_name":"Yingying Zhang","orcid":"https://orcid.org/0009-0001-3000-1691","observed_orcids":["https://orcid.org/0009-0001-3000-1691"]},"institutions":[{"id":"https://openalex.org/I4210092091","display_name":"Third Affiliated Hospital of Guangzhou Medical University","ror":"https://ror.org/00fb35g87","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210092091"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yingying Zhang","raw_affiliation_strings":["Center for Reproductive Medicine, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China"],"raw_orcid":"https://orcid.org/0009-0001-3000-1691","affiliations":[{"raw_affiliation_string":"Center for Reproductive Medicine, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China","institution_ids":["https://openalex.org/I4210092091"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124891373","display_name":"Yanhui Liu","orcid":"https://orcid.org/0000-0003-2498-1264","observed_orcids":["https://orcid.org/0000-0003-2498-1264"]},"institutions":[{"id":"https://openalex.org/I180726961","display_name":"Shenzhen University","ror":"https://ror.org/01vy4gh70","country_code":"CN","type":"education","lineage":["https://openalex.org/I180726961"]},{"id":"https://openalex.org/I4210145330","display_name":"Shenzhen Luohu People's Hospital","ror":"https://ror.org/04bpt8p43","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210145330"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yanhui Liu","raw_affiliation_strings":["The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China","The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China"],"raw_orcid":"https://orcid.org/0000-0003-2498-1264","affiliations":[{"raw_affiliation_string":"The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China","institution_ids":["https://openalex.org/I180726961","https://openalex.org/I4210145330"]},{"raw_affiliation_string":"The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China","institution_ids":["https://openalex.org/I180726961"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160862500","display_name":"Lifang Liu","orcid":"https://orcid.org/0009-0008-6890-9778","observed_orcids":["https://orcid.org/0009-0008-6890-9778"]},"institutions":[{"id":"https://openalex.org/I180726961","display_name":"Shenzhen University","ror":"https://ror.org/01vy4gh70","country_code":"CN","type":"education","lineage":["https://openalex.org/I180726961"]},{"id":"https://openalex.org/I4210145330","display_name":"Shenzhen Luohu People's Hospital","ror":"https://ror.org/04bpt8p43","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210145330"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lifang Liu","raw_affiliation_strings":["The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China"],"raw_orcid":"https://orcid.org/0009-0008-6890-9778","affiliations":[{"raw_affiliation_string":"The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China","institution_ids":["https://openalex.org/I180726961","https://openalex.org/I4210145330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016853892","display_name":"Xiaoteng Shang","orcid":"https://orcid.org/0009-0006-1710-1838","observed_orcids":["https://orcid.org/0009-0006-1710-1838"]},"institutions":[{"id":"https://openalex.org/I4210120522","display_name":"Shantou University Medical College","ror":"https://ror.org/02gxych78","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210120522"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiaoteng Shang","raw_affiliation_strings":["Shantou University Medical College, Shantou, Guangdong, China"],"raw_orcid":"https://orcid.org/0009-0006-1710-1838","affiliations":[{"raw_affiliation_string":"Shantou University Medical College, Shantou, Guangdong, China","institution_ids":["https://openalex.org/I4210120522"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160939189","display_name":"Fanggui Wu","orcid":"https://orcid.org/0009-0005-3120-7623","observed_orcids":["https://orcid.org/0009-0005-3120-7623"]},"institutions":[{"id":"https://openalex.org/I180726961","display_name":"Shenzhen University","ror":"https://ror.org/01vy4gh70","country_code":"CN","type":"education","lineage":["https://openalex.org/I180726961"]},{"id":"https://openalex.org/I4210145330","display_name":"Shenzhen Luohu People's Hospital","ror":"https://ror.org/04bpt8p43","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210145330"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Fanggui Wu","raw_affiliation_strings":["The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China"],"raw_orcid":"https://orcid.org/0009-0005-3120-7623","affiliations":[{"raw_affiliation_string":"The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China","institution_ids":["https://openalex.org/I180726961","https://openalex.org/I4210145330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152317171","display_name":"Haoxuan