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

Li 2011b.

Study characteristics
Methods Randomization using a randomization table
Participants 28 women with CSP
Interventions Systemic MTX intravenously 50 mg/m2 of body surface area (size of sac/mass: 129.6 ± 96.7 cm3; 13 cases, age:33.2 ± 4.5y) treatment vs UACE plus MTX 40 mg and gelatin sponge particles (size of sac/mass: 161.1 ± 102.1 cm3; 15 cases, age:34.2 ± 5.5y)
suction curettage performed when β‐hCG decreased to < 50 mIU/mL in systemic MTX group
suction curettage performed after 24 hours in UACE group
Outcomes Primary outcomes:
  • success after initial treatment

  • complications: emergency hysterectomy, tamponade with iodoform gauze, a second UAE


Secondary outcomes:
  • adverse effects (including mild increase in liver enzymes, mild vomiting, moderate abdominal or pelvic pain)

  • blood loss

  • hospital stay

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "By using a randomization table."
Allocation concealment (selection bias) Unclear risk No data available for this specific type of bias.
Blinding of participants and personnel (performance bias)
All outcomes High risk No data available for this specific type of bias, and blinding was not possible with this methodology.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No data available for this specific type of bias.
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.