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. 2020 Jul 1;2020(7):CD011174. doi: 10.1002/14651858.CD011174.pub2

Li 2016.

Study characteristics
Methods Randomization using sealed, opaque and numbered envelopes, with a randomization table
Participants 92 women with CSP
Interventions All participants underwent UACE (MTX 50 mg infused bilaterally into the gelatin sponge particles).
Within 24–48 hours,
suction curettage under hysteroscopy monitoring (31A,17B. 48 cases, age: > 35y, n = 29; < 35y, n = 19),
or suction curettage under ultrasonography monitoring (28A,16B. 44 cases, age: > 35y, n = 31; < 35y, n = 13)
(A: diameter of the gestational sac ≤ 3.0 cm; B: diameter of the gestational sac > 3.0cm)
Outcomes Primary outcomes:
  • success after initial treatment

  • complications (including heavy bleeding, uterine perforation, pelvic infection, incomplete abortion, and uterine adhesion)


Secondary outcomes:
  • adverse effects (including low fever (37.3–38.5 °C) and abdominal pain, and all the participants had these adverse effects)

  • time to normalize β‐hCG

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "a sealed opaque envelope with a serial number on the surface and a random number inside."
Allocation concealment (selection bias) Low risk Quote: "The random number had been packed in the serially numbered envelopes by hospital staff members who had no contact with patients, clinicians, and investigators."
Blinding of participants and personnel (performance bias)
All outcomes High risk Quote: "Clinicians were not masked to group assignment, but participants and data analysts were."
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote: "Clinicians were not masked to group assignment, but participants and data analysts were."
Incomplete outcome data (attrition bias)
All outcomes Low risk No missing outcome data.
Selective reporting (reporting bias) Unclear risk Insufficient information to permit judgement.
Other bias Unclear risk Insufficient information to assess whether an important risk of bias existed.