Tsai 2004.
| Methods | Location: Taiwan
No. of centres: one Recruitment period: June 1988 to December 2001 |
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| Participants | Inclusion criteria: women of reproductive age with infertility and stage III or IV endometriosis planning to undergo controlled ovarian hyperstimulation and intrauterine insemination or in vitro fertilisation and embryo transfer. All had surgery for endometriosis ‐ either laparotomy or laparoscopy for cystectomy, adhesiolysis, ablation of endometriosis Exclusion criteria: NS No. randomised: 45 No. analysed: 41 | |
| Interventions | Post‐operative medical therapy (either danazol or GNRH analogue) Gr A (n=15 ): either 3 months 400 mg danazol orally, twice daily for 3 months or 3.75 mg leuprolide acetate depot SC every 28 days for 3 months Gr B (n= 30): no post‐operative medical treatment | |
| Outcomes | Pregnancy rate, recurrence | |
| Notes | Power calculation: NS Funding: NS | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | "simple randomisation with a computer generated list unknown to physicians" |
| Allocation concealment (selection bias) | Low risk | list "unknown to physicians" |
| Blinding (performance bias and detection bias) All outcomes | High risk | not mentioned, no placebo |
| Incomplete outcome data (attrition bias) All outcomes | High risk | 4 lost to follow up from Gr A (27%) |
| Selective reporting (reporting bias) | Low risk | pregnancy and recurrence reported |
| Other bias | Unclear risk | 13 years of recruitment ‐ ? associated changes in surgical techniques over this time |