Cochrane · systematic review · CD001501

Endometrial resection and ablation techniques for heavy menstrual bleeding

Bofill Rodriguez, M, Lethaby, A, Grigore, M, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Gynaecology and Fertility2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 50%Low 3 · 50%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Overall analyses: second‐generation endometrial ablation compared to first‐generation endometrial ablation for heavy menstrual bleeding

Population: heavy menstrual bleeding
6 questions
OutcomeEffectEvidenceStatus / GRADE
Bleeding
Overall analyses: second‐generation endometrial ablation vs first‐generation endometrial ablation
RR 0.99 [0.78, 1.27]12 studies · 2145 participantsVery low
Downgraded: risk of bias
Satisfaction rate
Overall analyses: second‐generation endometrial ablation vs first‐generation endometrial ablation
RR 1.01 [0.98, 1.04]11 studies · 1750 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Duration of operation (minutes)
Overall analyses: second‐generation endometrial ablation vs first‐generation endometrial ablation
no estimate extracted9 studies · 1822 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Proportion given local anaesthesia (%)
Overall analyses: second‐generation endometrial ablation vs first‐generation endometrial ablation
RR 2.78 [1.76, 4.4]6 studies · 1434 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Complication rate ‐ perforation
Overall analyses: second‐generation endometrial ablation vs first‐generation endometrial ablation
RR 0.32 [0.1, 1.01]8 studies · 1885 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Requirement for additional surgery
Overall analyses: second‐generation endometrial ablation vs first‐generation endometrial ablation
RR 0.72 [0.41, 1.26]6 studies · 935 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias