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

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Analysis 3.2. Comparison 3 Dihydroartemisinin-piperaquine vs Artesunate plus amodiaquine, Outcome 2<br />

Total Failure (P. falciparum) Day 28 PCR adjusted.<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: 2 Total Failure (P. falciparum) Day 28 PCR adjusted<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 10/236 16/222 72.3 % 0.59 [ 0.27, 1.27 ]<br />

Subtotal (95% CI) 236 222 72.3 % 0.59 [ 0.27, 1.27 ]<br />

Total events: 10 (DHA-P), 16 (AS+AQ)<br />

Heterogeneity: not applicable<br />

Test <strong>for</strong> overall effect: Z = 1.35 (P = 0.18)<br />

2 Asia<br />

Hasugian 2005 IDN 1/90 6/81 27.7 % 0.15 [ 0.02, 1.22 ]<br />

Subtotal (95% CI) 90 81 27.7 % 0.15 [ 0.02, 1.22 ]<br />

Total events: 1 (DHA-P), 6 (AS+AQ)<br />

Heterogeneity: not applicable<br />

Test <strong>for</strong> overall effect: Z = 1.77 (P = 0.076)<br />

Total (95% CI) 326 303 100.0 % 0.47 [ 0.23, 0.94 ]<br />

Total events: 11 (DHA-P), 22 (AS+AQ)<br />

Heterogeneity: Chi 2 = 1.47, df = 1 (P = 0.22); I 2 =32%<br />

Test <strong>for</strong> overall effect: Z = 2.12 (P = 0.034)<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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