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. 2016 Oct 12;2016(10):CD008536. doi: 10.1002/14651858.CD008536.pub3

Gupta 2013.

Methods Randomised controlled trial
Participants 100 asymptomatic patients (no menopausal symptoms) with surgical menopause 3 days earlier (total abdominal hysterectomy with bilateral salpingo‐oophorectomy)
Interventions Tibolone 2.5 mg/d; CEE 0.625 mg; DHEA 25 mg/d (all administered orally); no treatment. Latter 2 arms not considered in the meta‐analysis
Outcomes Vasomotor symptoms (occurrence of hot flushes and night sweats), insomnia (occurrence), vaginal dryness
Notes Trial location: India (single centre)
Follow‐up: 12 months
Timing: 2005
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information provided
Allocation concealment (selection bias) Unclear risk No information provided
Blinding of participants and personnel (performance bias) 
 All outcomes High risk This RCT is presumably an open trial ‐ includes a "no treatment" arm
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No information provided
Incomplete outcome data (attrition bias) 
 All outcomes High risk Study authors acknowledged losses to follow‐up, but total number of lost participants is unclear
Selective reporting (reporting bias) Unclear risk Study protocol not available
Conflict of interest Unclear risk No information provided