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. 2019 Oct 19;2019(10):CD007618. doi: 10.1002/14651858.CD007618.pub2

Summary of findings 2. Piroxicam compared to indomethacin for assisted reproductive technology.

Piroxicam compared to Indomethacin for assisted reproductive technology
Patient or population: assisted reproductive technology
 Setting: Clinic
 Intervention: Piroxicam
 Comparison: Indomethacin
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) № of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Risk with Indomethacin Risk with Piroxicam
Live birth Not reported in any study    
Ongoing pregnancy 200 per 1000 224 per 1000
 (126 to 400) RR 1.12
 (0.63 to 2.00) 170
 (1 RCT) ⊕⊝⊝⊝
 VERY LOW 1 2 3 4  
Miscarriage 118 per 1000 118 per 1000
 (52 to 268) RR 1.00
 (0.44 to 2.28) 170
 (1 RCT) ⊕⊝⊝⊝
 VERY LOW 1 2 3 4  
Clinical pregnancy 329 per 1000 352 per 1000
 (234 to 537) RR 1.07
 (0.71 to 1.63) 170
 (1 RCT) ⊕⊝⊝⊝
 VERY LOW 1 2 3  
Ectopic pregnancy Not reported in any study    
Multiple pregnancy Not reported in any study    
Side effects Not reported in any study    
*The risk in the intervention group (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: Confidence interval; RR: Risk ratio; OR: Odds ratio
GRADE Working Group grades of evidenceHigh certainty: We are very confident that the true effect lies close to that of the estimate of the effect
 Moderate certainty: We are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
 Low certainty: Our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
 Very low certainty: We have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect

1 Downgraded 2 levels for very serious risk of bias including poor reporting of methods, attrition bias, selective reporting, and other biases.

2 Downgraded 2 levels for very serious indirectness

3 Downgraded 2 levels for very serious imprecision

4 Downgraded 1 level for large effect