Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

249 questions · 255 findings · 18 reviews · Headline outcomes only

No studies found 68 · 26.7%GRADE not reported 5 · 2%Very low 102 · 40%Low 44 · 17.3%Moderate 32 · 12.5%High 4 · 1.6%

Flutamide 250 mg once to b.i.d. vs metformin 1275 mg to 1700 mg per day

Proportion of participants who reported an adverse event · women with hirsutism

It is very uncertain whether flutamide 250 mg once to twice daily changes proportion of participants who reported an adverse event compared with metformin 1275 mg to 1700 mg per day (very low certainty).

1 finding from 1 review

Finasteride 5 mg vs flutamide 250 mg once to b.i.d.

Participant‐reported improvement of hirsutism 4‐point Likert scale · women with hirsutism

Finasteride 5 mg showed no clear difference in participant‐reported improvement of hirsutism 4‐point Likert scale compared with flutamide 250 mg once to b.i.d. (low certainty).

1 finding from 1 review