Cochrane · systematic review · CD012856
Screening hysteroscopy in subfertile women and women undergoing assisted reproduction
Kamath, MS, Bosteels, J, D'Hooghe, TM, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 62.5%Low 3 · 37.5%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
Screening hysteroscopy versus no hysteroscopy in women wishing to conceive spontaneously
Population: women with unexplained subfertility wishing to conceive spontaneously
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Live birth Screening hysteroscopy vs no hysteroscopy | RR 4.3 [2.29, 8.07] | 1 study · 200 participants | Very low Downgraded: risk of bias, indirectness |
Adverse events Screening hysteroscopy vs no hysteroscopy | no estimate extracted | 1 study · 1 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Clinical pregnancy Screening hysteroscopy vs no hysteroscopy | RR 3.8 [2.31, 6.24] | 1 study · 200 participants | Very low Downgraded: risk of bias, indirectness |
Miscarriage Screening hysteroscopy vs no hysteroscopy | RR 2.8 [1.05, 7.48] | 1 study · 200 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Screening hysteroscopy versus no hysteroscopy in women before IVF
Population: women before IVF treatment
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Live birth Screening hysteroscopy vs no hysteroscopy | RR 1.26 [1.11, 1.43] | 6 studies · 2745 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events Screening hysteroscopy vs no hysteroscopy | Peto OR 7.47 [0.15, 376.42] | 4 studies · 1872 participants | Very low Downgraded: risk of bias, imprecision |
Clinical pregnancy Screening hysteroscopy vs no hysteroscopy | RR 1.32 [1.2, 1.45] | 10 studies · 3750 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Miscarriage Screening hysteroscopy vs no hysteroscopy | RR 1.01 [0.67, 1.5] | 3 studies · 1669 participants | Low Downgraded: risk of bias, imprecision |