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Artemisinin-based combination therapy for ... - The Cochrane Library

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9.4 Gametocyte carriage day<br />

21<br />

2 1123 Risk Ratio (M-H, Random, 95% CI) 7.23 [0.10, 519.79]<br />

9.5 Gametocyte carriage day<br />

28<br />

2 1124 Risk Ratio (M-H, Random, 95% CI) 9.68 [1.23, 75.98]<br />

10 Serious adverse events<br />

(including deaths)<br />

7 2374 Risk Ratio (M-H, Fixed, 95% CI) 0.90 [0.38, 2.15]<br />

11 Early vomiting 7 2473 Risk Ratio (M-H, Fixed, 95% CI) 0.90 [0.69, 1.16]<br />

12 Sensitivity analysis: Total<br />

Failure Day 63 PCR unadjusted<br />

4 Risk Ratio (M-H, Random, 95% CI) Subtotals only<br />

12.1 Total Failure (P.<br />

falciparum) Day 63 PCR<br />

unadjusted<br />

4 1627 Risk Ratio (M-H, Random, 95% CI) 0.94 [0.52, 1.70]<br />

12.2 Total Failure Day 63<br />

PCR unadjusted (losses to<br />

follow up included as failures)<br />

4 1801 Risk Ratio (M-H, Random, 95% CI) 0.95 [0.65, 1.38]<br />

12.3 Total Failure Day 63<br />

PCR unadjusted (losses to<br />

follow up included as successes)<br />

4 1801 Risk Ratio (M-H, Random, 95% CI) 0.94 [0.52, 1.68]<br />

13 Sensitivity analysis: Total<br />

Failure Day 63 PCR adjusted<br />

4 Risk Ratio (M-H, Random, 95% CI) Subtotals only<br />

13.1 Total Failure (P.<br />

falciparum) Day 63 PCR<br />

adjusted<br />

4 1497 Risk Ratio (M-H, Random, 95% CI) 0.57 [0.17, 1.83]<br />

13.2 Total Failure Day 63<br />

PCR adjusted (indeterminate<br />

PCR included as failures)<br />

4 1508 Risk Ratio (M-H, Random, 95% CI) 0.67 [0.32, 1.39]<br />

13.3 Total Failure Day 63<br />

PCR adjusted (new infections<br />

included as successes)<br />

4 1627 Risk Ratio (M-H, Random, 95% CI) 0.67 [0.34, 1.35]<br />

13.4 Total Failure Day 63<br />

PCR adjusted (losses to follow<br />

up included as failures)<br />

4 1801 Risk Ratio (M-H, Random, 95% CI) 0.93 [0.67, 1.30]<br />

13.5 Total Failure Day 63<br />

PCR adjusted (losses to follow<br />

up included as successes)<br />

4 1801 Risk Ratio (M-H, Random, 95% CI) 0.67 [0.34, 1.33]<br />

Comparison 2. Dihydroartemisinin-piperaquine vs Artemether-lumefantrine<br />

Outcome or subgroup title<br />

No. of<br />

studies<br />

No. of<br />

participants Statistical method Effect size<br />

1 Total Failure (P. falciparum) Day<br />

42 PCR unadjusted<br />

5 Risk Ratio (M-H, Random, 95% CI) Subtotals only<br />

1.1 Africa 3 1136 Risk Ratio (M-H, Random, 95% CI) 0.44 [0.20, 0.95]<br />

1.2 Asia 1 356 Risk Ratio (M-H, Random, 95% CI) 0.60 [0.35, 1.05]<br />

1.3 Oceania 1 216 Risk Ratio (M-H, Random, 95% CI) 1.07 [0.76, 1.50]<br />

2 Total Failure (P. falciparum) Day<br />

42 PCR adjusted<br />

5 Risk Ratio (M-H, Fixed, 95% CI) Subtotals only<br />

2.1 Africa 3 869 Risk Ratio (M-H, Fixed, 95% CI) 0.39 [0.24, 0.64]<br />

<strong>Artemisinin</strong>-<strong>based</strong> <strong>combination</strong> <strong>therapy</strong> <strong>for</strong> treating uncomplicated malaria (Review)<br />

Copyright © 2009 <strong>The</strong> <strong>Cochrane</strong> Collaboration. Published by John Wiley & Sons, Ltd.<br />

110

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