Cochrane · systematic review · CD009577

Long‐acting FSH versus daily FSH for women undergoing assisted reproduction

Pouwer, AW, Farquhar, C, Kremer, JAM · Cochrane Database of Systematic Reviews · 2015 · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 33.3%Low 1 · 16.7%Moderate 3 · 50%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

Current version only

Long‐acting FSH (all doses) versus daily FSH for women undergoing assisted reproduction

CD009577.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate ‐ Low dose (60 to 120 μg)
Long‐acting FSH (all doses) vs daily FSH
RR 0.7 [0.52, 0.93]3 studies · 645 participantsModerate
Downgraded: imprecision
Live birth rate ‐ Medium dose (150 to 180 μg)
Long‐acting FSH (all doses) vs daily FSH
RR 1.03 [0.9, 1.18]4 studies · 1685 participantsModerate
Downgraded: risk of bias
Live birth rate ‐ High dose (240 μg)
Long‐acting FSH (all doses) vs daily FSH
RR 0.43 [0.12, 1.52]1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision
OHSS ‐ Low dose (60 to 120 μg)
Long‐acting FSH (all doses) vs daily FSH
RR 1.22 [0.56, 2.66]3 studies · 645 participantsModerate
Downgraded: risk of bias, imprecision
OHSS ‐ Medium dose (150 to 180 μg)
Long‐acting FSH (all doses) vs daily FSH
RR 0.96 [0.68, 1.35]5 studies · 3075 participantsLow
Downgraded: risk of bias, imprecision
OHSS ‐ High dose (240 μg)
Long‐acting FSH (all doses) vs daily FSH
RR 1.73 [0.09, 32.75]1 study · 33 participantsVery low
Downgraded: risk of bias, imprecision

Long‐acting FSH (all doses) versus daily FSH for women undergoing assisted reproduction

Population: women undergoing assisted reproduction
CD009577.PUB2 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth rate ‐ Low dose (60‐120 μg)
Long‐acting FSH (all doses) vs daily FSH
OR 0.61 [0.41, 0.91]3 studies · 645 participantsLow
Downgraded: publication bias
Live birth rate ‐ Medium dose (150‐180 μg)
Long‐acting FSH (all doses) vs daily FSH
OR 1.03 [0.84, 1.27]3 studies · 1657 participantsLow
Downgraded: publication bias
Live birth rate ‐ High dose (240 μg)
Long‐acting FSH (all doses) vs daily FSH
OR 0.32 [0.05, 1.9]1 study · 33 participantsLow
Downgraded: publication bias
Ovarian hyperstimulation syndrome ‐ Low dose (60‐120 μg)
Long‐acting FSH (all doses) vs daily FSH
OR 1.23 [0.54, 2.82]3 studies · 645 participantsLow
Downgraded: publication bias
Ovarian hyperstimulation syndrome ‐ Medium dose (150‐180 μg)
Long‐acting FSH (all doses) vs daily FSH
OR 1.07 [0.72, 1.58]3 studies · 1657 participantsLow
Downgraded: publication bias
Ovarian hyperstimulation syndrome ‐ High dose (240 μg)
Long‐acting FSH (all doses) vs daily FSH
OR 1.81 [0.08, 41.62]1 study · 33 participantsLow
Downgraded: publication bias