{"id":428,"title":"Who Counts as Infertile? A Missed Opportunity for Inclusion","title_zh":"谁算作不育？一次被错失的包容契机","url":"https://pubmed.ncbi.nlm.nih.gov/42867383","doi":"10.1056/nejmp2603604","pmid":"42867383","journal":"N Engl J Med","kind":"paper","lang":"en","published_at":"2026-10-10T00:00:00+00:00","fetched_at":"2026-11-08T03:44:13+00:00","authors":["Amato P","Cohen IG"],"primary_topic":"art-clinical","topics":[{"slug":"art-clinical","score":3.0,"hits":["infertile"]}],"topic_score":3.0,"preference_score":0.0,"preference_labels":[],"llm_score":64.0,"final_score":70.0,"score_dims":{"novelty":60,"rigor":30,"impact":72,"relevance":65,"translation":45},"recommend_reason":"该文出自 NEJM 观点栏目，聚焦“不育”定义与纳入标准，直接影响辅助生殖服务的可及性与政策制定；但它不涉及实验数据或临床结局，故对实验室与临床操作层面的直接参考价值有限。","keywords":["不孕定义","包容性","辅助生殖可及性","健康政策","公平性"],"selected":1,"story_id":415,"llm_provider":"deepseek","llm_model":"deepseek-flash","llm_effort":"low","source_key":"pubmed-top-journals","source_name":"PubMed · CNS/大子刊/四大医学刊（生殖相关）","source_tier":1,"mention_count":1,"has_interpretation":false,"journal_key":"nejm","journal_tier":"general-top","journal_if":96.2,"is_mock":false,"summary_zh":"本文为《新英格兰医学杂志》观点类文章，作者 Amato 与 Cohen 讨论“不育”的界定问题，指出当前对不孕不育的定义在覆盖人群上存在局限，可能把部分有生育困难的人群排除在诊疗与政策保障之外；这被认为是一次在定义层面扩大包容性的错失机会。原文未提供摘要，检索信息中也未见具体研究方法、数据或统计结果，故本文属于概念与政策论证而非实证研究；其具体论据与结论细节需查阅全文核实。","summary":"","interpretation_basis":null,"fulltext_status":null,"interpretation":null,"fulltext":{"available":false,"status":null,"reason":"尚未抓取全文（未入选、分数未达阈值，或还没跑 fulltext 步骤）","pmcid":null,"license":null,"chars":0,"source":null,"fetched_at":null}}