Audebert 1998.
| Methods | Location: France
No. of centres: multi centre Recruitment period: December 1990 to March 1993 |
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| Participants | Inclusion criteria: < 40 years, stage III‐IV endometriosis, pelvic pain, dysmenorrhoea or dyspareunia Exclusion criteria: > 40 years, hormonal treatment for endometriosis within 3/12 (including OCP, progestins), significant medical illness e.g. liver, heart, renal disease, abnormal PAP smear, pregnancy, surgery for endometriosis within 6/12 No. randomised: 55 No. analysed: 53 | |
| Interventions | Gr A (n=28) Pre‐surgery medical treatment with nafarelin nasal 400 uG daily x 6/12 Gr B (n=25) Post‐surgery medical treatment with nafarelin nasal 400 uG daily x 6/12 | |
| Outcomes | Pain: dysmenorrhoea, dyspareunia, pelvic pain, pelvic tenderness, pelvic induration AFS scores: global, adhesions, endometriosis Ease of surgery | |
| Notes | Power calculation: NS Funding: Syntex Pharmaceuticals International for supply of Nafarelin, grant for trial | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | "randomised" no details of method of sequence generation provided |
| Allocation concealment (selection bias) | Unclear risk | not mentioned |
| Blinding (performance bias and detection bias) All outcomes | Low risk | double blinded |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | all randomised patients included in analysis |
| Selective reporting (reporting bias) | Low risk | important outcomes ‐ AFS scores, recurrence, surgical difficulty reported |
| Other bias | Low risk | groups appear comparable at baseline |