Evidence map›Paper›PMID 23927387›Full record

Trial reportBMC women's health2013

Levonorgestrel releasing intrauterine system (Mirena) versus endometrial ablation (Novasure) in women with heavy menstrual bleeding: a multicentre randomised controlled trial.

Malou C Herman, Marian J van den Brink, Peggy M Geomini, Hannah S van Meurs, Judith A Huirne, Heleen P Eising, Anne Timmermans, Johanna M A Pijnenborg, Ellen R Klinkert, Sjors F Coppus and 16 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC women's health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 5 pooled it
2.1field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 5 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Progestogen-releasing intrauterine systems for heavy menstrual bleeding.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Surgery versus medical therapy for heavy menstrual bleeding.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. 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

26 authors at 16 institutions in 1 country.

Malou C Herman
Marian J van den Brink
Peggy M Geomini
Hannah S van Meurs
Judith A Huirne
Heleen P Eising
Anne Timmermans
Johanna M A Pijnenborg
Ellen R Klinkert
Sjors F Coppus
Theodoor E Nieboer
Ruby Catshoek
Lucet F van der Voet
Hugo W F van Eijndhoven
Giuseppe C M Graziosi
Sebastiaan Veersema
Paul J van Kesteren
Josje Langenveld
Nicol A C Smeets
Huib A A M van Vliet
Jan Willem van der Steeg
Yvonne Lisman-van Leeuwen
Janny H Dekker
Ben W Mol
Marjolein Y Berger
Marlies Y Bongers
Radboud University Nijmegen · NLUniversity of Groningen · NLAtrium Medisch Centrum Parkstad · NLRadboud University Medical Center · NLSt. Antonius Ziekenhuis · NLUniversity of Amsterdam · NLAmsterdam UMC Location VUmc · NLDeventer Ziekenhuis · NLDialyse Centrum Groningen · NLElisabeth-TweeSteden Ziekenhuis · NLGelre Hospitals · NLIsala · NLJeroen Bosch Ziekenhuis · NLMaastricht University Medical Centre · NLMáxima Medisch Centrum · NLOLVG · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeavy menstrual bleeding is an important health problem. Two frequently used therapies are the levonorgestrel intra-uterine system (LNG-IUS) and endometrial ablation. The LNG-IUS can be applied easily by the general practitioner, which saves costs, but has considerable failure rates. As an alternative, endometrial ablation is also very effective, but this treatment has to be performed by a gynaecologist. Due to lack of direct comparison of LNG-IUS with endometrial ablation, there is no evidence based preferred advice for the use of one of these treatment possibilities. METHOD/

designA multicenter randomised controlled trial, organised in a network infrastructure in the Netherlands in which general practitioners and gynaecologists collaborate. DISCUSSON: This study, considering both effectiveness and cost effectiveness of LNG-IUS versus endometrial ablation may well improve care for women with heavy menstrual bleeding.

trial registrationDutch trial register, number NTR2984.

Indexed as

AdultContraceptive Agents, FemaleEndometrial Ablation TechniquesFemaleHumansIntrauterine Devices, MedicatedLevonorgestrelNetherlandsTreatment OutcomeWomen's HealthYoung AdultContraceptive Agents, FemaleLevonorgestrel

Identifiers

PMID23927387
PMCPMC3751634
OpenAlexW2100901575

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.