Evidence map›Paper›PMID 32686635›Full record

ArticleEpidemiology and psychiatric sciences2020

Methylphenidate and the risk of burn injury among children with attention-deficit/hyperactivity disorder.

Vincent Chin-Hung Chen, Yao-Hsu Yang, Ting Yu Kuo, Mong-Liang Lu, Wei-Ting Tseng, Tsai-Yu Hou, Jia-Ying Yeh, Charles Tzu-Chi Lee, Yi-Lung Chen, Min-Jing Lee and 2 more

Open access · goldAbstract read
In one paragraph

Article in Epidemiology and psychiatric sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Vincent Chin-Hung ChenDepartment of Psychiatry, Chang Gung Memorial Hospital, Chiayi Branch, Chiayi, Taiwan.
Yao-Hsu YangHealth Information and Epidemiology Laboratory, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Ting Yu KuoHealth Information and Epidemiology Laboratory, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Mong-Liang LuDepartment of Psychiatry & Psychiatric Research Center, Wan-Fang Hospital and Taipei Medical University, Taipei, Taiwan.
Wei-Ting TsengDepartment of Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Branch, Chiayi, Taiwan.
Tsai-Yu HouDepartment of Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Branch, Chiayi, Taiwan.
Jia-Ying YehDepartment of Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Branch, Chiayi, Taiwan.
Charles Tzu-Chi LeeDepartment of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.
Yi-Lung ChenDepartment of Healthcare Administration, Asia University, Taichung, Taiwan.ORCID https://orcid.org/0000-0003-2934-5814
Min-Jing LeeDepartment of Psychiatry, Chang Gung Memorial Hospital, Chiayi Branch, Chiayi, Taiwan.ORCID https://orcid.org/0000-0002-0269-8743
Michael E DeweyInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Michael GossopNational Addiction Centre, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.
Chiayi Chang Gung Memorial Hospital · TWChang Gung University · TWKing's College London · GBAsia University · TWNational Taiwan Normal University · TWWan Fang Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAttention-deficit/hyperactivity disorder (ADHD) is associated with a higher risk of burn injury than in the normal population. Nevertheless, the influence of methylphenidate (MPH) on the risk of burn injury remains unclear. This retrospective cohort study analysed the effect of MPH on the risk of burn injury in children with ADHD.

methodData were from Taiwan's National Health Insurance Research Database (NHIRD). The sample comprised individuals younger than 18 years with a diagnosis of ADHD (n = 90 634) in Taiwan's NHIRD between January 1996 and December 2013. We examined the cumulative effect of MPH on burn injury risk using Cox proportional hazards models. We conducted a sensitivity analysis for immortal time bias using a time-dependent Cox model and within-patient comparisons using the self-controlled case series model.

resultsChildren with ADHD taking MPH had a reduced risk of burn injury, with a cumulative duration of treatment dose-related effect, compared with those not taking MPH. Compared with children with ADHD not taking MPH, the adjusted hazard ratio for burn injury was 0.70 in children taking MPH for <90 days (95% confidence interval (CI) 0.64-0.77) and 0.43 in children taking MPH for ≥90 days (95% CI 0.40-0.47), with a 50.8% preventable fraction. The negative association of MPH was replicated in age-stratified analysis using time-dependent Cox regression and self-controlled case series models.

conclusionThis study showed that MPH treatment was associated with a lower risk of burn injury in a cumulative duration of treatment dose-related effect manner.

Indexed as

AdolescentAttention Deficit Disorder with HyperactivityBurnsCentral Nervous System StimulantsChildChild, PreschoolFemaleHumansIncidenceMaleMethylphenidateOutcome Assessment, Health CareProportional Hazards ModelsRetrospective StudiesRiskTaiwanCentral Nervous System StimulantsMethylphenidateAttention-deficit/hyperactivity disorderburn injurymethylphenidate

Identifiers

PMID32686635
PMCPMC7372158
OpenAlexW3045297015

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.