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

Ayaz 2014.

Methods A case‐control study of methylphenidate use for 12 months
Participants Number of participants screened: 2171
Number of participants included: 1348
Number of participants followed up: 877 (methylphenidate only: 788)
Number of withdrawals: 195
Diagnosis of ADHD: DSM‐IV (subtype: not stated)
Age: mean continuing: 9.01 (SD 2.36); mean discontinuing: 9.52 (SD 2.37). Range: 6‐18 years old
IQ: > 70
Sex: 687 males, 132 female
Methylphenidate‐naïve: 100%
Ethnicity: not stated
Country: Turkey
Comorbidity: ODD, CD, learning disorders, mood disorders, anxiety disorders, tic, elimination disorders
Comedication: atomoxetine
Sociodemographics: low educational level of mother: children continuing: 67.9%; children discontinuing: 73.4%, low educational level of father: children continuing: 54.3%; children discontinuing: 56.9%
Inclusion criteria
  1. ADHD medication first administered ≥ 12 months prior beginning study

  2. Evaluation of efficacy and side effects


Exclusion criteria
  1. Previous ADHD treatment

  2. ADHD treatment from another clinic after initiating medication

  3. > 18 years old

  4. Treatment discontinued by clinicians

  5. Insufficient data, or evaluation scores not appropriately calculated

  6. Adopted, living in institutions, or not living with parents

  7. Mental retardation, pervasive developmental disorders, psychosis, substance abuse/addiction, bipolar disorder

Interventions Methylphenidate type: immediate and extended release
Methylphenidate dosage: not stated
Administration schedule: not stated
Duration of intervention: 12 months
Treatment compliance: 265 continued treatment 12 months after the initiation of the prescription
Outcomes Since data includes atomoxetine no outcomes are usable
Notes Sample calculation: no
Any withdrawals due to adverse events: yes
Ethics approval: yes
Funding/vested interest/authors' affiliations: none stated
Key conclusions of the study authors: medication persistence, in Turkish children, can be influenced by younger age, higher hyperactivity/impulsivity scores, use of long acting MPH, addition of another ADHD medication, and addition of other psychotropic medications, absence of adverse events, efficacy level perceived by the parents
Comments from the study authors: limitations due to retrospective approach of the study, the determination of medication persistence, lack of sufficient data about the treatment efficacy and side effects after each medication was switched, and information obtained on the side effects spontaneously by parental reports.
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: yes, methylphenidate responders only
Supplemental information requested from the study authors in April 2016. No answer