Guo","orcid":"https://orcid.org/0009-0007-1564-895X","observed_orcids":["https://orcid.org/0009-0007-1564-895X"]},"institutions":[{"id":"https://openalex.org/I14116566","display_name":"Wuhan Polytechnic University","ror":"https://ror.org/05w0e5j23","country_code":"CN","type":"education","lineage":["https://openalex.org/I14116566"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Haoxuan Guo","raw_affiliation_strings":["School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, Hubei, China"],"raw_orcid":"https://orcid.org/0009-0007-1564-895X","affiliations":[{"raw_affiliation_string":"School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, Hubei, China","institution_ids":["https://openalex.org/I14116566"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044800183","display_name":"Sibo Zhang","orcid":"https://orcid.org/0000-0002-3869-0380","observed_orcids":["https://orcid.org/0000-0002-3869-0380","https://orcid.org/0009-0003-1425-540X","https://orcid.org/0009-0006-5352-4635"]},"institutions":[{"id":"https://openalex.org/I14116566","display_name":"Wuhan Polytechnic University","ror":"https://ror.org/05w0e5j23","country_code":"CN","type":"education","lineage":["https://openalex.org/I14116566"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Sibo Zhang","raw_affiliation_strings":["School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, Hubei, China"],"raw_orcid":"https://orcid.org/0009-0006-5352-4635","affiliations":[{"raw_affiliation_string":"School of Life Science and Technology, Wuhan Polytechnic University, Wuhan, Hubei, China","institution_ids":["https://openalex.org/I14116566"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016474542","display_name":"Kai Zhao","orcid":"https://orcid.org/0000-0001-6680-3672","observed_orcids":["https://orcid.org/0000-0001-6680-3672"]},"institutions":[{"id":"https://openalex.org/I47720641","display_name":"Huazhong University of Science and Technology","ror":"https://ror.org/00p991c53","country_code":"CN","type":"education","lineage":["https://openalex.org/I47720641"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Kai Zhao","raw_affiliation_strings":["Institute of Reproductive Health, Huazhong University of Science and Technology, Wuhan, Hubei, China"],"raw_orcid":"https://orcid.org/0000-0001-6680-3672","affiliations":[{"raw_affiliation_string":"Institute of Reproductive Health, Huazhong University of Science and Technology, Wuhan, Hubei, China","institution_ids":["https://openalex.org/I47720641"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022518485","display_name":"Aifa Tang","orcid":"https://orcid.org/0000-0002-7516-0506","observed_orcids":["https://orcid.org/0000-0002-7516-0506"]},"institutions":[{"id":"https://openalex.org/I180726961","display_name":"Shenzhen University","ror":"https://ror.org/01vy4gh70","country_code":"CN","type":"education","lineage":["https://openalex.org/I180726961"]},{"id":"https://openalex.org/I4210120522","display_name":"Shantou University Medical College","ror":"https://ror.org/02gxych78","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210120522"]},{"id":"https://openalex.org/I4210145330","display_name":"Shenzhen Luohu People's Hospital","ror":"https://ror.org/04bpt8p43","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210145330"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Aifa Tang","raw_affiliation_strings":["Luohu Clinical Institute of Shantou University Medical College, Shantou University Medical College, Shenzhen, China","The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China"],"raw_orcid":"https://orcid.org/0000-0002-7516-0506","affiliations":[{"raw_affiliation_string":"Luohu Clinical Institute of Shantou University Medical College, Shantou University Medical College, Shenzhen, China","institution_ids":["https://openalex.org/I4210120522"]},{"raw_affiliation_string":"The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China","institution_ids":["https://openalex.org/I180726961","https://openalex.org/I4210145330"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067595870","display_name":"Mengyuan Qu","orcid":"https://orcid.org/0000-0002-4724-7444","observed_orcids":["https://orcid.org/0000-0002-4724-7444"]},"institutions":[{"id":"https://openalex.org/I180726961","display_name":"Shenzhen University","ror":"https://ror.org/01vy4gh70","country_code":"CN","type":"education","lineage":["https://openalex.org/I180726961"]},{"id":"https://openalex.org/I4210120522","display_name":"Shantou University Medical College","ror":"https://ror.org/02gxych78","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210120522"]},{"id":"https://openalex.org/I4210145330","display_name":"Shenzhen Luohu People's Hospital","ror":"https://ror.org/04bpt8p43","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210145330"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Mengyuan