Evidence map›Paper›PMID 22920273›Full record

Trial reportTrials2012

Comparing the effectiveness of copper intrauterine devices available in Canada. Is FlexiT non-inferior to NovaT when inserted immediately after first-trimester abortion? Study protocol for a randomized controlled trial.

Wendy V Norman, Jessica L Chiles, Caroline A Turner, Rollin Brant, Andra Aslan, Janusz Kaczorowski

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01174225 (Contraception Satisfaction and Effectiveness), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 81% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01174225 phase4unknown statusnot on this map

Contraception Satisfaction and Effectiveness: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of British ColumbiaRan2010 to 2023Enrolled534ConditionsContraceptionArmsFlexi T 380(+) IUD, Nova T IUD
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Wendy V NormanContraception Access Research Team, Women's Health Research Institute, Vancouver, British Columbia, V6H 1G3, Canada. wendy.norman@ubc.ca
Jessica L Chiles
Caroline A Turner
Rollin Brant
Andra Aslan
Janusz Kaczorowski
University of British Columbia · CAUniversité de Montréal · CAWomen's Health Research Institute · CA

Funding

CIHR 117684
6 · The paper itself

Abstract

backgroundWe describe the rationale and protocol for a randomized noninferiority controlled trial (RCT) to determine if the Flexi-T380(+) copper intrauterine contraceptive device (IUD) is comparable in terms of effectiveness and expulsion rates to the most common Canadian IUD currently in use, NovaT-200, when placed immediately after a first-trimester abortion. METHODS/

designConsenting women choosing to use an IUD after an abortion for a pregnancy of less than 12 weeks of gestation will be randomized to device-type groups to receive immediate post-abortion placement of either a Flexi-T380(+) IUD, a device for which no current evidence on expulsion or effectiveness rates is available, or the Nova-T200 IUD, the only other brand of copper IUD available in Canada at the time of study initiation. The primary outcome measure is IUD expulsion rate at 1 year. Secondary outcomes include: pregnancy rate, method continuation rate, complication rates (infection, perforation), and satisfaction with contraceptive method. A non-intervention group of consenting women choosing a range of other post-abortion contraception methods, including no contraception, will be included for comparison of secondary outcomes. Web-based contraception satisfaction questionnaires, clinical records, and government-linked health administrative databases will be used to assess primary and secondary outcomes. DISCUSSION: The RCT design, combined with access to clinical records at all provincial abortion clinics, and to information in provincial single-payer linked administrative health databases, birth registry, and hospital records, offers a unique opportunity to determine if a novel IUD has a comparable expulsion rate to that of the current standard IUD in Canada, in addition to the first opportunity to determine pregnancy rate and method satisfaction at 1 year post-abortion for women choosing a range of post-abortion contraceptive options. We highlight considerations of design, implementation, and evaluation of the first trial to provide rigorous evidence for the effectiveness of current Canadian IUDs when inserted after first-trimester abortion.

trial registrationClinicalTrials.gov Identifier NCT01174225.

Indexed as

Abortion, InducedIntrauterine Devices, CopperPregnancy Trimester, FirstResearch DesignBritish ColumbiaEquipment DesignFemaleHumansIntrauterine Device ExpulsionPatient SatisfactionPregnancyPregnancy RatePregnancy, UnplannedPregnancy, UnwantedProspective StudiesSurveys and Questionnaires

Identifiers

PMID22920273
PMCPMC3495410
OpenAlexW2135879896

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.