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Anticonceptivos orales para los quistes ováricos funcionales

Appendices

Appendix 1. Search 2014

PubMed (2011 to 25 Mar 2014)

((contraceptives, oral OR estrogens/therapeutic use OR progesterones/therapeutic use) AND ovarian cysts) NOT (polycystic[title] OR PCOS[Title] OR hirsutism[title]) AND Humans[Mesh]

POPLINE (2011 to 25 Mar 2014)

Keyword: Ovarian cysts AND
Keyword: Oral contraceptives

Filter by keywords: Research report

CENTRAL (2011 to 25 Mar 2014)

Title, abstract, keywords: cyst AND contraception

EMBASE (2011 to 25 Mar 2014)

'oral contraceptive agent'/exp AND 'ovary cyst'/exp NOT 'ovary polycystic disease'/exp AND ([article]/lim OR [article in press]/lim OR [conference abstract]/lim OR [conference paper]/lim) AND [humans]/lim

ClinicalTrials.gov (01 Jan 2011 to 27 Mar 2014)

Search terms: ovarian cysts
Condition: NOT (polycystic OR PCOS)
Intervention: contraception OR contraceptive
Study type: Interventional

ICTRP (01 Jan 2011 to 27 Mar 2014)

Condition: ovarian cysts
Intervention: contraception OR contraceptive
Recruitment status: all

Appendix 2. Previous search strategies

2011

MEDLINE via PubMed (Sep 2008 to 06 Jun 2011)

(((contraceptives, oral OR estrogens/therapeutic use OR progesterones/therapeutic use) AND ovarian cysts) NOT (polycystic OR PCOS[Title])

POPLINE (06 Jun 2011 and past years)

ovarian cysts & treat* & (oral contraceptives/ progestin*/progesterone*/estrogen*) !(polycystic/dermoid)

CENTRAL (2008 to 06 Jun 2011)

cyst and contraception

ClinicalTrials.gov (06 Jun 2011)

Search terms: ovarian cysts
Condition: NOT (polycystic OR PCOS)
Intervention: contraception OR contraceptive
Study type: interventional

ICTRP (06 Jun 2011)

Condition: ovarian cysts
Intervention: contraception OR contraceptive

2006 to 2009

MEDLINE via PubMed

(contraceptives, oral OR estrogens/therapeutic use OR progesterones/therapeutic use) AND functional ovarian cysts

POPLINE

ovarian cysts & treat* & (oral contraceptives/ progestin*/progesterone*/estrogen*) !(polycystic/dermoid)

EMBASE

(oral contraceptive agent AND ovary cyst) NOT polycystic

CENTRAL

cyst and contraception

ClinicalTrials.gov

Search terms: ovarian cysts
Condition: oral contraceptive

ICTRP

Title: ovarian cysts
Intervention or condition: contraception OR contraceptive

Comparison 1 Norethindrone 1 mg plus mestranol 50 μg daily versus expectant management, Outcome 1 Resolution of cyst within nine weeks.
Figuras y tablas -
Analysis 1.1

Comparison 1 Norethindrone 1 mg plus mestranol 50 μg daily versus expectant management, Outcome 1 Resolution of cyst within nine weeks.

Comparison 2 Desogestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by last follow up (10 or 12 weeks).
Figuras y tablas -
Analysis 2.1

Comparison 2 Desogestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by last follow up (10 or 12 weeks).

Comparison 3 Desogestrel 150 μg plus ethinyl estradiol 20 μg taken daily versus expectant management, Outcome 1 Resolution of cyst by six months.
Figuras y tablas -
Analysis 3.1

Comparison 3 Desogestrel 150 μg plus ethinyl estradiol 20 μg taken daily versus expectant management, Outcome 1 Resolution of cyst by six months.

Comparison 4 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 12 weeks.
Figuras y tablas -
Analysis 4.1

Comparison 4 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 12 weeks.

Comparison 5 Levonorgestrel 125 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst within one menstrual cycle.
Figuras y tablas -
Analysis 5.1

Comparison 5 Levonorgestrel 125 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst within one menstrual cycle.

Comparison 6 Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by last follow up (second or third month).
Figuras y tablas -
Analysis 6.1

Comparison 6 Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by last follow up (second or third month).

Comparison 6 Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 2 Cyst volume after third month.
Figuras y tablas -
Analysis 6.2

Comparison 6 Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management, Outcome 2 Cyst volume after third month.

Comparison 7 Levonorgestrel 250 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 10 weeks.
Figuras y tablas -
Analysis 7.1

Comparison 7 Levonorgestrel 250 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 10 weeks.

