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. 2012 Oct 17;2012(10):CD001405. doi: 10.1002/14651858.CD001405.pub3

Ek 1980 S.

Methods RCT (double‐blind crossover in 5th and 6th weeks of the study); duration of study: 8/52, F/U at 8/52
Participants 16 post‐menopausal women with urodynamically proven GSI
Interventions All women (n=16): oestradiol valerate 2mg daily for 3/52, then 1mg for 1/52 
 group A (n=13): oestradiol 1mg + norephedrine 200mg daily for 2/52 after first 4/52 
 group B (n=13): oestradiol 1mg + placebo daily for 2/52 after first 4/52 
 after 2 weeks, groups 1 and 2 crossed over to the opposite arm
Outcomes Residual urine, MSU, urodynamics, clinical stress test, periurethral vaginal biopsies, subjective symptoms
Notes No useable data; adverse events: "few and acceptable", very small changes in BP, no uterine bleeding 
 Losses to follow up: group 2: 2, group 3: 1
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk no description
Allocation concealment (selection bias) Unclear risk no description
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk no description
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk no description