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. 2014 Jul 28;2014(7):CD001777. doi: 10.1002/14651858.CD001777.pub4

Summary of findings 2. TCu 220C compared to Lippes Loop for immediate insertion post‐abortion.

TCu 220C compared to Lippes Loop for immediate insertion post‐abortion
Patient or population: patients with immediate insertion post‐abortion
 Settings: Clinic
 Intervention: TCu 220C
 Comparison: Lippes Loop
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Lippes Loop TCu 220C
Discontinuation due to perforation (750 days) 
 Tietze‐Potter gross rate (Discontinuation in percentages
 Follow‐up: mean 750 days Study population RR 0.92 
 (0.13 to 6.6) 2269
 (2 studies) ⊕⊕⊕⊝
 moderate1,2  
1 per 1000 1 per 1000 
 (0 to 6)
Moderate
0 per 1000 0 per 1000 
 (0 to 0)
Discontinuation due to pelvic inflammatory disease (750 days) 
 
 Follow‐up: mean 750 days Study population RR 1.17 
 (0.29 to 4.71) 2269
 (2 studies) ⊕⊕⊕⊝
 moderate3  
3 per 1000 3 per 1000 
 (1 to 13)
Moderate
0 per 1000 0 per 1000 
 (0 to 0)
Discontinuation rate due to pregnancy (750days) 
 
 Follow‐up: mean 750 days Study population RR 0.38 
 (0.2 to 0.72) 2269
 (2 studies) ⊕⊕⊕⊝
 moderate4  
35 per 1000 13 per 1000 
 (7 to 25)
Moderate
   
Discontinuation rate due to expulsion (750 days) 
 Tietze‐Potter gross rate (Discontinuation in percentages)
 Follow‐up: mean 750 days Study population RR 0.51 
 (0.3 to 0.88) 2269
 (2 studies) ⊕⊕⊕⊝
 moderate4  
100 per 1000 51 per 1000 
 (30 to 88)
Moderate
   
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: Confidence interval; RR: Risk ratio;
GRADE Working Group grades of evidence
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

1 WHO 1983b‐ did not state whether sealed envelopes were opaque or sequentially‐numbered
 2 There was no blinding in the two WHO studies.
 3 No explanation was provided
 4 No blinding in the two studies