Barely Significant
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Machine learning-based clustering to identify the combined effect of the DNA fragmentation index and conventional semen parameters on in vitro fertilization outcomes.

Reprod Biol Endocrinol · 2023 · PMC10015711 · PMID 36922829

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a negative trendno p-value reported
A recently updated systematic review and meta-analysis showed a negative trend between sperm DFI values and the live birth rate in the case of IVF, although it was not statistically significant (RR = 0.48; 0.22–1.02; I 2 = 79) [ 15 ].

also in 2,510 other papers

a decreasing trendno p-value reported
The results showed a decreasing trend in the live birth, clinical pregnancy, and β -hCG positivity rates with increasing sperm DFI values.

also in 29,876 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.