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

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7.4 Total Failure Day 28<br />

PCR adjusted (new infections<br />

included as successes)<br />

7.5 Total Failure Day 28 PCR<br />

adjusted (losses to follow up<br />

included as failures)<br />

7.6 Total Failure Day 28 PCR<br />

adjusted (losses to follow up<br />

included as successes)<br />

2 382 Risk Ratio (M-H, Fixed, 95% CI) 0.59 [0.29, 1.17]<br />

2 409 Risk Ratio (M-H, Fixed, 95% CI) 0.77 [0.48, 1.23]<br />

2 409 Risk Ratio (M-H, Fixed, 95% CI) 0.59 [0.30, 1.17]<br />

Comparison 11. Artemether-lumefantrine vs Amodiaquine plus sulfadoxine-pyrimethamine<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 />

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

1.1 East Africa 3 1646 Risk Ratio (M-H, Fixed, 95% CI) 0.35 [0.30, 0.41]<br />

1.2 West Africa 3 1130 Risk Ratio (M-H, Fixed, 95% CI) 2.88 [1.86, 4.47]<br />

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

28 PCR adjusted<br />

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

2.1 East Africa 2 618 Risk Ratio (M-H, Fixed, 95% CI) 0.12 [0.06, 0.24]<br />

2.2 West Africa 3 1051 Risk Ratio (M-H, Fixed, 95% CI) 1.39 [0.55, 3.47]<br />

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

42 PCR unadjusted<br />

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

3.1 West Africa 1 345 Risk Ratio (M-H, Fixed, 95% CI) 2.64 [1.66, 4.21]<br />

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

42 PCR adjusted<br />

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

4.1 West Africa 1 284 Risk Ratio (M-H, Fixed, 95% CI) 1.22 [0.44, 3.38]<br />

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

5.1 Gametocyte carriage day 0 4 1545 Risk Ratio (M-H, Fixed, 95% CI) 0.84 [0.51, 1.39]<br />

5.2 Gametocyte carriage day 3 3 1331 Risk Ratio (M-H, Fixed, 95% CI) 0.43 [0.25, 0.75]<br />

5.3 Gametocyte carriage day 7 4 1538 Risk Ratio (M-H, Fixed, 95% CI) 0.32 [0.18, 0.54]<br />

5.4 Gametocyte carriage day<br />

14<br />

4 1536 Risk Ratio (M-H, Fixed, 95% CI) 0.46 [0.21, 1.01]<br />

6 Gametocyte development (in<br />

those negative at baseline)<br />

1 371 Risk Ratio (M-H, Fixed, 95% CI) 0.29 [0.08, 1.04]<br />

7 Anaemia 2 Mean Difference (IV, Fixed, 95% CI) Totals not selected<br />

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

at baseline<br />

2 Mean Difference (IV, Fixed, 95% CI) Not estimable<br />

7.2 Mean change in<br />

haemoglobin (g/dl) from<br />

baseline to Day 28<br />

1 Mean Difference (IV, Fixed, 95% CI) Not estimable<br />

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

at Day 42 or last day of follow<br />

up.<br />

1 Mean Difference (IV, Fixed, 95% CI) Not estimable<br />

8 Serious adverse events (including<br />

deaths)<br />

5 2684 Risk Ratio (M-H, Fixed, 95% CI) 1.08 [0.56, 2.08]<br />

9 Early vomiting 2 893 Risk Ratio (M-H, Fixed, 95% CI) 1.42 [0.54, 3.68]<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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