Cochrane · systematic review · CD011169

Selective oestrogen receptor modulators (SERMs) for endometriosis

van Hoesel, MH, Chen, YL, Zheng, A, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 6 · 85.7%Low 0 · 0%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

Raloxifene versus placebo for endometriosis

Population: women with endometriosis, following complete surgical excision of lesions
7 questions
OutcomeEffectEvidenceStatus / GRADE
Relief of pelvic pain
Raloxifene vs placebo
no estimate extractedNRNo studies
Adverse events ‐ pelvic pain
Raloxifene vs placebo
RR 1.25 [0.63, 2.45]1 study · 93 participantsVery low
Downgraded: risk of bias
Adverse events ‐ ovarian cyst
Raloxifene vs placebo
RR 1.57 [0.55, 4.43]1 study · 93 participantsVery low
Downgraded: risk of bias
Adverse events ‐ headache
Raloxifene vs placebo
RR 1.06 [0.48, 2.37]1 study · 93 participantsVery low
Downgraded: risk of bias
Adverse events ‐ migraine
Raloxifene vs placebo
RR 0.73 [0.28, 1.95]1 study · 93 participantsVery low
Downgraded: risk of bias
Adverse events ‐ depression
Raloxifene vs placebo
RR 1.91 [0.62, 5.92]1 study · 93 participantsVery low
Downgraded: risk of bias
Biopsy‐proven recurrence of endometriosis
Raloxifene vs placebo
RR 1.2 [0.66, 6.21]1 study · 93 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias