Table 2.
Type of analysis | Studies (n) | Participants (n) | OR | 95% CI | p | Heterogeneity | Egger's test | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
τ2 | Q | p | I2 (%) | t | p | |||||||
Review question 1 | ADHD | Control | ||||||||||
Overall crude OR | 12 | 267 556 | 2 464 878 | 2.01 | 1.63–2.46 | <0.001 | 0.11 | 92.70 | <0.001 | 93.1 | −1.79 | 0.104 |
Adjusted ORa | 4 | 5229 | 60 112 | 1.98 | 1.60–2.45 | <0.001 | 0.33 | 7.81 | 0.050 | 64.7 | −0.31 | 0.789 |
Migraine | 5 | 259 782 | 2 362 651 | 2.22 | 1.76–2.79 | <0.001 | 0.04 | 10.38 | 0.035 | 67.6 | −0.94 | 0.418 |
Tension headache | 3 | 534 | 7221 | 0.80 | 0.57–1.12 | 0.196 | 0.03 | 3.38 | 0.185 | 36.5 | 1.07 | 0.478 |
Review question 2 | Treatment | Placebo | ||||||||||
Amphetamine | 10 | 1780 | 892 | 1.05 | 0.80–1.38 | 0.723 | 0.04 | 11.26 | 0.258 | 21.53 | 2.10 | 0.069 |
Atomoxetine | 22 | 2387 | 1470 | 1.29 | 1.06–1.56 | 0.010 | 0 | 18.90 | 0.528 | 0 | 1.27 | 0.221 |
Maximum dosage < 1.5 mg/kg | 9 | 902 | 620 | 1.53 | 1.01–2.30 | 0.043 | 0.11 | 12.76 | 0.240 | 28.7 | 1.37 | 0.214 |
Maximum dosage ⩾ 1.5 mg/kg | 13 | 1485 | 850 | 1.22 | 0.96–1.54 | 0.105 | 0 | 7.88 | 0.724 | 0 | 0.16 | 0.878 |
Forced titration | 11 | 1368 | 708 | 1.33 | 1.01–1.75 | 0.041 | 0.02 | 13.26 | 0.209 | 8.46 | −0.11 | 0.918 |
Flexible/optimized dose | 11 | 1019 | 762 | 1.24 | 0.93–1.65 | 0.148 | 0 | 5.51 | 0.788 | 0 | 2.66 | 0.029 |
Bupropion | 1 | 53 | 52 | 0.79 | 0.33–1.93 | 0.613 | ||||||
Clonidine | 1 | 31 | 30 | 1.73 | 0.38–7.99 | 0.482 | ||||||
Guanfacine | 8 | 1275 | 681 | 1.43 | 1.12–1.82 | 0.005 | 0 | 4.17 | 0.760 | 0 | 2.05 | 0.086 |
Methylphenidate | 17 | 2077 | 1294 | 1.33 | 1.09–1.63 | 0.005 | 0 | 10.96 | 0.812 | 0 | −0.58 | 0.570 |
Monotherapy with oral formation | 15 | 1781 | 1070 | 1.41 | 1.12–1.78 | 0.003 | 0 | 9.81 | 0.776 | 0 | −1.22 | 0.245 |
OROS/extended release | 13 | 1793 | 1132 | 1.37 | 1.11–1.70 | 0.003 | 0 | 7.74 | 0.805 | 0 | 0.57 | 0.578 |
Immediate release | 3 | 139 | 90 | 1.00 | 0.33–3.00 | 0.999 | 0.28 | 2.38 | 0.305 | 27.3 | −2.64 | 0.231 |
Modafinil | 6 | 520 | 298 | 1.24 | 0.73–2.13 | 0.429 | 0.18 | 7.61 | 0.179 | 42.3 | 0.59 | 0.589 |
OROS, osmotic-release oral system.
Adjusted variables: Jameson et al. (2016), adjusted for age, sex, race, and parental education; Lateef et al. (2009), adjusted for sex, age, race, and poverty index ratio; Schieve et al. (2012), adjusted for age, sex, race, and maternal education; Strine, Okoro, McGuire, & Balluz. (2006), adjusted for age, sex, race, parental structure, poverty status, type of health care coverage, and number of comorbid conditions.