Qu","raw_affiliation_strings":["Luohu Clinical Institute of Shantou University Medical College, Shenzhen, China","The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China"],"raw_orcid":"https://orcid.org/0000-0002-4724-7444","affiliations":[{"raw_affiliation_string":"Luohu Clinical Institute of Shantou University Medical College, Shenzhen, China","institution_ids":["https://openalex.org/I4210120522"]},{"raw_affiliation_string":"The Reproductive Medical Center, Shenzhen Luohu People's Hospital, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China","institution_ids":["https://openalex.org/I180726961","https://openalex.org/I4210145330"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":2950,"currency":"USD","value_usd":2950},"apc_paid":{"value":2950,"currency":"USD","value_usd":2950},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"28","issue":null,"first_page":"e101829","last_page":"e101829"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10390","display_name":"Ovarian function and disorders","score":0.8109999895095825,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10390","display_name":"Ovarian function and disorders","score":0.8109999895095825,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11732","display_name":"Assisted Reproductive Technology and Twin Pregnancy","score":0.10499999672174454,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11156","display_name":"Reproductive Health and Technologies","score":0.03680000081658363,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/polycystic-ovary-syndrome","display_name":"polycystic ovary syndrome","score":0.953000009059906},{"id":"https://openalex.org/keywords/clinical-pregnancy","display_name":"clinical pregnancy","score":0.7080000042915344},{"id":"https://openalex.org/keywords/fresh-embryo-transfer","display_name":"fresh embryo transfer","score":0.9940000176429749},{"id":"https://openalex.org/keywords/in-vitro-fertilization","display_name":"in vitro fertilization","score":0.9679999947547913},{"id":"https://openalex.org/keywords/intracytoplasmic-sperm-injection","display_name":"intracytoplasmic sperm injection","score":0.9980000257492065},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.8019999861717224},{"id":"https://openalex.org/keywords/xgboost","display_name":"XGBoost","score":0.8399999737739563},{"id":"https://openalex.org/keywords/lightgbm","display_name":"LightGBM","score":0.8199999928474426},{"id":"https://openalex.org/keywords/shap","display_name":"SHAP","score":0.7289999723434448},{"id":"https://openalex.org/keywords/model-interpretability","display_name":"model interpretability","score":0.671999990940094},{"id":"https://openalex.org/keywords/external-validation","display_name":"external validation","score":0.6209999918937683},{"id":"https://openalex.org/keywords/maternal-age","display_name":"maternal age","score":0.42899999022483826}],"concepts":[{"id":"https://openalex.org/C2779245376","wikidata":"https://www.wikidata.org/wiki/Q28693","display_name":"Miscarriage","level":3,"score":0.7146000266075134},{"id":"https://openalex.org/C3018442814","wikidata":"https://www.wikidata.org/wiki/Q500816","display_name":"Polycystic ovary","level":4,"score":0.6984999775886536},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5824000239372253},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.566100001335144},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5403000116348267},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4970000088214874},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.48559999465942383},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.4260999858379364},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.38499999046325684},{"id":"https://openalex.org/C2781065240","wikidata":"https://www.wikidata.org/wiki/Q1760461","display_name":"Ovarian hyperstimulation syndrome","level":4,"score":0.36550000309944153},{"id":"https://openalex.org/C500014431","wikidata":"https://www.wikidata.org/wiki/Q25862","display_name":"Assisted reproductive technology","level":4,"score":0.3619000017642975},{"id":"https://openalex.org/C76318530","wikidata":"https://www.wikidata.org/wiki/Q16833590","display_name":"Area under the curve","level":2,"score":0.32249999046325684},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.319599986076355},{"id":"https://openalex.org/C2780625311","wikidata":"https://www.wikidata.org/wiki/Q25787","display_name":"Recurrent miscarriage","level":4,"score":0.30630001425743103},{"id":"https://openalex.org/C512716672","wikidata":"https://www.wikidata.org/wiki/Q200117","display_name":"In vitro fertilisation","level":3,"score":0.2978000044822693},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.28940001130104065},{"id":"https://openalex.org/C2781230225","wikidata":"https://www.wikidata.org/wiki/Q3150564","display_name":"Ovulation