Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Quality of life | |||||
Systematic review |
Women with menorrhagia, total number of women randomised not reported Data from 1 RCT |
Health-related quality-of-life scores
1 year
with progestogen-releasing IUD (levonorgestrel) with hysterectomy Absolute results not reported |
Reported as not significant |
Not significant | |
RCT |
236 women |
Change from baseline to 10-year follow-up in EQ-5D
–1.10 with levonorgestrel IUD –0.01 with hysterectomy |
P = 0.94 |
Not significant | |
RCT |
236 women |
Change from baseline to 10-year follow-up in RAND-36 General health
–2.3 with levonorgestrel IUD –4.5 with hysterectomy |
P = 0.39 The RCT also tested 7 other individual items of the RAND-36 scale and there was no significant difference between groups |
Not significant | |
RCT |
236 women |
Change from baseline to 10-year follow-up in general health (visual analogue scale [VAS] 0–100)
–4.4 with levonorgestrel IUD –7.4 with hysterectomy |
P = 0.32 |
Not significant | |
RCT |
72 women with heavy menstrual bleeding unresponsive to medical treatment |
SF-36 General health
24 months
87.4 with progestogen-releasing IUD 88.2 with laparoscopic supracervical hysterectomy |
P = 0.115 |
Not significant | |
RCT |
72 women with heavy menstrual bleeding unresponsive to medical treatment |
SF-36 Physical functioning
24 months
85.3 with progestogen-releasing IUD 90.3 with laparoscopic supracervical hysterectomy |
P = 0.350 |
Not significant | |
RCT |
72 women with heavy menstrual bleeding unresponsive to medical treatment |
SF-36 Role function emotional
24 months
83.5 with progestogen-releasing IUD 67.4 with laparoscopic supracervical hysterectomy |
Reported as P = 0.000 |
Effect size not calculated | progestogen-releasing IUD |
RCT |
72 women with heavy menstrual bleeding unresponsive to medical treatment |
SF-36 Mental health
24 months
85.3 with progestogen-releasing IUD 48.5 with laparoscopic supracervical hysterectomy |
Reported as P = 0.000 |
Effect size not calculated | progestogen-releasing IUD |
RCT |
72 women with heavy menstrual bleeding unresponsive to medical treatment |
SF-36 Social functioning
24 months
89.4 with progestogen-releasing IUD 87.6 with laparoscopic supracervical hysterectomy |
P = 0.125 |
Not significant | |
RCT |
72 women with heavy menstrual bleeding unresponsive to medical treatment |
SF-36 Vitality
24 months
78.8 with progestogen-releasing IUD 73.2 with laparoscopic supracervical hysterectomy |
P = 0.570 |
Not significant |