Cochrane · systematic review · CD009881

Progesterone receptor modulators for endometriosis

Fu, J, Song, H, Zhou, M, et al. · Cochrane Database of Systematic Reviews · 2017 · 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
16
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 31.3%Low 8 · 50%Moderate 1 · 6.3%High 2 · 12.5%

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 versus placebo for endometriosis

Population: women with symptomatic endometriosis
4 questions
OutcomeEffectEvidenceStatus / GRADE
Prevalence of dysmenorrhoea
Mifepristone vs placebo
OR 0.08 [0.04, 0.17]1 study · 352 participantsModerate
Downgraded: imprecision
Prevalence of dyspareunia
Mifepristone vs placebo
OR 0.23 [0.1, 0.51]1 study · 223 participantsLow
Downgraded: imprecision
Side effects: amenorrhoea
Mifepristone vs placebo
OR 686.16 [92.29, 5101.33]1 study · 360 participantsHigh
Side effects: hot flushes
Mifepristone vs placebo
OR 28.79 [3.93, 210.73]1 study · 360 participantsHigh

Gestrinone versus danazol for endometriosis

Population: women with symptomatic endometriosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pelvic pain: none or mild
Gestrinone vs danazol
OR 0.71 [0.33, 1.56]2 studies · 230 participantsVery low
Downgraded: indirectness
Dysmenorrhoea: none or mild
Gestrinone vs danazol
OR 0.72 [0.39, 1.33]2 studies · 214 participantsVery low
Downgraded: indirectness
Dyspareunia: none or mild
Gestrinone vs danazol
OR 0.83 [0.37, 1.86]2 studies · 222 participantsVery low
Downgraded: indirectness
Side effects: hirsutism
Gestrinone vs danazol
OR 2.63 [1.6, 4.32]2 studies · 302 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Decreased breast size
Gestrinone vs danazol
OR 0.62 [0.38, 0.98]2 studies · 302 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Side effects: hot flushes
Gestrinone vs danazol
OR 0.79 [0.5, 1.26]2 studies · 302 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Side effects: acne
Gestrinone vs danazol
OR 1.45 [0.9, 2.33]2 studies · 302 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Gestrinone versus leuprolin for endometriosis

Population: women with symptomatic endometriosis
5 questions
OutcomeEffectEvidenceStatus / GRADE
Dysmenorrhoea, verbal rating scale
Gestrinone vs leuprolin
no estimate extracted1 study · 55 participantsLow
Downgraded: imprecision
Dyspareunia, verbal rating scale
Gestrinone vs leuprolin
no estimate extracted1 study · 52 participantsLow
Downgraded: imprecision
Amenorrhoea
Gestrinone vs leuprolin
OR 0.04 [0.01, 0.38]1 study · 49 participantsLow
Downgraded: imprecision
Spotting or bleeding
Gestrinone vs leuprolin
OR 22.92 [2.64, 198.66]1 study · 49 participantsLow
Downgraded: imprecision
Side effects: hot flushes
Gestrinone vs leuprolin
OR 0.2 [0.06, 0.63]1 study · 55 participantsLow
Downgraded: imprecision