Table 81Summary clinical evidence profile Comparison 9: GnRH agonist + placebo versus danazol + placebo

OutcomesIllustrative comparative risks (95% CI)Relative effect (95 % CI)No of participants (studies)Quality of the evidence (GRADE)
Assumed riskCorresponding risk
Danazol + placebo nasal sprayGnRH agonist (nafarelin IN) + oral placebo TDS
Relief of painful symptoms – Pelvic tenderness
Follow-up: 12 months1
742 per 1,000772 per 1,000
(601 to 987)
RR 1.04 (0.81 to 1.33)96
(1 study)
⊕⊝⊝⊝
very Low2,3
Relief of painful symptoms – Pelvic induration
Follow-up: 12 months1
871 per 1,000906 per 1,000
(775 to 1,000)
RR 1.04 (0.89 to 1.22)96
(1 study)
⊕⊝⊝⊝
Very low2,3

CI: confidence interval; GnRH: gonadotrophin releasing hormone; IN: intranasal; RR: risk ratio; TDS: 3 times per day

1

Assessed after the end of the treatment period

2

Quality of evidence was downgraded by 1 point owing to unclear risk of selection bias (no details about allocation concealment method and unclear description of the allocation concealment procedure)

3

Quality of evidence was downgraded by 2 points owing to very serious imprecision: CI crosses 2 default thresholds

From: 11, Management strategies

Cover of Endometriosis: diagnosis and management
Endometriosis: diagnosis and management.
NICE Guideline, No. 73.
National Guideline Alliance (UK).
© NICE 2017.

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