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. 2015 Sep 18;2015:0805.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Need for further surgery

Systematic review
Women of reproductive years with heavy menstrual bleeding
6 RCTs in this analysis
Requirement for further surgery within first year
59/475 (12%) with endometrial resection/ablation
1/412 (<1%) with hysterectomy

RR 14.9
95% CI 5.2 to 42.6
P <0.00001
Large effect size hysterectomy

Systematic review
Women of reproductive years with heavy menstrual bleeding
6 RCTs in this analysis
Requirement for further surgery 2 years
93/489 (19%) with endometrial resection/ablation
2/441 (<1%) with hysterectomy

RR 23.4
95% CI 8.3 to 65.8
P <0.00001
Large effect size hysterectomy

Systematic review
Women of reproductive years with heavy menstrual bleeding
Data from 1 RCT
Requirement for further surgery 3 years
23/116 (20%) with endometrial resection/ablation
1/56 (2%) with hysterectomy

RR 11.1
95% CI 1.54 to 80.14
P = 0.02
Large effect size hysterectomy

Systematic review
Women of reproductive years with heavy menstrual bleeding
Data from 1 RCT
Requirement for further surgery 4 years
39/102 (38%) with endometrial resection/ablation
1/95 (1%) with hysterectomy

RR 36.32
95% CI 5.09 to 259.21
P = 0.0003
Large effect size hysterectomy