Evidence-based management of Mastalgia: A meta-analysis of randomised trials
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This meta-analysis of randomized trials provides evidence-based recommendations for managing mastalgia, aiming to guide clinical practice and improve patient outcomes.
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Abstract
Several agents have been utilised for therapy of mastalgia based on data from small trials. No meta-analysis of trials on mastalgia exists. We have conducted a meta-analysis on trials on mastalgia published in the English language. Study was restricted to randomised controlled trials comparing Bromocriptine, Danazol, Evening primrose oil (EPO) and Tamoxifen with placebo. The analysis was carried out on the REVMAN statistical package. Weighted mean difference in the pain score in favour of Bromocriptine was -16.31(95% CI -26.35 to -6.27). Danazol produced a significant benefit with a mean pain score difference -20.23(95% CI -28.12 to -12.34). EPO did not offer any advantage over placebo in pain relief, mean pain score difference being -2.78 (95% CI -7.97 to 2.40). Tamoxifen achieved a relative risk (RR) of pain relief of 1.92 (95% CI 1.42-2.58). Tamoxifen is associated with least side effects and should be the drug of first choice.
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Cited by (10)
- Phytotherapy in the management of women of reproductive age with dyshormonal gynecological pathology and mastalgia 2024
- A Systematic Review and Meta-Analysis of the Efficacy of Evening Primrose Oil for Mastalgia Treatment 2021
- Mastalgia: A narrative literature review of current understanding and management 2018
- Evening primrose oil and labour, is it effective? A randomised clinical trial 2018
- Clinical management of idiopathic mastalgia: a systematic review 2018
- Role of tamoxifen and danazol in mastalgia: prospective controlled trial 2016
- Toremifene in premenstrual mastalgia 2013
- FIGO classification system (PALM‐COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age 2011
- FIGO classification system (PALM‐COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age 2011
- Centchroman Regresses Mastalgia: A Randomized Comparison with Danazol 2010
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