Richtlijn Sterilisatie van de vrouw - NVOG

ReferenceType studyCharacteristicsIntervention (I)Outcomemeasured andfollow upResultsQualityassessmentEvidence tabel 2.2 Wat is bekend over de effectiviteit en betrouwbaarheid van laparoscopische (clips/coagulatie/ringen) enhysteroscopische sterilisatie?Argueta, 1980CohortstudyprospectiveComparitive.No inclusion/exclustion criteria weredescribed.Sociodemographic characteristics weresimilar between the intervention groups.Mean age: 29 years.Mean parity: 4.Laparoscopicapplicationof springloaded clipsvs tubalrings.Outcomes:- Failure- Surgical time- Surgical difficulties- Pain- Postoperativecomplications andcomplaints- Gynaecologicalevents up to 24months after surgery.- Pregnancy rate.The groups were similar for failure and surgical timeSurgical difficulties:Study groups clearly defined: (?)Selectionbias*: (-), randomisationAdequate assesment of exposure *: (+)Adequate assesment of outcomes*: (+)Assesor of the effect adequately blinded*: (-),but they did a randomisation for interventionSufficient length of follow-up*: (+), 24 monthsSelective loss tofollow-up*: (-)Identification ofconfounders andcorrection in analysis: (?)Financial support: partial supported.The severity of reported pain was significantly higher for the tubal ringprocedures (6.1 vs 14.2%).Postoperative complications and complaints and gynaecological events (nosignificant differences between the groups):97