induction","level":4,"score":0.27469998598098755},{"id":"https://openalex.org/C153083717","wikidata":"https://www.wikidata.org/wiki/Q6535263","display_name":"Leverage (statistics)","level":2,"score":0.27149999141693115},{"id":"https://openalex.org/C2778279030","wikidata":"https://www.wikidata.org/wiki/Q1543380","display_name":"Live birth","level":3,"score":0.26499998569488525},{"id":"https://openalex.org/C2776537878","wikidata":"https://www.wikidata.org/wiki/Q7239894","display_name":"Pregnancy rate","level":3,"score":0.2635999917984009},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.25360000133514404}],"mesh":[{"descriptor_ui":"D000022","descriptor_name":"Abortion, Spontaneous","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D000069550","descriptor_name":"Machine Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000098404","descriptor_name":"Boosting Machine Learning Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000098412","descriptor_name":"Predictive Learning Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000098437","descriptor_name":"Prediction Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004624","descriptor_name":"Embryo Transfer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005307","descriptor_name":"Fertilization in Vitro","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011085","descriptor_name":"Polycystic Ovary Syndrome","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020554","descriptor_name":"Sperm Injections, Intracytoplasmic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.2196/101829","doi":"https://doi.org/10.2196/101829","is_oa":true,"landing_page_url":"https://doi.org/10.2196/101829","pdf_url":null,"source":{"id":"https://openalex.org/S17147534","display_name":"Journal of Medical Internet Research","issn_l":"1438-8871","issn":["1438-8871","1439-4456"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-2","medline","norway-2","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Internet Research","raw_type":"journal-article"},{"id":"doi:10.2196/preprints.101829","doi":"https://doi.org/10.2196/preprints.101829","is_oa":false,"landing_page_url":"https://doi.org/10.2196/preprints.101829","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},{"id":"pmid:42987309","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42987309","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical Internet research","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.2196/101829","doi":"https://doi.org/10.2196/101829","is_oa":true,"landing_page_url":"https://doi.org/10.2196/101829","pdf_url":null,"source":{"id":"https://openalex.org/S17147534","display_name":"Journal of Medical Internet Research","issn_l":"1438-8871","issn":["1438-8871","1439-4456"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-2","medline","norway-2","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Internet Research","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W2523733243","https://openalex.org/W2898559532","https://openalex.org/W3012413426","https://openalex.org/W3096882352","https://openalex.org/W3109958166","https://openalex.org/W4225244125","https://openalex.org/W4281624755","https://openalex.org/W4292809162","https://openalex.org/W4294564713","https://openalex.org/W4318473793","https://openalex.org/W4390640918","https://openalex.org/W4390972023","https://openalex.org/W4391247336","https://openalex.org/W4392660833","https://openalex.org/W4394857110","https://openalex.org/W4400340553","https://openalex.org/W4408806526","https://openalex.org/W4408937986","https://openalex.org/W4409517974","https://openalex.org/W4415017259","https://openalex.org/W4415656357","https://openalex.org/W4417277812","https://openalex.org/W4417361465","https://openalex.org/W7119472351","https://openalex.org/W7123684727","https://openalex.org/W7160886942"],"related_works":["https://openalex.org/W4409150670","https://openalex.org/W7167632484","https://openalex.org/W7167933487","https://openalex.org/W7167499198","https://openalex.org/W7223460124","https://openalex.org/W4295308351","https://openalex.org/W7154958569","https://openalex.org/W4395028173","https://openalex.org/W7215599944","https://openalex.org/W7160955653"],"abstract_inverted_index":{"BACKGROUND:":[0],"Women":[1],"with":[2,64,389,391],"polycystic":[3],"ovary":[4],"syndrome":[5],"(PCOS)":[6],"who":[7,66],"achieve":[8],"clinical":[9,30,40,71,82,392,426],"pregnancy":[10,31,72,83,393],"following":[11],"fresh":[12,74,395],"in":[13,39,153,309,320],"vitro":[14],"fertilization":[15],"(IVF)/intracytoplasmic":[16],"sperm":[17],"injection":[18],"(ICSI)":[19],"carry":[20],"an":[21],"elevated":[22],"miscarriage":[23,382],"risk.":[24],"However,":[25],"individualized":[26],"risk":[27,59,200,271,274,278,383],"stratification":[28,60,329,384],"after":[29,73,394],"confirmation