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

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(Continued)<br />

Efficacy: Total Failure<br />

(P. falciparum)<br />

Day 42 PCR adjusted<br />

- Asia<br />

Efficacy: Total Failure<br />

(P. falciparum)<br />

Day 42 PCR unadjusted<br />

- Asia<br />

Vivax efficacy: P.<br />

vivax parasitaemia<br />

by D42<br />

Transmission<br />

potential: Gametocytedevelopment<br />

(in those negative<br />

at baseline)<br />

Harms: Serious adverse<br />

events (including<br />

deaths)<br />

Harms: Early vomiting<br />

22 per 1000 17 per 1000<br />

(4 to 83)<br />

161 per 1000 97 per 1000<br />

(56 to 169)<br />

197 per 1000 63 per 1000<br />

(47 to 85)<br />

RR 0.77<br />

(0.16 to 3.76)<br />

RR 0.60<br />

(0.35 to 1.05)<br />

RR 0.32<br />

(0.24 to 0.43)<br />

317<br />

(1)<br />

356<br />

(1)<br />

1442<br />

(4)<br />

- - - 1203<br />

(4)<br />

6 per 1000 10 per 1000<br />

(4 to 27)<br />

23 per 1000 32 per 1000<br />

(16 to 64)<br />

RR 1.71<br />

(0.66 to 4.46)<br />

RR 1.38<br />

(0.68 to 2.78)<br />

2110<br />

(5)<br />

1147<br />

(2)<br />

⊕<br />

very low 1,10,11,12,13<br />

⊕⊕<br />

low 10,11,12,14<br />

⊕⊕⊕⊕<br />

high 2,5,7,15,16<br />

⊕<br />

very low 17,18,19<br />

⊕⊕<br />

low 5,20,21<br />

⊕<br />

very low 5,21,22<br />

*<strong>The</strong> assumed risk is the mean risk from the studies included in this review, calculated as the number of patients in the control<br />

groups with the event divided by the total number of patients in control groups. <strong>The</strong> corresponding risk (and its 95% confidence<br />

interval) is <strong>based</strong> on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).<br />

CI: confidence interval; RR: risk ratio;<br />

GRADE Working Group grades of evidence<br />

High quality: Further research is very unlikely to change our confidence in the estimate of effect.<br />

Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change<br />

the estimate.<br />

Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to<br />

change the estimate.<br />

Very low quality: We are very uncertain about the estimate.<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 />

243

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