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APPENDICES. A systematic review and economic model of the ...

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Study Intervention Participants Outcomes<br />

Core symptoms<br />

Abbreviated Conners’ Rating Scale (ACRS);<br />

parents, teachers, clinic<br />

Reference<br />

Buitelaar et al., 1996 44<br />

Co-existent problems<br />

Not reported<br />

Educational performance<br />

Not reported<br />

Arm 1<br />

Pindolol<br />

During first 3 days, participants<br />

received a single dose <strong>of</strong> 20 mg<br />

(a.m.); <strong>the</strong>reafter <strong>the</strong>y were treated<br />

with two doses <strong>of</strong> 20 mg<br />

administered at breakfast <strong>and</strong> noon<br />

(Individual administering medication<br />

not reported)<br />

Source<br />

CCOHTA Report<br />

Setting<br />

The Ne<strong>the</strong>rl<strong>and</strong>s<br />

Psychological function<br />

Not reported<br />

Inclusion criteria<br />

1. Diagnosis according to DSM-III-R criteria<br />

2. Scores in <strong>the</strong> clinical range on both CBCL <strong>and</strong> CTRS<br />

hyperactivity factors<br />

3. Deficits in attention performance on ei<strong>the</strong>r a reaction-time<br />

task or a continuous performance task in <strong>the</strong><br />

neuropsychological testing<br />

4. No previous treatment with psychotropic medication<br />

5. Clinical indication for drug treatment<br />

6. No diagnosis or family history <strong>of</strong> tic disorder<br />

7. No pervasive developmental disorder<br />

8. No contraindications for treatment with beta-blockers<br />

Design<br />

Parallel trial<br />

Depression or anxiety<br />

Not reported<br />

Diagnostic criteria<br />

DSM-III-R<br />

Number<br />

Total r<strong>and</strong>omised = 32 (male = 30)<br />

Arm 1 = 11<br />

Arm 2 = 10<br />

Arm 3 = 11<br />

Arm 2<br />

MPH<br />

During first 3 days, participants<br />

received a single dose <strong>of</strong> 10 mg<br />

(a.m.); <strong>the</strong>reafter <strong>the</strong>y were treated<br />

with two doses <strong>of</strong> 10 mg<br />

administered at breakfast <strong>and</strong> noon<br />

(Individual administering medication<br />

not reported)<br />

Duration<br />

Referral period: August<br />

1990–June 1993;<br />

treatment period:<br />

4 weeks<br />

Quality <strong>of</strong> life<br />

Not reported<br />

Adverse events<br />

Stimulant Drug Side Effects Rating Scale<br />

(modified version): frequency <strong>and</strong> severity<br />

(parents, psychiatrist)<br />

Additional outcomes<br />

Pulse<br />

Blood pressure<br />

Purpose<br />

To compare <strong>the</strong> efficacy<br />

<strong>and</strong> side-effects <strong>of</strong><br />

pindolol <strong>and</strong> MPH in<br />

children with attentiondeficit/hyperactivity<br />

disorder<br />

© Queen’s Printer <strong>and</strong> Controller <strong>of</strong> HMSO 2006. All rights reserved.<br />

Total withdrawals = 0<br />

Arm 3<br />

Placebo<br />

Administered twice daily (breakfast,<br />

noon)<br />

(Individual administering medication<br />

not reported)<br />

Health Technology Assessment 2006; Vol. 10: No. 23<br />

Age<br />

109.8 months (mean); 6–13 years (range); 20.2 months (SD)<br />

IQ<br />

93.2 (mean)<br />

Co-morbid disorders<br />

Conduct disorder: n = 20; depressive disorder: n = 8 (15%);<br />

anxiety disorder: n = 22 (42%); epilepsy: n = 1<br />

(NB: numbers for whole sample <strong>of</strong> 52)<br />

Diagnostic subtypes<br />

Not reported<br />

Additional information<br />

Previous medication:<br />

Participants in <strong>the</strong> trial were required not to have previously<br />

received psychotropic medication<br />

225

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