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. 2011 Jun 15;2011(6):CD001040. doi: 10.1002/14651858.CD001040.pub2

Lewis 1974.

Methods Multi‐centre RCT
Participants 956 women randomised
 All stage 1, differentiation not stated
 Progestagen group . < 1/3 myometrial involvement 79 (27.9%), >1/3 myometrial involvement 86 (30.3%)
 Control group < 1/3 myometrial involvement 80 (28.5%), > 1/3 myometrial involvement 80 (28.5%)
Interventions Pre‐operative radiotherapy group: intra‐muscular 500mg Medroxy progesterone acetate once weekly for 14 weeks
 Hysterectomy only group: intra‐muscular 1000mg Medroxy progesterone acetate for 14 weeks
Outcomes Overall death rates
Notes Completed protocol progestagen group 285
 Completed protocol control group 287
 No data for intention to treat
 Duration of follow‐up; 48 months
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk % analysed: 563/574 (98%)
Selective reporting (reporting bias) Unclear risk Insufficient information to permit judgement
Other bias Unclear risk Insufficient information to assess whether an important risk of bias exists