Cochrane · systematic review · CD009458

Oral and intrauterine progestogens for atypical endometrial hyperplasia

Luo, L, Luo, B, Zheng, Y, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 66.7%Low 1 · 33.3%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

Levonorgestrel‐releasing intrauterine system (LNG‐IUS) compared to medroxyprogesterone (MPA) 10 mg for atypical endometrial hyperplasia

Population: women with atypical endometrial hyperplasia
3 questions
OutcomeEffectEvidenceStatus / GRADE
Regression rate at 6 months
Levonorgestrel‐releasing intrauterine system (LNG‐IUS) vs medroxyprogesterone (MPA) 10 mg
OR 2.76 [0.26, 29.73]1 study · 19 participantsVery low
Downgraded: imprecision, indirectness
Nausea over 6‐month
Levonorgestrel‐releasing intrauterine system (LNG‐IUS) vs medroxyprogesterone (MPA) 10 mg
OR 0.58 [0.28, 1.18]1 study · 153 participantsVery low
Downgraded: imprecision, indirectness
Vaginal bleeding over 6‐month
Levonorgestrel‐releasing intrauterine system (LNG‐IUS) vs medroxyprogesterone (MPA) 10 mg
OR 2.89 [1.11, 7.52]1 study · 153 participantsLow
Downgraded: indirectness