Meta AnalysisID 674

使用雌三醇能否缓解绝经期血管舒缩症状?一项系统评价与Meta分析

CRD42021281694

•P (Patients): Menopausal women with vasomotor symptoms •I (Intervention): Estriol, Estriol + Standard Therapy (Estradiol and Progestagen) • C (Comparison): Placebo, standard therapy, placebo + standard therapy • O (Outc

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Record Fields

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Meta Analysis Id
674
Evidence Id
9232
Core Evidence Id
9232
Source Meta Analysis Id
653
Herb2 Meta Analysis Id
HBMA000653
Crd Id
CRD42021281694
Title
Does the use of estriol bring relief of vasomotor symptoms in the menopausal period? A systematic review and meta-analysis
Review Question
•P (Patients): Menopausal women with vasomotor symptoms •I (Intervention): Estriol, Estriol + Standard Therapy (Estradiol and Progestagen) • C (Comparison): Placebo, standard therapy, placebo + standard therapy • O (Outcome): Symptom relief and quality of life • S (Study's types): Randomized clinical trials and cohorts
Study Type Included
Inclusion criteria: randomized clinical trials and cohorts Exclusion criteria: control cases, as well as case series and other uncontrolled studies and cases of unavailability of the full text
Condition Being Studied
Menopause is a transition period marked for many women by fluctuating physiological changes that affect quality of life in the short term with vasomotor symptoms, sleep and mood disturbances, as well as long-term changes such as genitourinary symptoms and decreased bone density. Natural menopause is defined as the absence of menstruation for 12 months without a pathological cause, and occurs, on average, at 51.4 years of age. Vasomotor symptoms (hot flashes and night sweats) are the most common manifestations of the transition to menopause and the post-menopausal phases of reproductive life. They not only interfere with quality of life, but also contribute to sleep and mood disturbances that potentially compromise effectiveness at home and at work.
Participant
Menopausal women with vasomotor symptoms
Animal
Human Disease Modelled
Intervention
Intervention: Estriol, Estriol + Standard Therapy (Estradiol and Progestagen) Standart therapy include hormonal therapy. The main indications for hormone replacement therapy are the suppression of hot flashes and the treatment of atrophy of the urogenital tissues, which can manifest itself in the form of dryness of the vagina. For women who have a uterus, estrogen therapy should be combined with a progestin to prevent the induction of endometrial cancer. For women without a uterus, hormone therapy typically consists of estrogen alone.
Comparator Control
Treatment options include hormonal therapy, prescription of non-hormonal drugs, behavioral and mind/body therapies, and alternative over-the-counter preparations. The main comparison will be made aganist placebos.
Main Outcome
The main result analyzed will be the relief of vasomotor symptoms, which will be done through pre-existing indices that assess quality of life. Measures of effect We will gather data for a minimum of two studies using the random effects model (with standardized mean difference (SMD)) and a 95% confidence interval (CI) for continuous data, or odds ratio (OR) and 95% CI for dichotomous data due to expected heterogeneity in the included RCTs. Subgroup analyzes can also be conducted to investigate the sources of any significant heterogeneity (defined as an I² test result > 50%)
Outcome Measure
Additional Outcome
None.
Study Method
Intervention, Meta-analysis, Systematic review
Keyword
Estriol; Hot Flashes; Humans; Menopause
Contact
Julia Helena Alencar de Oliveira [email protected]
Organisational Affiliation
Centro Universitário Lusíada http://www.unilus.edu.br/
Funding Source
None Grant number(s) <span style=font-size: 14px>State the funder, grant or award number and the date of award</span> None
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Brazil
Review Stage
Review Ongoing
First Submission Date
2021-09-25
Registration Date
2021-10-25
Anticipated Start Date
2021-02-02
Anticipated Completion Date
2022-02-25
Title Cn
使用雌三醇能否缓解绝经期血管舒缩症状?一项系统评价与Meta分析
Title En
Does the use of estriol bring relief of vasomotor symptoms in the menopausal period? A systematic review and meta-analysis
Bilingual Status
complete