Comparison of risks of thromboembolism of drospirenone-containing and nondrospirenone -containing combined oral contraceptive use: A meta-analysis

This study aimed to estimate the risk of venous thromboembolism (VTE), arterial thromboembolism (ATE), and other side effects following the use of drospirenone (DRSP)-containing combined oral contraceptives (COCs). When compared with non-DRSP-containing COCs, DRSP-containing COCs decreased the risk...

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Main Authors: Wan-Lin Zhang, Zhe Dong, Jun-Yan Zhang, Min-Zhi Lyu, Wei Zhang, Jian-Lei Huang, Xin Yang
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2021-01-01
Series:Reproductive and Developmental Medicine
Subjects:
Online Access:http://www.repdevmed.org/article.asp?issn=2096-2924;year=2021;volume=5;issue=3;spage=154;epage=160;aulast=Zhang
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author Wan-Lin Zhang
Zhe Dong
Jun-Yan Zhang
Min-Zhi Lyu
Wei Zhang
Jian-Lei Huang
Xin Yang
author_facet Wan-Lin Zhang
Zhe Dong
Jun-Yan Zhang
Min-Zhi Lyu
Wei Zhang
Jian-Lei Huang
Xin Yang
author_sort Wan-Lin Zhang
collection DOAJ
description This study aimed to estimate the risk of venous thromboembolism (VTE), arterial thromboembolism (ATE), and other side effects following the use of drospirenone (DRSP)-containing combined oral contraceptives (COCs). When compared with non-DRSP-containing COCs, DRSP-containing COCs decreased the risk of VTE by 15% in the overall study population, although this was not statistically significant (adjusted hazard ratio/risk ratio [95% confidence interval] 0.85 [0.69, 1.04]). DRSP-containing COCs also showed significant benefits in terms of ATE risk. The body mass index of the subjects significantly decreased by 0.64 kg/m2 after taking the DRSP-containing COCs for 6 months. We concluded that DRSP-containing COCs were safe for use and could be broadly recommended.
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spelling doaj.art-fb0d9b4e6a214d16b95021279d6a00aa2022-12-22T00:24:25ZengWolters Kluwer Health/LWWReproductive and Developmental Medicine2096-29242589-87282021-01-015315416010.4103/2096-2924.324822Comparison of risks of thromboembolism of drospirenone-containing and nondrospirenone -containing combined oral contraceptive use: A meta-analysisWan-Lin ZhangZhe DongJun-Yan ZhangMin-Zhi LyuWei ZhangJian-Lei HuangXin YangThis study aimed to estimate the risk of venous thromboembolism (VTE), arterial thromboembolism (ATE), and other side effects following the use of drospirenone (DRSP)-containing combined oral contraceptives (COCs). When compared with non-DRSP-containing COCs, DRSP-containing COCs decreased the risk of VTE by 15% in the overall study population, although this was not statistically significant (adjusted hazard ratio/risk ratio [95% confidence interval] 0.85 [0.69, 1.04]). DRSP-containing COCs also showed significant benefits in terms of ATE risk. The body mass index of the subjects significantly decreased by 0.64 kg/m2 after taking the DRSP-containing COCs for 6 months. We concluded that DRSP-containing COCs were safe for use and could be broadly recommended.http://www.repdevmed.org/article.asp?issn=2096-2924;year=2021;volume=5;issue=3;spage=154;epage=160;aulast=Zhangarterial thromboembolism; combined oral contraceptives; drospirenone; venous thromboembolism
spellingShingle Wan-Lin Zhang
Zhe Dong
Jun-Yan Zhang
Min-Zhi Lyu
Wei Zhang
Jian-Lei Huang
Xin Yang
Comparison of risks of thromboembolism of drospirenone-containing and nondrospirenone -containing combined oral contraceptive use: A meta-analysis
Reproductive and Developmental Medicine
arterial thromboembolism; combined oral contraceptives; drospirenone; venous thromboembolism
title Comparison of risks of thromboembolism of drospirenone-containing and nondrospirenone -containing combined oral contraceptive use: A meta-analysis
title_full Comparison of risks of thromboembolism of drospirenone-containing and nondrospirenone -containing combined oral contraceptive use: A meta-analysis
title_fullStr Comparison of risks of thromboembolism of drospirenone-containing and nondrospirenone -containing combined oral contraceptive use: A meta-analysis
title_full_unstemmed Comparison of risks of thromboembolism of drospirenone-containing and nondrospirenone -containing combined oral contraceptive use: A meta-analysis
title_short Comparison of risks of thromboembolism of drospirenone-containing and nondrospirenone -containing combined oral contraceptive use: A meta-analysis
title_sort comparison of risks of thromboembolism of drospirenone containing and nondrospirenone containing combined oral contraceptive use a meta analysis
topic arterial thromboembolism; combined oral contraceptives; drospirenone; venous thromboembolism
url http://www.repdevmed.org/article.asp?issn=2096-2924;year=2021;volume=5;issue=3;spage=154;epage=160;aulast=Zhang
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