Amir 2015.
| Study characteristics | ||
| Methods | Parallel design, single‐centre, randomised controlled trial Computer‐based randomisation Cabergoline vs no intervention Setting: Israel |
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| Participants | 40 high‐risk women undergoing IVF/ET or IVF‐PGD, aged 18–40 years, serum E2 > 4000 pg/mL or the development of > 20 follicles > 12 mm in diameter Exclusion criteria: systemic disease and participating in other research studies Cabergoline group: 20 women Control group: 20 women |
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| Interventions | Cabergoline group: cabergoline tablet 0.5 mg/day for 8 days from the day of hCG injection Control group: no cabergoline |
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| Outcomes | Moderate and severe OHSS identified by the modified classification of Golan and colleagues (Golan 1989) assessed at day of ET, ET+7, ET+12
Live birth rate: not reported Miscarriage rate (cabergoline group vs control group): 0/20 vs 1/20 Clinical pregnancy rate (fetal heartbeat) (cabergoline group vs control group): 2/20 vs 5/20 Multiple pregnancy rate (cabergoline group vs control group): 0/20 vs 1/20 Any other adverse effects of the treatment: not stated |
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| Notes | Did apply coasting to both groups in about 50% of women if serum E2 > 5000 pg/mL | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Computer‐generated random numbers. |
| Allocation concealment (selection bias) | Unclear risk | Lack of sufficient data to permit judgement. |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Neither participants nor physicians blinded. |
| Blinding of outcome assessment (detection bias) All outcomes | Low risk | Ultrasound experts were blinded. |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | No missing data. |
| Selective reporting (reporting bias) | Unclear risk | No exclusions (no live birth rate mentioned). |
| Other bias | Unclear risk | Lack of sufficient data to permit judgement. |