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

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Analysis 3.1. Comparison 3 Dihydroartemisinin-piperaquine vs Artesunate plus amodiaquine, Outcome 1<br />

Total Failure (P. falciparum) Day 28 PCR unadjusted.<br />

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

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

Outcome: 1 Total Failure (P. falciparum) Day 28 PCR unadjusted<br />

Study or subgroup DHA-P AS+AQ Risk Ratio Weight Risk Ratio<br />

1 Africa<br />

n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI<br />

Karema 2004 RWA 24/250 45/251 82.5 % 0.54 [ 0.34, 0.85 ]<br />

Subtotal (95% CI) 250 251 82.5 % 0.54 [ 0.34, 0.85 ]<br />

Total events: 24 (DHA-P), 45 (AS+AQ)<br />

Heterogeneity: not applicable<br />

Test <strong>for</strong> overall effect: Z = 2.64 (P = 0.0082)<br />

2 Asia<br />

Hasugian 2005 IDN 5/94 9/84 17.5 % 0.50 [ 0.17, 1.42 ]<br />

Subtotal (95% CI) 94 84 17.5 % 0.50 [ 0.17, 1.42 ]<br />

Total events: 5 (DHA-P), 9 (AS+AQ)<br />

Heterogeneity: not applicable<br />

Test <strong>for</strong> overall effect: Z = 1.30 (P = 0.19)<br />

Total (95% CI) 344 335 100.0 % 0.53 [ 0.35, 0.81 ]<br />

Total events: 29 (DHA-P), 54 (AS+AQ)<br />

Heterogeneity: Chi 2 = 0.02, df = 1 (P = 0.90); I 2 =0.0%<br />

Test <strong>for</strong> overall effect: Z = 2.95 (P = 0.0032)<br />

0.01 0.1 1 10 100<br />

Favours DHA-P Favours AS+AQ<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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