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

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2.2 Asia 1 317 Risk Ratio (M-H, Fixed, 95% CI) 0.77 [0.16, 3.76]<br />

2.3 Oceania 1 151 Risk Ratio (M-H, Fixed, 95% CI) 2.31 [0.85, 6.23]<br />

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

28 PCR unadjusted<br />

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

3.1 Africa 2 484 Risk Ratio (M-H, Fixed, 95% CI) 0.12 [0.05, 0.32]<br />

3.2 Asia 1 451 Risk Ratio (M-H, Fixed, 95% CI) 0.43 [0.17, 1.12]<br />

3.3 Oceania 1 224 Risk Ratio (M-H, Fixed, 95% CI) 1.27 [0.75, 2.15]<br />

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

28 PCR adjusted<br />

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

4.1 Africa 2 453 Risk Ratio (M-H, Fixed, 95% CI) 0.57 [0.17, 1.99]<br />

4.2 Asia 1 436 Risk Ratio (M-H, Fixed, 95% CI) 0.90 [0.13, 6.36]<br />

4.3 Oceania 1 193 Risk Ratio (M-H, Fixed, 95% CI) 3.63 [1.04, 12.60]<br />

5 P. vivax parasitaemia 4 Risk Ratio (M-H, Fixed, 95% CI) Subtotals only<br />

5.1 Mixed P. falciparum and<br />

vivax infection at baseline<br />

4 1608 Risk Ratio (M-H, Fixed, 95% CI) 1.02 [0.73, 1.42]<br />

5.2 P. vivax parasitaemia by<br />

D28<br />

1 473 Risk Ratio (M-H, Fixed, 95% CI) 0.05 [0.01, 0.36]<br />

5.3 P. vivax parasitaemia by<br />

D42<br />

4 1442 Risk Ratio (M-H, Fixed, 95% CI) 0.32 [0.24, 0.43]<br />

6 Gametocyte development (in<br />

those negative at baseline)<br />

4 1203 Risk Ratio (M-H, Random, 95% CI) 0.95 [0.35, 2.59]<br />

7 Anaemia 4 Mean Difference (IV, Fixed, 95% CI) Subtotals only<br />

7.1 Mean haemoglobin (g/dl)<br />

at baseline<br />

4 1356 Mean Difference (IV, Fixed, 95% CI) -0.07 [-0.27, 0.13]<br />

7.2 Mean haemoglobin (g/dl)<br />

at day 28<br />

1 134 Mean Difference (IV, Fixed, 95% CI) 0.36 [-0.03, 0.75]<br />

7.3 Mean haemoglobin (g/dl)<br />

at day 42<br />

1 375 Mean Difference (IV, Fixed, 95% CI) 0.30 [-0.02, 0.62]<br />

7.4 Mean change in<br />

haemoglobin (g/dl) from<br />

baseline to Day 42<br />

2 835 Mean Difference (IV, Fixed, 95% CI) 0.26 [0.00, 0.51]<br />

8 Serious adverse events (including<br />

deaths)<br />

5 2110 Risk Ratio (M-H, Fixed, 95% CI) 1.71 [0.66, 4.46]<br />

9 Early vomiting 2 1147 Risk Ratio (M-H, Fixed, 95% CI) 1.38 [0.68, 2.78]<br />

Comparison 3. Dihydroartemisinin-piperaquine vs Artesunate plus amodiaquine<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 />

28 PCR unadjusted<br />

2 679 Risk Ratio (M-H, Fixed, 95% CI) 0.53 [0.35, 0.81]<br />

1.1 Africa 1 501 Risk Ratio (M-H, Fixed, 95% CI) 0.54 [0.34, 0.85]<br />

1.2 Asia 1 178 Risk Ratio (M-H, Fixed, 95% CI) 0.50 [0.17, 1.42]<br />

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

28 PCR adjusted<br />

2 629 Risk Ratio (M-H, Fixed, 95% CI) 0.47 [0.23, 0.94]<br />

2.1 Africa 1 458 Risk Ratio (M-H, Fixed, 95% CI) 0.59 [0.27, 1.27]<br />

2.2 Asia 1 171 Risk Ratio (M-H, Fixed, 95% CI) 0.15 [0.02, 1.22]<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 />

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