Cochrane · systematic review · CD007618

Nonsteroidal anti‐inflammatory drugs for assisted reproductive technology

Nyachieo, A, Siristatidis, CS, Vaidakis, D · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Gynaecology and FertilityAMSTAR 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
13
current version
GRADE rated
9
No studies
4
Included studies
NR
No studies 4 · 30.8%Ungraded 0 · 0%Very low 8 · 61.5%Low 1 · 7.7%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

Nonsteroidal anti‐inflammatory drugs compared to placebo/ no treatment for assisted reproductive technology

Population: assisted reproductive technology
6 questions
OutcomeEffectEvidenceStatus / GRADE
Ongoing pregnancy
Nonsteroidal anti‐inflammatory drugs vs placebo/ no treatment
RR 1.06 [0.71, 1.59]4 studies · 1159 participantsVery low
Downgraded: risk of bias
Miscarriage
Nonsteroidal anti‐inflammatory drugs vs placebo/ no treatment
RR 0.62 [0.33, 1.16]4 studies · 525 participantsVery low
Downgraded: risk of bias
Clinical pregnancy
Nonsteroidal anti‐inflammatory drugs vs placebo/ no treatment
RR 1.23 [1, 1.52]7 studies · 1570 participantsLow
Downgraded: risk of bias
Ectopic Pregnancy
Nonsteroidal anti‐inflammatory drugs vs placebo/ no treatment
RR 0.56 [0.05, 5.89]1 study · 72 participantsVery low
Downgraded: risk of bias
Multiple pregnancy
Nonsteroidal anti‐inflammatory drugs vs placebo/ no treatment
RR 2 [0.18, 21.67]1 study · 180 participantsVery low
Downgraded: risk of bias
Side effects
Nonsteroidal anti‐inflammatory drugs vs placebo/ no treatment
RR 1.39 [0.02, 119.35]3 studies · 418 participantsVery low
Downgraded: risk of bias

Piroxicam compared to indomethacin for assisted reproductive technology

Population: assisted reproductive technology
7 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth
Piroxicam vs indomethacin
no estimate extractedNRNo studies
Ongoing pregnancy
Piroxicam vs indomethacin
RR 1.12 [0.63, 2]1 study · 170 participantsVery low
Downgraded: risk of bias
Miscarriage
Piroxicam vs indomethacin
RR 1 [0.44, 2.28]1 study · 170 participantsVery low
Downgraded: risk of bias
Clinical pregnancy
Piroxicam vs indomethacin
RR 1.07 [0.71, 1.63]1 study · 170 participantsVery low
Downgraded: risk of bias
Ectopic pregnancy
Piroxicam vs indomethacin
no estimate extractedNRNo studies
Multiple pregnancy
Piroxicam vs indomethacin
no estimate extractedNRNo studies
Side effects
Piroxicam vs indomethacin
no estimate extractedNRNo studies