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. 2004 Jul 19;2004(3):CD003678. doi: 10.1002/14651858.CD003678.pub2

Audebert 1998.

Methods Location: France 
 No. of centres: multi centre
Recruitment period: December 1990 to March 1993
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