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Intrauterine device survival in Iranian women: systematic review and meta-analysis

INTRODUCTION: The intrauterine device (IUD) is one of the modern contraception methods that is reversible, safe, effective, and with long-term efficacy. The problem of using this method is early discontinuation. The survival of the IUD use has been reported differently in different studies. In this...

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Autores principales: Farajzadegan, Ziba, Motamedi, Narges, Nouri, Rasool, Kheyri, Maryam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4408702/
https://www.ncbi.nlm.nih.gov/pubmed/25949968
http://dx.doi.org/10.4103/2249-4863.154634
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author Farajzadegan, Ziba
Motamedi, Narges
Nouri, Rasool
Kheyri, Maryam
author_facet Farajzadegan, Ziba
Motamedi, Narges
Nouri, Rasool
Kheyri, Maryam
author_sort Farajzadegan, Ziba
collection PubMed
description INTRODUCTION: The intrauterine device (IUD) is one of the modern contraception methods that is reversible, safe, effective, and with long-term efficacy. The problem of using this method is early discontinuation. The survival of the IUD use has been reported differently in different studies. In this meta-analysis, we estimated average time of surviving in Iranian women. MATERIALS AND METHODS: We evaluated the incident of IUD removed in the Iranian women with a broad systematic review of the literature regarding MOOSES criteria. ISI, Scopus, Medline, WHO, Cochrane, Web of Science, Biological abstracts, Google Scholar and DARE and Iran Medex, SID, Magiran and IranDoc were searched. We defined inclusion and exclusion criteria for selection of articles. All chosen articles were appraised using Critical Appraisal Skills Programme checklist. Data were extracted regarding prepared sheets. We used a Cochrane Q-test with a significance <0.1 for checking of heterogeneity of results. We defined I(2) = 50–75% as a medium heterogeneity and I(2) >75% as high heterogeneity. We applied both fix and random effect model by comprehensive meta-analysis software. RESULTS: A total of 14 articles was included in the systematic review. These were obtained from screening 63 potentially relevant citations and reviewing 17 full-text study articles. One-year survival of IUD, for the random effects model was 78.4% (69.8–85.1%). Three-year survival for the random effects model was 69.4% (53.3–81.9%). Five years for the random effects model was 49.7% (36–63.4%). CONCLUSION: Above half of Iranian IUD users discontinued it within 5 years after insertion, it means half of IUD expected lifetime was used and make additional costs to the state and the consumer. To reduce these costs, it is recommended for Iranian women to use the IUD with 5-year survival, and they should be consulted before insertion.
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spelling pubmed-44087022015-05-06 Intrauterine device survival in Iranian women: systematic review and meta-analysis Farajzadegan, Ziba Motamedi, Narges Nouri, Rasool Kheyri, Maryam J Family Med Prim Care Systematic Review INTRODUCTION: The intrauterine device (IUD) is one of the modern contraception methods that is reversible, safe, effective, and with long-term efficacy. The problem of using this method is early discontinuation. The survival of the IUD use has been reported differently in different studies. In this meta-analysis, we estimated average time of surviving in Iranian women. MATERIALS AND METHODS: We evaluated the incident of IUD removed in the Iranian women with a broad systematic review of the literature regarding MOOSES criteria. ISI, Scopus, Medline, WHO, Cochrane, Web of Science, Biological abstracts, Google Scholar and DARE and Iran Medex, SID, Magiran and IranDoc were searched. We defined inclusion and exclusion criteria for selection of articles. All chosen articles were appraised using Critical Appraisal Skills Programme checklist. Data were extracted regarding prepared sheets. We used a Cochrane Q-test with a significance <0.1 for checking of heterogeneity of results. We defined I(2) = 50–75% as a medium heterogeneity and I(2) >75% as high heterogeneity. We applied both fix and random effect model by comprehensive meta-analysis software. RESULTS: A total of 14 articles was included in the systematic review. These were obtained from screening 63 potentially relevant citations and reviewing 17 full-text study articles. One-year survival of IUD, for the random effects model was 78.4% (69.8–85.1%). Three-year survival for the random effects model was 69.4% (53.3–81.9%). Five years for the random effects model was 49.7% (36–63.4%). CONCLUSION: Above half of Iranian IUD users discontinued it within 5 years after insertion, it means half of IUD expected lifetime was used and make additional costs to the state and the consumer. To reduce these costs, it is recommended for Iranian women to use the IUD with 5-year survival, and they should be consulted before insertion. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4408702/ /pubmed/25949968 http://dx.doi.org/10.4103/2249-4863.154634 Text en Copyright: © Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Systematic Review
Farajzadegan, Ziba
Motamedi, Narges
Nouri, Rasool
Kheyri, Maryam
Intrauterine device survival in Iranian women: systematic review and meta-analysis
title Intrauterine device survival in Iranian women: systematic review and meta-analysis
title_full Intrauterine device survival in Iranian women: systematic review and meta-analysis
title_fullStr Intrauterine device survival in Iranian women: systematic review and meta-analysis
title_full_unstemmed Intrauterine device survival in Iranian women: systematic review and meta-analysis
title_short Intrauterine device survival in Iranian women: systematic review and meta-analysis
title_sort intrauterine device survival in iranian women: systematic review and meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4408702/
https://www.ncbi.nlm.nih.gov/pubmed/25949968
http://dx.doi.org/10.4103/2249-4863.154634
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