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. 2016 Aug 31;2016(8):CD001500. doi: 10.1002/14651858.CD001500.pub3

Comparison 3. Oestrogen cream versus placebo or other regimens.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Improvement in symptoms (participant‐assessed at end point) 2   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 Oestrogen cream versus isoflavone gel 1 50 Odds Ratio (M‐H, Fixed, 95% CI) 2.08 [0.08, 53.76]
1.2 Oestrogen cream versus placebo 2 198 Odds Ratio (M‐H, Fixed, 95% CI) 4.10 [1.88, 8.93]
2 Endometrial thickness 0   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
3 Improvement in symptoms (clinician‐assessed at end point) 1   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 Oestrogen cream versus placebo 1 153 Odds Ratio (M‐H, Fixed, 95% CI) 3.29 [1.47, 7.36]
4 Improvement in symptoms (decrease in vaginal pH at end point) 4   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.1 Oestrogen cream versus non‐hormonal local bio adhesive vaginal moisturiser 2 62 Mean Difference (IV, Fixed, 95% CI) ‐0.36 [‐0.52, ‐0.21]
4.2 Oestrogen cream (21 days) versus placebo (21 days) 1 215 Mean Difference (IV, Fixed, 95% CI) ‐1.20 [‐1.47, ‐0.93]
4.3 Oestrogen cream (twice weekly) versus placebo (twice weekly) 1 208 Mean Difference (IV, Fixed, 95% CI) ‐1.30 [‐1.58, ‐1.02]
4.4 Oestriol gel (50 ug) versus placebo gel 1 153 Mean Difference (IV, Fixed, 95% CI) ‐0.8 [‐1.23, ‐0.37]
5 Improvement in symptoms (increase in maturation indices at end point) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.1 Oestrogen cream versus placebo 1 153 Mean Difference (IV, Fixed, 95% CI) 23.7 [17.25, 30.15]
6 Adverse events (breast disorders) 0   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
7 Adverse events (total adverse events) 1   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
7.1 Oestrogen cream versus non hormonal lubricant gel 1 50 Odds Ratio (M‐H, Fixed, 95% CI) 10.67 [0.54, 209.64]
8 Adherence to treatment 0   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only