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. 2021 Oct 12;52(1):14–25. doi: 10.1017/S0033291721004141

Table 2.

Summary of results of pooled ORs about the association between ADHD and headache in the main and in the subgroup meta-analyses

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.

a

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.