Cochrane · systematic review · CD008605

Dopamine agonists for preventing ovarian hyperstimulation syndrome

Tang, H, Mourad, SM., Wang, A, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Gynaecology and Fertility3 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
18
current version
GRADE rated
17
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 5.6%Very low 5 · 27.8%Low 10 · 55.6%Moderate 2 · 11.1%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

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Dopamine agonist versus placebo/no intervention

Population: women of reproductive age undergoing any ART therapy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of moderate or severe OHSS
Dopamine agonist vs placebo/no intervention
OR 0.32 [0.23, 0.44]10 studies · 1202 participantsModerate
Downgraded: risk of bias
Live birth rate
Dopamine agonist vs placebo/no intervention
OR 0.96 [0.6, 1.55]3 studies · 362 participantsLow
Downgraded: risk of bias, imprecision
Clinical pregnancy rate
Dopamine agonist vs placebo/no intervention
OR 0.92 [0.63, 1.37]5 studies · 530 participantsLow
Downgraded: risk of bias, imprecision
Multiple pregnancy rate
Dopamine agonist vs placebo/no intervention
OR 0.32 [0.01, 8.26]1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Miscarriage rate
Dopamine agonist vs placebo/no intervention
OR 0.66 [0.19, 2.28]2 studies · 168 participantsLow
Downgraded: risk of bias, imprecision
Any other adverse events
Dopamine agonist vs placebo/no intervention
OR 4.54 [1.49, 13.84]2 studies · 264 participantsVery low
Downgraded: risk of bias, imprecision

Dopamine agonist plus co‐intervention versus co‐intervention

Population: women of reproductive age undergoing any ART therapy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of moderate or severe OHSS
Dopamine agonist plus co‐intervention vs co‐intervention
OR 0.48 [0.28, 0.84]4 studies · 748 participantsLow
Downgraded: risk of bias, imprecision
Live birth rate
Dopamine agonist plus co‐intervention vs co‐intervention
OR 1.21 [0.81, 1.8]2 studies · 400 participantsLow
Downgraded: risk of bias, imprecision
Clinical pregnancy rate
Dopamine agonist plus co‐intervention vs co‐intervention
OR 1.11 [0.83, 1.49]4 studies · 748 participantsLow
Downgraded: risk of bias, imprecision
Multiple pregnancy rate
Dopamine agonist plus co‐intervention vs co‐intervention
OR 2.02 [0.18, 22.77]1 study · 166 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Miscarriage rate
Dopamine agonist plus co‐intervention vs co‐intervention
OR 0.65 [0.3, 1.42]3 studies · 548 participantsLow
Downgraded: risk of bias, imprecision
Any other adverse events
Dopamine agonist plus co‐intervention vs co‐intervention
OR 3.03 [0.12, 75.28]2 studies · 366 participantsVery low
Downgraded: risk of bias, imprecision

Dopamine agonist versus other active intervention

Population: women of reproductive age undergoing any ART therapy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of moderate or severe OHSS
Dopamine agonist vs other active intervention
OR 0.21 [0.12, 0.38]3 studies · 296 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Live birth rate
Dopamine agonist vs other active intervention
OR 1.08 [0.73, 1.59]2 studies · 430 participantsLow
Downgraded: risk of bias, imprecision
Clinical pregnancy rate
Dopamine agonist vs other active intervention
OR 1.04 [0.81, 1.33]7 studies · 1060 participantsModerate
Downgraded: risk of bias
Multiple pregnancy rate
Dopamine agonist vs other active intervention
OR 0.87 [0.47, 1.59]3 studies · 400 participantsLow
Downgraded: risk of bias, imprecision
Miscarriage rate
Dopamine agonist vs other active intervention
OR 0.66 [0.35, 1.25]4 studies · 630 participantsLow
Downgraded: risk of bias, imprecision
Any other adverse events
Dopamine agonist vs other active intervention
no estimate extracted1 study · 170 participantsUngraded