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. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Miller‐Horn 2008.

Methods A retrospective cohort study of patients with ADHD attending a clinic over a 2‐year period taking methylphenidate
Participants Number of participants screened: 516
Number of participants included: 150
Number of participants followed up: 137
Number of withdrawals:13
63 took MPH, of which 40 (29.2% of whole sample) took extended release methylphenidate and 23 (16.8%) took immediate release methylphenidate.
Diagnosis of ADHD: DSM‐IV (subtype: combined 121 (88.3%), hyperactive‐impulsive 4 (2.9%), inattentive 12 (8.8%))
Age: males: mean 9.9 (SD 3), range 4‐19 years old; females: 10.9 (SD 3.4), range 4‐17 years old
IQ: not stated
Sex: 109 males, 28 females
Methylphenidate‐naïve: 65%
Ethnicity: not stated
Country: USA
Comorbidity: 87 (64%) (type: oppositional defiant disorder/conduct disorder (16%), seizures (15%), learning disabilities (14%), PDD 13%, sleep disturbances (9%), mental retardation/cerebral palsy (7%), chronic headaches (6%), Tourette's (6%), obsessive compulsive disorder/depression (6%))
Comedication: all patients were on monotherapy for medications used in the treatment of ADHD; however, some of the patients were currently being treated for comorbid conditions
Sociodemographics: not stated
Inclusion criteria
  1. DSM‐IV diagnosis of ADHD

  2. Taking anti‐ADHD medication including any form of dexamphetamine, any form of methylphenidate, atomoxetine


Exclusion criteria
  1. Treatment with any other medication including clonidine, Focalin, Metadate, guanfacine

  2. Patients diagnosed and/or treated by a clinician "outside our group"

Interventions Methylphenidate type: osmotic release oral system (OROS) and immediate release
OROS‐methylphenidate dosage: mean 34.2 (SD 13.6) mg/day (range 18‐54)
IR‐methylphenidate dosage: mean 23.3 (SD 14.8) mg/day (range 5‐60)
Administration schedule: not stated
Duration of intervention: not stated
Treatment compliance: not stated
Outcomes Retrospective database analysis. The database contained information on side effects. No other information regarding measurement available
Notes Sample calculation: not stated
Ethics approval: approved by the Institutional Review Board at St. Christopher's Hospital for Children in Philadelphia
Funding/vested interests/authors' affiliations: not stated
Key conclusions of the study authors: atomoxetine showed a significantly lower incidence of headaches than amphetamine/dextroamphetamine XR, amphetamine/dextroamphetamine or OROS‐methylphenidate
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: not stated
Supplemental information requested twice in June 2014 with no reply