Richtlijn Sterilisatie van de vrouw - NVOG

ReferenceType studyCharacteristicsIntervention (I)Outcomemeasured andfollow upResultsQualityassessmentHurskainen,2010SR,searched tilljuly 2008Included:KErin2003,CooperDuffy,Kerin 2004,Ubeda,Litta, LevieEfficacy/effectiveness, adverseevents, costsJamieson 2000prospective,multicentercohortstudyN = 9475Inclusion criteria: 18–44 years old womenscheduled for tubal sterilizations in 15participating institutions in nine cities from1978 to 1987.Exclusion criteria: women who hadconcurrent surgeries other than diagnosticD&C or simple biopsies.Intervallaparoscopicprocedures.The fourmostfrequentmethods ofocclusionwere: bipolarcoagulation,unipolarcoagulation,siliconerubber bandapplication,and springclipapplicationOutcomes:- Overall complicationrates.- six standardcomplicationcategories werechosen:1) unintended majorsurgery2) transfusion,3) febrile morbidity,4) life threateningevent,5) Rehospitalisation,6) death)- Standard rates (byintended method atinitiation of surgeryfor the four mostfrequent methods ofocclusion: bipolarcoagulation, unipolarcoagulation, siliconerubber bandapplication, andspring clipapplication.- Potential predictorsof intraoperative andpostoperativecomplications wereStudy groups clearly defined: +Selectionbias*: ?Adequate assesment of exposure *: +Adequate assesment of outcomes*: +Assesor of the effect adequately blinded*: -Sufficient length of follow-up*: +Selective loss tofollow-up*: ? not reportedIdentification ofconfounders andcorrection in analysis:? Riskfactors were identified, but no correctionin effects was performedFinancial support: Supported by an interagencyagreement (3-Y02-HD41075-10) withthe National Institute of Child Health andHuman Development104