Taneepanichskul 1998.
Methods | Design: retrospective study examined weight change in long‐term users of DMPA versus IUC Location: family planning clinic at a hospital in Bangkok, Thailand Time frame: no information Sample size estimation and outcome of focus: no information |
|
Participants | 100 women, age 37 to 50 years, attending family planning clinic Inclusion criteria: used DMPA or IUC for 120 months (10 years); followed "regularly"; no history of smoking or alcohol intake IUC users had not used any hormonal contraceptive Exclusion criteria: developed chronic disease or metabolic disorder during DMPA or IUC use |
|
Interventions | Method chosen 1) DMPA (N = 50) 2) Cu T380A IUC (N = 50) | |
Outcomes | Mean change in body weight Time frame: 120 months Weight measured in standard manner at 120 months; prior method not specified. |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Users of DMPA "recruited randomly"; users of Cu T380A selected as controls |
NOS selection (NRS) | High risk | Exposed: clinic population, older contraceptive users; used method for 10 years and regularly attended clinic Non‐exposed: same as exposed group but chose different contraceptive Exposure: presumably from clinic records |
NOS comparability (NRS) | Low risk | Design: matched for age, parity, income, weight |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not feasible due to women presumably having chosen method |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No information; objective outcome measure |
Incomplete outcome data (attrition bias) All outcomes | High risk | Loss to follow‐up: retrospective study of women who used method for 10 years and regularly attended clinic; may have recruited women with relevant data in charts Exclusions: developed chronic disease or disorder during method use; may have biased results because weight gain is associated with development of some diseases and disorders |