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. 2023 Jun 21;2023(6):CD014788. doi: 10.1002/14651858.CD014788.pub2

Comparison 9. GnRHas versus GnRHas (varying dosage) ‐ all studies included.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
9.1 Relief of overall pain ‐ 200 μg versus 400 μg nafarelin ‐ continuous 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
9.1.1 Pelvic pain ‐ 2 months 1 15 Mean Difference (IV, Fixed, 95% CI) 0.20 [‐1.07, 1.47]
9.1.2 Pelvic pain ‐ 4 months 1 15 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐1.07, 0.87]
9.1.3 Pelvic pain ‐ 6 months 1 15 Mean Difference (IV, Fixed, 95% CI) 0.30 [‐0.61, 1.21]
9.2 Relief of overall pain ‐ 400 μg versus 800 μg nafarelin ‐ dichotomous 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.2.1 Pelvic pain ‐ 6 months 1 77 Risk Ratio (M‐H, Fixed, 95% CI) 1.24 [0.71, 2.16]
9.2.2 Dysmenorrhea ‐ 6 months 1 90 Risk Ratio (M‐H, Fixed, 95% CI) 3.00 [0.13, 71.74]
9.2.3 Dyspareunia ‐ 6 months 1 57 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.49, 2.26]
9.3 Adverse effects ‐ 200 μg versus 400 μg nafarelin ‐ dichotomous 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.3.1 Vasomotor symptoms (hot flashes or dizziness) ‐ 2 months 1 15 Risk Ratio (M‐H, Fixed, 95% CI) 0.44 [0.17, 1.12]
9.3.2 Vasomotor symptoms (hot flashes or dizziness) ‐ 4 months 1 15 Risk Ratio (M‐H, Fixed, 95% CI) 0.35 [0.10, 1.27]
9.3.3 Vasomotor symptoms (hot flashes or dizziness) ‐ 6 months 1 15 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.08, 1.01]
9.3.4 Rhinitis ‐ 6 months 1 24 Risk Ratio (M‐H, Fixed, 95% CI) 0.40 [0.10, 1.67]
9.3.5 Upper respiratory infection ‐ 6 months 1 24 Risk Ratio (M‐H, Fixed, 95% CI) 0.20 [0.03, 1.47]
9.3.6 Irregular bleeding ‐ 6 months 1 24 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.31, 1.63]
9.4 Adverse effects ‐ 3.75 mg versus 1.88 mg leuprolide acetate ‐ continuous 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
9.4.1 Menopausal symptoms by Kupperman Index ‐ 2 months 1 50 Mean Difference (IV, Fixed, 95% CI) 1.20 [‐3.14, 5.54]
9.4.2 Menopausal symptoms by Kupperman Index ‐ 3 months 1 50 Mean Difference (IV, Fixed, 95% CI) 5.70 [2.12, 9.28]
9.4.3 Menopausal symptoms by Kupperman Index ‐ 4 months 1 50 Mean Difference (IV, Fixed, 95% CI) 9.50 [6.55, 12.45]
9.4.4 Menopausal symptoms by Kupperman Index ‐ 5 months 1 50 Mean Difference (IV, Fixed, 95% CI) 13.20 [10.22, 16.18]
9.5 Improvement of most troublesome symptoms ‐ 400 μg versus 800 μg nafarelin ‐ dichotomous 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.5.1 Overall improvement ‐ 6 months 1 143 Risk Ratio (M‐H, Fixed, 95% CI) 0.94 [0.78, 1.14]