Zhang, ZiMacaluso, MaurizioCohen, Bruce M.Schieve, LauraNannini, AngelaChen, MichaelWright, Victoria2022-08-232022-08-232010-10-172011-09-20Zhang Z, Macaluso M, Cohen B, Schieve L, Nannini A, Chen M, Wright V; Massachusetts Consortium for Assisted Reproductive Technology Epidemiologic Research. Accuracy of assisted reproductive technology information on the Massachusetts birth certificate, 1997-2000. Fertil Steril. 2010 Oct;94(5):1657-61. doi: 10.1016/j.fertnstert.2009.10.059. Epub 2009 Dec 11. PMID: 20004392.0015-0282 (Linking)10.1016/j.fertnstert.2009.10.05920004392https://hdl.handle.net/20.500.14038/34746OBJECTIVE: 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. DESIGN: Validity analysis of population-based data. SETTING: 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.en-US*Birth CertificatesMassachusettsMedical RecordsPregnancyReproductive Techniques, AssistedPublic HealthJournal Articlehttps://escholarship.umassmed.edu/healthpolicy_pp/592247093healthpolicy_pp/59