Vercellini 1999.
| Methods | Location: Italy No. of centres: 19 Recruitment period: February 1992 to June 1994 |
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| Participants | Inclusion criteria: pre‐menopausal, endometriosis score >/= 4 points, chronic pelvic pain Exclusion criteria: NS No. randomised: 269 No. analysed: 210 | |
| Interventions | Post‐surgical medical therapy Gr A (n= 133): goserelin SC 3.6 mg every 4 weeks x 6 months Gr B (n=134): no treatment | |
| Outcomes | Pain recurrence Pregnancy rates | |
| Notes | Power calculation: Yes Funding: Zeneca Pharmaceuticals provided drugs and financial support | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | "randomised in a proportion of 1:1 ... in accordance with a computer‐generated randomisation sequence" |
| Allocation concealment (selection bias) | Low risk | centralised randomisation, allocation obtained by phone call |
| Blinding (performance bias and detection bias) All outcomes | High risk | not mentioned, no placebo |
| Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 269 patients randomised, 2 excluded because case record forms not completed, 26 & 31patients (22%) withdrew from treatment and control groups respectively for reasons other than symptom recurrence or were excluded due to major protocol violations. Reasons for exclusion similar in each group‐ may have introduced bias |
| Selective reporting (reporting bias) | Low risk | important outcomes of recurrence, dysmenorrhoea and pregnancy reported |
| Other bias | Low risk | groups appear comparable at baseline |