Lee 2012.
Methods | A cohort study of methylphenidate use in children with ADHD for 4 weeks | |
Participants | Number of participants screened: not stated Number of participants included: 93 Number of participants followed up: 63 Number of withdrawals: 30 Diagnosis of ADHD: DSM‐IV‐TR (subtype: combined (84.1%), hyperactive‐impulsive (not stated), inattentive (not stated)) Age: mean 8.58 (SD 1.61) years IQ: mean 96.39 (SD 17.01) Sex: 56 males, 7 females Methylphenidate‐naïve: not stated Ethnicity: not stated Country: Korea Comorbidity: not stated Comedication: not stated Sociodemographics: not stated Inclusion criteria
Exclusion criteria
|
|
Interventions | Methylphenidate type: osmotic release oral system (OROS) or Metadate‐CD Mean methylphenidate dosage: 1.0 (SD 0.25) mg/kg. Initial doses for OROS‐MPH 18 mg and Metadate‐CD 10 mg; dose range and maximum dose for OROS‐MPH was 0.4‐1.8 mg/kg and 72 mg and for Metadate‐CD was 0.6‐1.5 mg/kg and 60 mg) Administration schedule: daily Duration of intervention: 4 weeks Treatment compliance: the children and caregivers were visited weekly to review whether medication was taken as prescribed |
|
Outcomes |
Non‐serious adverse events
|
|
Notes | Sample calculation: irrelevant
Ethics approval: the study protocols were reviewed and approved by each site's Institutional Review Board
Funding/vested interests: Yeungnam University research grants in 2009. No conflicts of interest statement Key conclusions of the study authors: methylphenidate had negative impacts on sleep among young ADHD children, but different preparations and doses did not affect the result Comments from the study authors: data yielded by a sleep diary, which relies on the validity of parents' observations, may not be an accurate representation of reality. Used a flexible titration method and did not divide the participants into parallel groups from the beginning. Lack of blinding. More than 30% did not complete the procedure. Comments from the review authors: participants were dropped from the study if they violated the study protocol by failing to take the prescribed medicine more than twice a week, or if they presented with serious adverse effects such as seizures or hallucinations Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: not stated Supplemental information requested from the study authors in August 2014. Email sent twice but no answer received |