University of Massachusetts Medical School, Shrewsbury, Massachusetts 01545, USA.
Fertil Steril. 2010 Oct;94(5):1657-61. doi: 10.1016/j.fertnstert.2009.10.059. Epub 2009 Dec 11.
To evaluate the accuracy of assisted reproductive technology (ART) reporting on the Massachusetts birth certificate and to explore the individual and hospital-level characteristics associated with ART reporting.
Validity analysis of population-based data.
Live-birth deliveries by Massachusetts-resident mothers during 1997-2000.
PATIENT(S): Live births and delivery mothers.
INTERVENTION(S): The ART data maintained by the Centers for Disease Control and Prevention were linked with the live birth-infant death records in Massachusetts. Successfully linked records were used as the gold standard for ART-related deliveries in evaluating the validity of the ART information reported on the Massachusetts birth certificate.
MAIN OUTCOME MEASURE(S): Sensitivity and specificity.
RESULT(S): The sensitivity of ART reporting on the birth certificate was 27% and the specificity >99%. Sensitivity of ART reporting was higher among women with multiple deliveries (twins: 32%; triplets+: 43%) and preterm deliveries (36%).
CONCLUSION(S): During the period evaluated, reporting of ART information on the birth certificate was incomplete, and ART births identified through the birth certificate were a biased sample of the population of ART births. Using delivery hospital data as the sole source of ART information for the standard birth certificate may yield inaccurate information.
评估马萨诸塞州出生证明中辅助生殖技术（ART）报告的准确性，并探讨与 ART 报告相关的个体和医院特征。
基于人群数据的有效性分析。
1997-2000 年马萨诸塞州居民母亲的活产分娩。
患者（s）：活产儿和分娩母亲。
疾病控制与预防中心保存的 ART 数据与马萨诸塞州的活产-婴儿死亡记录相关联。将成功关联的记录用作评估马萨诸塞州出生证明中 ART 相关分娩报告准确性的金标准。
主要观察指标（s）：灵敏度和特异性。
出生证明中 ART 报告的灵敏度为 27%，特异性>99%。在多胎分娩（双胞胎：32%；三胎及以上：43%）和早产分娩的女性中，ART 报告的灵敏度更高（36%）。
在评估期间，出生证明中 ART 信息的报告并不完整，并且通过出生证明确定的 ART 分娩是 ART 分娩人群的有偏差样本。仅使用分娩医院数据作为标准出生证明的 ART 信息的唯一来源可能会产生不准确的信息。