":[32],"but":[33,288,341],"before":[34,423],"outcome":[35],"determination":[36],"remains":[37],"challenging":[38],"practice.":[41],"OBJECTIVE:":[42],"This":[43,77],"study":[44,79],"aimed":[45],"to":[46,292],"develop,":[47],"externally":[48],"and":[49,54,96,128,147,169,202,215,223,245,312,364,385,401],"prospectively":[50],"validate":[51],"over":[52],"time,":[53],"interpret":[55],"a":[56,69,118,184,409],"machine":[57,126],"learning-based":[58],"model":[61,162,298,375],"for":[62,167,218,387,413],"women":[63,388],"PCOS":[65,390],"had":[67],"achieved":[68,299],"confirmed":[70],"IVF/ICSI.":[75,396],"METHODS:":[76],"multicenter":[78],"included":[80],"8911":[81],"IVF/ICSI":[84],"cycles":[85],"across":[86,338],"development":[87,144,284],"(n=7241;":[88],"miscarriages:":[89,94,101],"n=973),":[90],"external":[91,168,221,310],"validation":[92,99,226,293,311,339],"(n=1170;":[93],"n=146),":[95],"prospective":[97,170,224,321],"temporal":[98,171,225,322],"(n=500;":[100],"n=62)":[102],"cohorts.":[103,294],"Prespecified":[104],"predictors":[105],"contained":[106],"no":[107],"observed":[108,277],"missing":[109],"values;":[110],"training-fold":[111],"median":[112],"imputation":[113],"was":[114,163,181,260,289],"kept":[115],"only":[116,407],"as":[117,183,368,408],"leakage-safe":[119],"fallback.":[120],"A":[121,156],"total":[122],"of":[123,176,301,359],"13":[124],"candidate":[125],"learning":[127],"traditional":[129],"statistical":[130],"algorithms":[131],"were":[132,150,210],"compared":[133],"internally":[134],"using":[135,330,376],"repeated":[136,230],"stratified":[137],"5-fold":[138],"cross-validation":[139],"(5":[140],"repeats)":[141],"within":[142,282],"the":[143,219,235,255,283,357],"cohort;":[145],"preprocessing":[146],"hyperparameter":[148],"tuning":[149],"performed":[151],"exclusively":[152],"training":[154],"folds.":[155],"prelocked":[157],"Extreme":[158],"Gradient":[159],"Boosting":[160],"(XGBoost)":[161],"carried":[164],"forward":[165],"unchanged":[166],"validation.":[172],"Cross-fitted":[173],"logistic":[174],"recalibration":[175,281],"averaged":[177],"XGBoost":[178,232,266,297,374],"out-of-fold":[179,267],"probabilities":[180,268],"evaluated":[182],"secondary":[185],"development-sample":[186],"diagnostic":[187],"analysis.":[188],"Model":[189],"performance":[190,326],"encompassed":[191],"discrimination,":[192],"precision-recall,":[193],"calibration,":[194],"threshold-based":[195],"metrics,":[196],"decision":[197],"curve":[198,239],"analysis,":[199],"stratification,":[201],"Shapley":[203,347],"additive":[204,348],"explanations-based":[205],"interpretability.":[206],"RESULTS:":[207],"Miscarriage":[208],"rates":[209],"13.4%":[211],"(973/7241),":[212],"12.5%":[213],"(146/1170),":[214],"12.4%":[216],"(62/500)":[217],"development,":[220],"validation,":[222,323],"cohorts,":[227,340],"respectively.":[228],"In":[229],"cross-validation,":[231],"(area":[233],"under":[234],"receiver":[236],"operating":[237],"characteristic":[238],"[AUC]":[240],"0.885,":[241],"95%":[242,249],"CI":[243,250,304,315],"0.874-0.896)":[244],"LightGBM":[246],"(AUC":[247],"0.882,":[248],"0.871-0.893)":[251],"showed":[252,334],"comparable":[253],"discrimination;":[254],"paired":[256],"XGBoost-LightGBM":[257],"DeLong":[258],"test":[259],"not":[261,290,412],"significant":[262],"(Holm-adjusted":[263],"P=.07).":[264],"Raw":[265],"overestimated":[269],"absolute":[270],"(mean":[272],"predicted":[273],"30.3%":[275],"vs":[276],"13.4%);":[279],"cross-fitted":[280],"cohort":[285],"improved":[286],"calibration":[287,402,419],"propagated":[291],"The":[295,372],"locked":[296,373],"AUCs":[300],"0.787":[302],"(95%":[303,314],"0.748-0.827;":[305],"Brier":[306,317],"score":[307,318],"0.099)":[308],"0.763":[313],"0.709-0.816;":[316],"0.104)":[319],"showing":[324],"cross-cohort":[325,398],"attenuation.":[327],"Risk-quartile":[328],"fixed":[331],"development-cohort":[332],"cutoffs":[333],"consistent":[335],"event":[336],"enrichment":[337],"positive":[342],"predictive":[343],"values":[344],"remained":[345],"modest.":[346],"explanations":[349],"analysis":[350],"identified":[351],"anti-M\u00fcllerian":[352],"hormone,":[353],"endometrial":[354],"thickness":[355],"on":[356],"day":[358],"human":[360],"chorionic":[361],"gonadotropin":[362],"administration,":[363],"basal":[365],"luteinizing":[366],"hormone":[367],"leading":[369],"predictors.":[370],"CONCLUSIONS:":[371],"routine":[377],"preoutcome":[378],"variables":[379],"may":[380],"support":[381],"counseling":[386],"Given":[397],"discrimination":[399],"loss":[400],"drift,":[403],"it":[404],"should":[405],"serve":[406],"risk-ranking":[410],"tool,":[411],"diagnosis":[414],"or":[415],"treatment":[416],"selection.":[417],"Local":[418],"monitoring":[420],"is":[421],"mandatory":[422],"any":[424],"real-world":[425],"deployment.":[427]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-06T00:00:00"}
