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

Tzang 2012.

Methods A prospective observational study for 48 weeks. Patients categorised into 4 groups based on occurring treatment:
  1. No treatment

  2. Immediate release (IR) methylphenidate

  3. Osmotic release oral system (OROS) methylphenidate

  4. Immediate release and osmotic release oral system methylphenidate

Participants Number of participants screened: not stated
Number of participants included: 757
Number of participants included in each group: IR methylphenidate: 265, OROS methylphenidate: 293, IR and OROS methylphenidate: 129, controls (no intervention): 70
Number of participants followed up in each arm: IR methylphenidate: 265, OROS methylphenidate: 293, IR and OROS methylphenidate: 129, controls: 70
Number of withdrawals in each arm: IR methylphenidate: 0, OROS methylphenidate: 0, IR and OROS methylphenidate: 0, controls: 0
Diagnosis of ADHD: DSM‐IV (combined (58.52%), hyperactive‐impulsive (4.76%), inattentive (36.72%))
Age: mean 10.05 (SD 2.65) years old (range: 6‐18 years)
IQ: not stated
Sex: 607 males, 150 females
Methylphenidate‐naïve: not stated
Ethnicity: white (0%), African American (0%), Asian (100%), Hispanic (0%), others (0%)
Country: Taiwan
Comorbidity: oppositional defiant disorder (21.80%), conduct disorder (1.85%), anxiety disorder (3.04%), depressive disorder (0.40%), tic disorder (2.64%), Tourette disorder (1.59%), somatisation (5.15%), others (7.40%)
Comedication: 6.61%
Sociodemographics: not stated
Inclusion criteria:
  1. Age 6‐18 years

  2. ADHD according to DSM‐IV

  3. No ADHD medication for ≥ 4 weeks

  4. Living with parents/caregivers who could complete questionnaires during the study

  5. Ability of parents or guardians to provide signed and dated informed consent for the participations of their children/wards in the study

  6. Being still at school


Exclusion criteria:
  1. Parents/caregivers with known or suspected psychotic disease, mental retardation or any mental condition that may affect their ability to complete the questionnaires

  2. Glaucoma or seizures

  3. Parents/caregivers with drug or alcohol abuse/dependence within the prior 6 months

  4. Serious or uncontrolled medical illness

  5. Use of one or both of the study drugs within the past month

Interventions Methylphenidate type: immediate release (IR) and osmotic release oral system (OROS)
Methylphenidate dosage: not stated
Administration schedule: OROS‐methylphenidate once a day, other groups not stated
Duration of intervention: 48 weeks
Treatment compliance: not stated
Outcomes The frequency of adverse effects was determined using a symptom checklist that included the following items: decreased appetite, nausea, somnolence, insomnia, headache, dizziness, abdominal pain, and stomachache at 12, 24, 36, and 48 weeks
Notes Sample calculation: no information
Ethics approval: not stated
Funding/vested interests/authors' affiliations: supported by Janssen‐Cilag, Taiwan
Key conclusions of the study authors: OROS methylphenidate treatment at the adequate dosage can achieve higher remission and recovery rates, produce greater functional improvement, and result in better treatment adherence that IR methylphenidate treatment
Supplemental information requested through email correspondence with the authors in December 2013 and January 2014. No reply