Cochrane · systematic review · CD007813

Amphetamines for attention deficit hyperactivity disorder (ADHD) in adults

Castells, X, Blanco‐Silvente, L, Cunill, R · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
11
current version
GRADE rated
7
No studies
4
Included studies
NR
No studies 4 · 36.4%Ungraded 0 · 0%Very low 2 · 18.2%Low 5 · 45.5%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Amphetamines versus placebo for attention deficit hyperactivity disorder (ADHD) in adults

Population: adult patients with attention deficit hyperactivity disorder (ADHD)
11 questions
OutcomeEffectEvidenceStatus / GRADE
Dexamphetamine
Amphetamines vs placebo
no estimate extractedNRNo studies
ADHD symptom severity: clinician rated
Amphetamines vs placebo
no estimate extracted1 study · 49 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
ADHD symptom severity: patient rated
Amphetamines vs placebo
no estimate extracted2 studies · 35 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Lisdexamfetamine
Amphetamines vs placebo
no estimate extractedNRNo studies
ADHD symptom severity: clinician rated
Amphetamines vs placebo
no estimate extracted7 studies · 896 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
ADHD symptom severity: patient rated
Amphetamines vs placebo
no estimate extracted3 studies · 67 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Mixed amphetamine salts
Amphetamines vs placebo
no estimate extractedNRNo studies
ADHD symptom severity: clinician rated
Amphetamines vs placebo
no estimate extracted5 studies · 1083 participantsLow
Downgraded: risk of bias, publication bias
ADHD symptom severity: patient rated
Amphetamines vs placebo
no estimate extracted1 study · 18 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
All amphetamines
Amphetamines vs placebo
no estimate extractedNRNo studies
Retention in treatment
Amphetamines vs placebo
RR 1.06 [0.99, 1.13]17 studies · 2323 participantsLow
Downgraded: risk of bias, inconsistency