What do systematic reviews say?

Endometrial resection or ablation vs unspecified (or at surgeon's discretion) route of hysterectomy

Endometrial resection/ablation may leads to lower effectiveness Proportion of women with perception of improvement of… compared with unspecified (or at surgeon's discretion) route of hysterectomy (low certainty).

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  RR 0.89 [0.83, 0.95]
  2 studies · 403 participants
  Low

Endometrial resection or ablation vs unspecified (or at surgeon's discretion) route of hysterectomy

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 209 participants
  Low

Endometrial resection or ablation vs unspecified (or at surgeon's discretion) route of hysterectomy

Endometrial resection/ablation may leads to lower proportion with improvement in general health compared with unspecified (or at surgeon's discretion) route of hysterectomy (low certainty).

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  RR 0.85 [0.77, 0.95]
  1 study · 185 participants
  Low

Endometrial resection or ablation vs unspecified (or at surgeon's discretion) route of hysterectomy

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 374 participants
  Moderate

Endometrial resection or ablation vs unspecified (or at surgeon's discretion) route of hysterectomy

Endometrial resection/ablation showed no clear difference in acceptability Proportion satisfied with treatment compared with unspecified (or at surgeon's discretion) route of hysterectomy (moderate certainty).

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  RR 0.96 [0.88, 1.04]
  3 studies · 545 participants
  Moderate

Endometrial resection or ablation vs unspecified (or at surgeon's discretion) route of hysterectomy

Endometrial resection/ablation probably leads to lower safety Any serious adverse event compared with unspecified (or at surgeon's discretion) route of hysterectomy (moderate certainty).

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  RR 0.21 [0.06, 0.8]
  2 studies · 374 participants
  Moderate

Endometrial resection or ablation vs unspecified (or at surgeon's discretion) route of hysterectomy

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 172 participants
  Low