Comparison 8 Levonorgestrel 50/75/125 μg plus ethinyl estradiol 30/40/30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 10 weeks.
Figuras y tablas -
Analysis 8.1

Comparison 8 Levonorgestrel 50/75/125 μg plus ethinyl estradiol 30/40/30 μg taken cyclically versus expectant management, Outcome 1 Resolution of cyst by 10 weeks.

Comparison 9 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg, Outcome 1 Regression of cyst by 4 weeks.
Figuras y tablas -
Analysis 9.1

Comparison 9 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg, Outcome 1 Regression of cyst by 4 weeks.

Comparison 9 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg, Outcome 2 Regression of cyst by 12 weeks.
Figuras y tablas -
Analysis 9.2

Comparison 9 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg, Outcome 2 Regression of cyst by 12 weeks.

Comparison 10 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo, Outcome 1 Regression of cyst by 4 weeks.
Figuras y tablas -
Analysis 10.1

Comparison 10 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo, Outcome 1 Regression of cyst by 4 weeks.

Comparison 10 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo, Outcome 2 Regression of cyst by 12 weeks.
Figuras y tablas -
Analysis 10.2

Comparison 10 Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo, Outcome 2 Regression of cyst by 12 weeks.

Comparison 1. Norethindrone 1 mg plus mestranol 50 μg daily versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst within nine weeks Show forest plot

1

41

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 1. Norethindrone 1 mg plus mestranol 50 μg daily versus expectant management
Comparison 2. Desogestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by last follow up (10 or 12 weeks) Show forest plot

2

76

Odds Ratio (M‐H, Fixed, 95% CI)

1.52 [0.46, 5.00]

Figuras y tablas -
Comparison 2. Desogestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management
Comparison 3. Desogestrel 150 μg plus ethinyl estradiol 20 μg taken daily versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by six months Show forest plot

1

141

Odds Ratio (M‐H, Fixed, 95% CI)

0.62 [0.27, 1.42]

Figuras y tablas -
Comparison 3. Desogestrel 150 μg plus ethinyl estradiol 20 μg taken daily versus expectant management
Comparison 4. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by 12 weeks Show forest plot

1

42

Odds Ratio (M‐H, Fixed, 95% CI)

1.71 [0.45, 6.51]

Figuras y tablas -
Comparison 4. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg taken cyclically versus expectant management
Comparison 5. Levonorgestrel 125 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst within one menstrual cycle Show forest plot

1

54

Odds Ratio (M‐H, Fixed, 95% CI)

0.72 [0.14, 3.57]

Figuras y tablas -
Comparison 5. Levonorgestrel 125 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management
Comparison 6. Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by last follow up (second or third month) Show forest plot

2

112

Odds Ratio (M‐H, Fixed, 95% CI)

1.19 [0.54, 2.60]

2 Cyst volume after third month Show forest plot

1

45

Mean Difference (IV, Fixed, 95% CI)

3.20 [‐0.87, 7.27]

Figuras y tablas -
Comparison 6. Levonorgestrel 150 μg plus ethinyl estradiol 30 μg taken cyclically versus expectant management
Comparison 7. Levonorgestrel 250 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by 10 weeks Show forest plot

1

34

Odds Ratio (M‐H, Fixed, 95% CI)

3.18 [0.12, 83.76]

Figuras y tablas -
Comparison 7. Levonorgestrel 250 μg plus ethinyl estradiol 50 μg taken cyclically versus expectant management
Comparison 8. Levonorgestrel 50/75/125 μg plus ethinyl estradiol 30/40/30 μg taken cyclically versus expectant management

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of cyst by 10 weeks Show forest plot

1

35

Odds Ratio (M‐H, Fixed, 95% CI)

3.36 [0.13, 88.39]

Figuras y tablas -
Comparison 8. Levonorgestrel 50/75/125 μg plus ethinyl estradiol 30/40/30 μg taken cyclically versus expectant management
Comparison 9. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Regression of cyst by 4 weeks Show forest plot

1

124

Odds Ratio (M‐H, Fixed, 95% CI)

1.15 [0.55, 2.38]

2 Regression of cyst by 12 weeks Show forest plot

1

124

Odds Ratio (M‐H, Fixed, 95% CI)

1.41 [0.55, 3.64]

Figuras y tablas -
Comparison 9. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus desogestrel 150 μg plus ethinyl estradiol 30 μg
Comparison 10. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Regression of cyst by 4 weeks Show forest plot

1

124

Odds Ratio (M‐H, Fixed, 95% CI)

0.93 [0.44, 1.95]

2 Regression of cyst by 12 weeks Show forest plot

1

124

Odds Ratio (M‐H, Fixed, 95% CI)

1.27 [0.49, 3.32]

Figuras y tablas -
Comparison 10. Levonorgestrel 100 μg plus ethinyl estradiol 20 μg versus placebo