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

Burry 1989.

Study characteristics
Methods Trial design: Parallel, double‐blind, double‐dummy randomised trial
Participants Participants: 53 women were randomised; 51 were analysed.
Mean age: 23‐38 years
Inclusion criteria: 
  • Endometriosis diagnosis made laparoscopically within 3 months preceding the study


Exclusion criteria: 
  • Medical therapy for endometriosis within the preceding 6 months


Setting: United States of America
Timing: Not stated
Interventions Group I: danazol, 800 mg/day (400 mg twice daily) (n = 10) 
Group II: danazol, 600 mg/day (200 mg three times a day) (n = 8)
Group III: intranasal nafarelin, 800 μg/day (400 μg twice a day) (n = 10)
Group IV: intranasal nafarelin, 400 μg/day (200 μg two times a day) (n = 25)
Outcomes
  • Change in symptoms (pelvic pain and vaginal bleeding)

  • Adverse effects

  • Plasma lipids

  • Stage of endometriosis 

  • Pregnancy

Notes Intention‐to‐treat analysis: No
Sample size calculation: not stated
Funding: not stated
Included in this review, but did not contribute any data
Not possible to contact leading author; unfortunately had passed away.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk 'Randomly allocated'. No further details were provided of method used to generate the randomisation sequence. 
Allocation concealment (selection bias) Unclear risk No details were provided of method used to conceal treatment group allocation.  
Blinding of participants and personnel (performance bias)
All outcomes Low risk The study had a parallel, double‐blind, double‐dummy design.
Blinding of outcome assessment (detection bias)
All outcomes Low risk The study had a parallel, double‐blind, double‐dummy design.
Incomplete outcome data (attrition bias)
All outcomes Low risk Group I: Danazol, 800 mg/day (400 mg twice a day): Nine of the 10 patients included in this group completed the study; one withdrew because of severe headaches.
Group II: Danazol, 600 mg/day (200 mg three times a day). All eight patients completed the study.
Group III: Nafarelin acetate, 800 μg/day (400 μg twice a day). Nine of 10 patients included in this group completed the study: one withdrew because of mood swings.
Group IV: Nafarelin acetate, 400 μg/day (200 μg twice a day). All 25 patients included in this group completed the study.
Selective reporting (reporting bias) High risk Change in symptoms was asked for, but not reported in published article. 
Other bias Low risk No other risk of bias detected