Cochrane · systematic review · CD011066

Dehydroepiandrosterone for women in the peri‐ or postmenopausal phase

Scheffers, CS, Armstrong, S, Cantineau, AEP, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
11
No studies
3
Included studies
NR
No studies 3 · 21.4%Ungraded 0 · 0%Very low 7 · 50%Low 1 · 7.1%Moderate 3 · 21.4%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

DHEA compared to control (placebo or no treatment) for women in the peri‐ or postmenopausal phase

Population: women in the peri‐ or postmenopausal phase
4 questions
OutcomeEffectEvidenceStatus / GRADE
QoL, wellbeing (end scores) (sensitivity analysis) different scales for quality of life (QoL)
DHEA vs control (placebo or no treatment)
no estimate extracted8 studies · 287 participantsModerate
Downgraded: imprecision
Side effects (androgenic overall combined with acne) number of events
DHEA vs control (placebo or no treatment)
OR 3.77 [1.36, 10.47]5 studies · 250 participantsModerate
Downgraded: imprecision
Side effects ‐ androgenic side effects number of events
DHEA vs control (placebo or no treatment)
OR 6.57 [1.37, 31.59]1 study · 92 participantsLow
Downgraded: imprecision
Side effects ‐ acne number of events
DHEA vs control (placebo or no treatment)
OR 2.26 [0.56, 9.02]4 studies · 158 participantsModerate
Downgraded: imprecision

Oral DHEA versus control subgrouped by differing routes of administration for women in the peri‐ or postmenopausal phase

Population: Women in the peri‐ or postmenopausal phase
4 questions
OutcomeEffectEvidenceStatus / GRADE
QoL, wellbeing (change scores) ‐ oral administration
Oral DHEA vs control subgrouped by differing routes of administration
no estimate extracted1 study · 66 participantsVery low
Downgraded: risk of bias
QoL, wellbeing (change scores) ‐ intravaginal application
Oral DHEA vs control subgrouped by differing routes of administration
no estimate extracted1 study · 107 participantsVery low
Downgraded: risk of bias
Side effects: acne ‐ skin application
Oral DHEA vs control subgrouped by differing routes of administration
OR 2.74 [0.1, 74.87]1 study · 22 participantsVery low
Downgraded: risk of bias
Side effects: acne ‐ oral administration
Oral DHEA vs control subgrouped by differing routes of administration
OR 2.16 [0.47, 9.96]3 studies · 136 participantsVery low
Downgraded: risk of bias

DHEA versus HT for women in the peri‐ or postmenopausal phase

Population: Women in the peri‐ or postmenopausal phase
6 questions
OutcomeEffectEvidenceStatus / GRADE
QoL, general wellbeing DHEA versus ET
DHEA vs HT
no estimate extracted1 study · 17 participantsVery low
QoL, general wellbeing DHEA versus ET + P
DHEA vs HT
no estimate extractedNRNo studies
QoL, general wellbeing DHEA versus tibolone
DHEA vs HT
no estimate extractedNRNo studies
Acne DHEA versus ET
DHEA vs HT
OR 17 [0.9, 320.37]1 study · 50 participantsVery low
Acne DHEA versus tibolone
DHEA vs HT
OR 17 [0.9, 320.37]1 study · 50 participantsVery low
Downgraded: risk of bias
Acne DHEA versus ET + P
DHEA vs HT
no estimate extractedNRNo studies