Cochrane · systematic review · CD005073

Uterine artery embolization for symptomatic uterine fibroids

Gupta, JK, Sinha, A, Lumsden, MA, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 1 · 14.3%Moderate 5 · 71.4%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

Uterine artery embolization (UAE) compared to surgery for symptomatic uterine fibroids

Population: women with symptomatic uterine fibroids
7 questions
OutcomeEffectEvidenceStatus / GRADE
Satisfaction with treatment up to 24 months
Uterine artery embolization (UAE) vs surgery
OR 0.94 [0.59, 1.48]6 studies · 640 participantsModerate
Satisfaction with treatment at 5 years
Uterine artery embolization (UAE) vs surgery
OR 0.9 [0.45, 1.8]2 studies · 295 participantsModerate
Live birth ‐ UAE versus myomectomy
Uterine artery embolization (UAE) vs surgery
OR 0.26 [0.08, 0.84]1 study · 66 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse events: intra‐procedural complications
Uterine artery embolization (UAE) vs surgery
OR 0.91 [0.42, 1.97]4 studies · 452 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Adverse events: minor post‐procedural complications within one year
Uterine artery embolization (UAE) vs surgery
OR 1.99 [1.41, 2.81]6 studies · 735 participantsModerate
Adverse events: major post‐procedural complications within one year
Uterine artery embolization (UAE) vs surgery
OR 0.65 [0.33, 1.26]5 studies · 611 participantsModerate
Further interventions within 2 years
Uterine artery embolization (UAE) vs surgery
OR 3.72 [2.28, 6.04]6 studies · 732 participantsModerate