Skip to main content
. 2004 Jul 19;2004(3):CD003678. doi: 10.1002/14651858.CD003678.pub2

Vercellini 1999.

Methods Location: Italy
No. of centres: 19
Recruitment period: February 1992 to June 1994
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