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. 2013 Dec 10;2013(12):CD001395. doi: 10.1002/14651858.CD001395.pub4

Han 2002.

Methods Design: parallel‐group
 Number screened for inclusion: not stated
 Number randomly assigned: 82
 Number of dropouts: two (one from each arm, one due to poor response, one due to nausea—not stated which arms they were on)
 Number analysed: 80
 Intention‐to‐treat analysis: no
 Power calculation: none stated
 Duration: four months
 Timing: August 1999 to February 2000
 Location: university clinic, Brazil
 Funding: unclear. Investigators acknowledge the co‐operation of a doctor employed by food supplement manufacturer Eugenbio
Participants Inclusion criteria: women 45 to 55 years of age; "in menopause" at least 12 months, no hormonal treatment for at least 12 months, intact uterus, FSH > 25 U/L, oestradiol < 20 pg/mL, having hot flushes
 Exclusion criteria: taking lipid‐lowering drugs, antidiabetic medications, soybean‐derived products or herbal supplements; uncontrolled hypertension, stroke or transient ischaemic attack, cancer diagnosed within past five years, previous myocardial infarction
 Age, years: mean active arm 48 (SE 1.1), placebo arm 49 (SE 1.3)
 Recruitment method: not stated
Interventions
  • Phytoestrogen: isoflavone capsules

    • Formulation: soy protein 50.3 mg and isoflavone 33.3 mg (genistein 23.3 mg, daizein 6.2 mg, glycitein in aglycone form 3.8 mg) per capsule

  • Placebo

    • Dose, duration and timing of administration: one capsule eight hourly (= 100 mg isoflavone daily) for four months

Outcomes Menopausal symptoms: hot flashes (Kupperman Index)
 Compliance: examination of prescriptions/pills
Endometrial thickness
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computerised random number generator
Allocation concealment (selection bias) Low risk Numbered coded envelopes
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Double‐blinded researchers and participants
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Outcomes recorded by an independent gynaecologist
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Minimal dropout
Selective reporting (reporting bias) High risk Adverse events not reported