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

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(Continued)<br />

Outcomes Illustrative comparative risks* (95% CI) Relative effect<br />

(95% CI)<br />

Efficacy: Total Failure<br />

(P. falciparum)<br />

Day 28 PCR adjusted<br />

Efficacy: Total Failure<br />

(P. falciparum)<br />

Day 28 PCR un adjusted-<br />

Vivax efficacy: P.<br />

vivax parasitaemia<br />

Transmission<br />

potential: Gametocyte<br />

carriage day<br />

14<br />

Harms: Serious adverse<br />

events (including<br />

deaths)<br />

Harms: Early vomiting<br />

Assumed risk Corresponding<br />

risk<br />

Amodiaquine plus<br />

sulfadoxinepyrimethamine<br />

Artesunate plus<br />

amodiaquine<br />

- - - 2346<br />

(6)<br />

- - - 4220<br />

(8)<br />

No of participants<br />

(studies)<br />

Quality of the evidence<br />

(GRADE)<br />

⊕<br />

very low 1,2,3,4,5<br />

⊕<br />

very low 1,4,5,6,7,8<br />

- - - - Not reported<br />

38 per 1000 22 per 1000<br />

(6 to 77)<br />

17 per 1000 1 per 1000<br />

(6 to 18)<br />

RR 0.57<br />

(0.16 to 2.02)<br />

RR 0.61<br />

(0.36 to 1.03)<br />

894<br />

(3)<br />

4200<br />

(7)<br />

⊕<br />

very low 4,9,10,11,12<br />

⊕⊕⊕<br />

moderate 13,14,15<br />

- - - - Not reported<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 />

Footnotes<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 />

262

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