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

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Comparison 12. Artesunate plus amodiaquine vs Artesunate 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 />

7 Risk Ratio (M-H, Random, 95% CI) Totals not selected<br />

1.1 Africa 7 Risk Ratio (M-H, Random, 95% CI) Not estimable<br />

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

28 PCR adjusted<br />

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

2.1 Africa 7 1419 Risk Ratio (M-H, Fixed, 95% CI) 0.64 [0.37, 1.08]<br />

3 Gametocyte carriage 3 Risk Ratio (M-H, Random, 95% CI) Subtotals only<br />

3.1 Gametocyte carriage day 0 3 532 Risk Ratio (M-H, Random, 95% CI) 0.89 [0.60, 1.32]<br />

3.2 Gametocyte carriage day 3 2 363 Risk Ratio (M-H, Random, 95% CI) 0.91 [0.67, 1.25]<br />

3.3 Gametocyte carriage day 7 2 363 Risk Ratio (M-H, Random, 95% CI) 1.02 [0.64, 1.61]<br />

3.4 Gametocyte carriage day<br />

14<br />

3 520 Risk Ratio (M-H, Random, 95% CI) 1.08 [0.32, 3.73]<br />

4 Proportion of participants with<br />

anaemia<br />

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

4.1 At baseline 2 452 Risk Ratio (M-H, Fixed, 95% CI) 0.91 [0.83, 1.00]<br />

4.2 At Day 28 2 429 Risk Ratio (M-H, Fixed, 95% CI) 0.95 [0.79, 1.14]<br />

5 Serious adverse events (including<br />

deaths)<br />

4 1108 Risk Ratio (M-H, Fixed, 95% CI) 0.99 [0.14, 7.02]<br />

Comparison 13. Artesunate plus amodiaquine 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 />

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

1.1 East Africa 5 3317 Risk Ratio (M-H, Random, 95% CI) 0.72 [0.51, 1.01]<br />

1.2 West Africa 2 766 Risk Ratio (M-H, Random, 95% CI) 6.57 [0.68, 63.26]<br />

1.3 Other 1 155 Risk Ratio (M-H, Random, 95% CI) 3.12 [1.05, 9.25]<br />

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

28 PCR adjusted<br />

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

2.1 East Africa 3 1515 Risk Ratio (M-H, Random, 95% CI) 0.44 [0.22, 0.89]<br />

2.2 West Africa 2 701 Risk Ratio (M-H, Random, 95% CI) 9.72 [1.19, 79.26]<br />

2.3 Other 1 148 Risk Ratio (M-H, Random, 95% CI) 2.23 [0.58, 8.58]<br />

3 Gametocyte development 2 1354 Risk Ratio (M-H, Fixed, 95% CI) 0.67 [0.54, 0.82]<br />

4 Gametocyte carriage 3 Risk Ratio (M-H, Random, 95% CI) Subtotals only<br />

4.1 Gametocyte carriage day 0 3 909 Risk Ratio (M-H, Random, 95% CI) 0.69 [0.13, 3.59]<br />

4.2 Gametocyte carriage day 3 1 521 Risk Ratio (M-H, Random, 95% CI) Not estimable<br />

4.3 Gametocyte carriage day 7 3 897 Risk Ratio (M-H, Random, 95% CI) 0.25 [0.02, 2.69]<br />

4.4 Gametocyte carriage day<br />

14<br />

3 894 Risk Ratio (M-H, Random, 95% CI) 0.57 [0.16, 2.02]<br />

5 Anaemia 4 Mean Difference (IV, Fixed, 95% CI) Totals not selected<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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