Evidence map›Paper›PMID 33389157›Full record

ArticleEuropean child & adolescent psychiatry2022

Methylphenidate and TBI in ADHD and co-occurring epilepsy and mental disorders: a self-controlled case series study.

Vincent Chin-Hung Chen, Yao-Hsu Yang, Charles Tzu-Chi Lee, Yi-Lung Chen, Michael E Dewey, Michael Gossop

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Article in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 55% 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

2 citing papers in PubMed, 1 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

6 authors at 5 institutions in 2 countries.

Vincent Chin-Hung ChenDepartment of Psychiatry, Chiayi Branch, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yao-Hsu YangHealth Information and Epidemiology Laboratory, Chang Gung Memorial Hospital, 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, No. 500, Lioufeng Rd., Wufeng, Taichung, 41354, Taiwan. elong@asia.edu.tw.ORCID http://orcid.org/0000-0003-2934-5814
Michael E DeweyInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Michael GossopNational Addiction Centre, Institute of Psychiatry, King's College London, London, UK.
King's College London · GBAsia University · TWChang Gung University · TWChiayi Chang Gung Memorial Hospital · TWNational Taiwan Normal University · TW

Funding

Chiayi Chang Gung Memorial Hospital CLRPG6G0042
6 · The paper itself

Abstract

It is suggested that medication for attention-deficit hyperactivity disorder (ADHD) links to lower risk of traumatic brain injury (TBI). Little is known about whether the beneficial effect of methylphenidate is persistent in individuals with other comorbid mental disorders and epilepsy. We identified 90,634 participants who were less than 18 years old and diagnosed with ADHD from Taiwan's National Health Insurance Research Database (NHIRD) from January 1, 2000 to December 31, 2013. Cox proportional hazards models with hazard ratio (HR) and 95% confidence interval were conducted to compare the risks of TBI event between groups of ADHD-only and ADHD with co-occurring other mental disorders. Within-individual comparisons using a self-controlled case series study design were conducted using conditional Poisson regression models with relative incidence (RR) and 95% CI to examine the effect of methylphenidate on TBI with adjustment for medication of psychotropics and anticonvulsants. For children and adolescents with ADHD, we found comorbid mental disorders and epilepsy increase the risk of TBI, with HRs ranged from 1.21 to 1.75. For the effect of MPH, we found reduced risks for TBI in ADHD (RR = 0.83, 95% CI = 0.70-0.98). Similar results were found among individuals with co-occurring oppositional defiant disorders or conduct disorder, MDD, tic disorders and epilepsy. Methylphenidate treatment was linked to lower risk for TBI in patients with ADHD and the inverse association was persistent among those with other comorbid mental disorders and epilepsy.

Indexed as

Attention Deficit Disorder with HyperactivityBrain Injuries, TraumaticCentral Nervous System StimulantsEpilepsyMethylphenidateAdolescentChildHumansCentral Nervous System StimulantsMethylphenidateADHD medicationSelf-controlled case series studyTBI

Identifiers

PMID33389157
OpenAlexW3118582743

What OpenQuestion holds

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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.