Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

163 questions · 170 findings · 11 reviews · Gynaecology and Fertility

No studies found 60 · 35.3%GRADE not reported 4 · 2.4%Very low 53 · 31.2%Low 36 · 21.2%Moderate 15 · 8.8%High 2 · 1.2%

Laparoscopic myomectomy vs open myomectomy (all types)

Perioperative in‐hospital adverse events; unscheduled return to theatre · women with uterine fibroids

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; unscheduled return to… compared with open myomectomy (all types) (low certainty).

1 finding from 1 review

Laparoscopic myomectomy vs open myomectomy (all types)

Perioperative in‐hospital adverse events; laparoconversion · women with uterine fibroids

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; laparoconversion compared with open myomectomy (all types) (moderate certainty).

1 finding from 1 review

Laparoscopic myomectomy vs open myomectomy (all types)

Perioperative in‐hospital adverse events; injury to pelvic organs · women with uterine fibroids

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; injury to pelvic organs compared with open myomectomy (all types) (moderate certainty).

1 finding from 1 review

Medical treatment vs placebo

Improvement in pain score (up to nine months after treatment): progesterone versus placebo · women with chronic pelvic pain

Medical treatment probably leads to higher improvement in pain score at end of treatment: progesterone versus… compared with placebo (moderate certainty).

2 findings from 1 review

Psychological therapy vs control intervention

Improvement in pain scores—Ultrasound scan and counselling session versus 'wait and see' · women with chronic pelvic pain

Psychological therapy may leads to higher improvement in pain scores—Ultrasound scan and counselling session… compared with control interventions (low certainty).

1 finding from 1 review

Psychological therapy vs control intervention

Improvement in pain scores—Somatocognitive therapy (Mensendieck) versus standard gynaecological clinical care · women with chronic pelvic pain

It is very uncertain whether psychological therapy changes improvement in pain scores—Somatocognitive therapy (Mensendieck)… compared with control interventions (very low certainty).

1 finding from 1 review

Psychological therapy vs control intervention

Improvement in pain scores—Integrated approach (somatic, psychological, dietary, environmental and physiotherapeutic factors) versus standard care · women with chronic pelvic pain

Psychological therapy showed no clear difference in improvement in pain scores—Integrated approach (somatic,… compared with control interventions (low certainty).

1 finding from 1 review

Psychological therapy vs control intervention

Improvement in pain scores—Writing therapy (disclosure of pain) versus non‐disclosure · women with chronic pelvic pain

It is very uncertain whether psychological therapy changes improvement in pain scores—Writing therapy (disclosure of pain)… compared with control interventions (very low certainty).

1 finding from 1 review