Cochrane · systematic review · CD007687

Mifepristone for uterine fibroids

Tristan, M, Orozco, LJ, Steed, A, et al. · Cochrane Database of Systematic Reviews · 2012 · 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
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 14 · 100%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

Mifepristone for uterine fibroids

Population: patients with uterine fibroids
4 questions
OutcomeEffectEvidenceStatus / GRADE
Relief of bleedingPictorial bleeding charts
OR 17.84 [6.72, 47.38]2 studies · 77 participantsLow
Downgraded: risk of bias
Reduction in average fibroid volumeScale from: 0 to 100
no estimate extracted3 studies · 99 participantsLow
Downgraded: risk of bias
Reduction in uterine volumeScale from: 0 to 100
no estimate extracted2 studies · 72 participantsLow
Downgraded: risk of bias
Adverse events
OR 31.65 [4.83, 207.35]2 studies · 54 participantsLow
Downgraded: risk of bias

Mifepristone (10 mg/day/3 months) compared to placebo for uterine fibroids

Population: patients with uterine fibroids
5 questions
OutcomeEffectEvidenceStatus / GRADE
Leiomyoma volume (mL)
Mifepristone (10 mg/day/3 months) vs placebo
no estimate extracted1 study · 35 participantsLow
Downgraded: risk of bias
Uterine volume(mL)
Mifepristone (10 mg/day/3 months) vs placebo
no estimate extracted1 study · 35 participantsLow
Downgraded: risk of bias
Relief of bleedingdichotomic
Mifepristone (10 mg/day/3 months) vs placebo
OR 27.02 [7.25, 100.7]1 study · 35 participantsLow
Downgraded: risk of bias
Relief of pelvic paindichotomic
Mifepristone (10 mg/day/3 months) vs placebo
OR 2.1 [0.38, 11.71]1 study · 26 participantsLow
Downgraded: risk of bias
Relief of dysmenorrhoeadichotomic
Mifepristone (10 mg/day/3 months) vs placebo
OR 10.93 [2.37, 50.51]1 study · 26 participantsLow
Downgraded: risk of bias

Mifepristone (50 mg/1 day after/3 months) compared to placebo for uterine fibroids

Population: patients with uterine fibroids
2 questions
OutcomeEffectEvidenceStatus / GRADE
Leiomyoma volume(mL). Scale from: 0 to 100.
Mifepristone (50 mg/1 day after/3 months) vs placebo
no estimate extracted1 study · 30 participantsLow
Cystic glandular dilatationdichotomic
Mifepristone (50 mg/1 day after/3 months) vs placebo
OR 16.67 [1.36, 204.03]1 study · 19 participantsLow

Mifepristone (5 mg/day/6 months) versus placebo for uterine fibroids

Population: patients with uterine fibroids
3 questions
OutcomeEffectEvidenceStatus / GRADE
Relief of bleedingdichotomic
Mifepristone (5 mg/day/6 months) vs placebo
OR 2.22 [0.54, 9.13]1 study · 42 participantsLow
Leiomyoma volume(mL)
Mifepristone (5 mg/day/6 months) vs placebo
no estimate extracted1 study · 37 participantsLow
Uterine volume(mL)
Mifepristone (5 mg/day/6 months) vs placebo
no estimate extracted1 study · 37 participantsLow