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. 2022 May 13;2022(5):CD013525. doi: 10.1002/14651858.CD013525.pub2

Summary of findings 2. Summary of findings table ‐ Pregabalin 300 mg compared to placebo for women having medical abortion before 14 weeks? gestation.

Pregabalin 300 mg compared to placebo for women having medical abortion before 14 weeks' gestation
Patient or population: women having medical abortion before 14 weeks' gestation
Setting: clinic, USA
Intervention: pregabalin 300 mg
Comparison: placebo
Outcomes Anticipated absolute effects* (95% CI) Relative effect
(95% CI) № of participants
(studies) Certainty of the evidence
(GRADE) Comments
Risk with placebo Risk with pregabalin 300 mg
Pain score The mean pain score was 5.5 out of 10 MD 0.5 out of 10 lower
(1.41 lower to 0.41 higher) 107
(1 RCT) ⊕⊕⊝⊝
Lowa  
Gastrointestinal side effects (nausea) 808 per 1000 781 per 1000
(581 to 902) OR 0.85
(0.33 to 2.19) 107
(1 RCT) ⊕⊕⊝⊝
Lowa  
Gastrointestinal side effects (vomiting) 577 per 1000 509 per 1000
(323 to 690) OR 0.76
(0.35 to 1.63) 107
(1 RCT) ⊕⊕⊝⊝
Lowa  
Gastrointestinal side effects (diarrhoea) 558 per 1000 508 per 1000
(324 to 689) OR 0.82
(0.38 to 1.76) 107
(1 RCT) ⊕⊕⊝⊝
Lowa  
Complete abortion rate ‐ not reported  
Induction to expulsion interval ‐ not reported  
Unscheduled contact with care ‐ not reported  
Patient satisfaction with analgesia 686 per 1000 680 per 1000
(479 to 829) OR 0.97
(0.42 to 2.21) 104
(1 RCT) ⊕⊕⊝⊝
Lowa  
Patient satisfaction with abortion care overall 608 per 1000 740 per 1000
(554 to 867) OR 1.84
(0.80 to 4.22) 105
(1 RCT) ⊕⊕⊝⊝
Lowa  
*The risk in the intervention group (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; MD: mean difference; OR: odds ratio
GRADE Working Group grades of evidenceHigh certainty: we are very confident that the true effect lies close to that of the estimate of the effect.
Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different.
Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect.
Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.
See interactive version of this table: https://gdt.gradepro.org/presentations/#/isof/isof_question_revman_web_419478335724549023.

a Downgraded 2 levels for imprecision: small sample size and 95% confidence intervals include no effect.