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Table. 2 Characteristics of included studies

From: Prevalence of bone fractures among children and adolescents with attention-deficit/hyperactivity disorder: a systematic review and meta-analysis

Study, Year

Country

Study Setting

Study Design

Duration

Sample Size

Age Range

Sex (of ADHD cohort)

Identification Method

Outcomes Reported

Fracture Types Reported

     

ADHD Group

Control Group

 

Male

ADHD

Fracture

  

Brehaut, 2003[9]

Canada

British Columbia (BC) Linked Health Dataset (BCLHD) and the BC Triplicate Prescription Program

Cohort (retro-spective)

7 years

16,806

1,010,067

0–19 years

81.6 %

Methylphenidate prescription

ICD-9-CM

Fractures; Open wounds; Poisoning/toxic effect; Intracranial; Concussion; Burns

Overall

Chou, 2014[43]

Taiwan

Longitudinal Health Insurance Database (LHID)

Cohort (retro-spective)

11 years

3,640

14,560

0–18 years

79.0 %

ICD-9-CM

 

Fractures

Skull, neck, ribs, and spine; Upper limb; Lower limb

Jacob, 2017[45]

Germany

Disease Analyzer database (IMS Health)

Nested case-control

6 years

27,880

 

6–17 years

76.5 %

ICD-10

ICD-10

Fractures

Forearm; Wrist and hand; Shoulder and upper arm; Foot and toe (except ankle); Lower leg (including ankle); Skull and face; Other

Raman, 2013[46]

United Kingdom

The Health Improvement Network (THIN)

Self-controlled case series

15.5 years

4,234

 

1–18 years

 

Read clinical classification system identification AND methylphenidate or dexamphetamine prescription

Read clinical classification system identification

Fractures; Intracranial; Traumatic complications; Sprains and strains; Superficial injury; Contusion; Open wound; Poisoning; Crushing injury; Foreign body in orifice; Burns; Other

Upper limb; Lower limb; Skull

van den Ban, 2013[44]

Nether-lands

PHARMO record linkage system (RLS)

Cohort (retro-spective)

11 years

1,289

7,332

0–18 years

79.8 %

Methylphenidate and atomextine prescription

 

Injuries or poisoning; Fractures; Intracranial; Open wounds

Overall