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Table 1 Demographic and clinical characteristics of OROS-MPH users with ADHD in the US and Japan, by age groups

From: Dose titration of osmotic release oral system methylphenidate in children and adolescents with attention-deficit hyperactivity disorder: a retrospective cohort study

 

United States

Japan

Child group (n = 98,973)

Adolescent group (n = 62,002)

Child group (n = 4595)

Adolescent group (n = 1508)

Median age at index date, years (IQR)

9 (8–11)

15 (14–16)

9 (8–11)

14 (14–16)

Sex, n (%)

 Male

71,559 (72.3)

42,020 (67.8)

3923 (85.4)

1102 (73.1)

 Female

27,414 (27.7)

19,982 (32.2)

672 (14.6)

406 (26.9)

Comorbid psychiatric disordersa, n (%)

 Overall

10,819 (10.9)

10,439 (16.8)

424 (9.2)

353 (23.4)

 Major depressive

2466 (2.5)

5236 (8.4)

96 (2.1)

220 (14.6)

 Anxiety

4844 (4.9)

4647 (7.5)

127 (2.8)

106 (7.0)

 Learning disorder

1989 (2.0)

809 (1.3)

181 (3.9)

66 (4.4)

 Oppositional behavior

2853 (2.9)

1815 (2.9)

30 (0.7)

10 (0.7)

 Substance related disorders

32 (0.03)

305 (0.5)

10 (0.2)

4 (0.3)

Other ADHD medication users before OROS-MPHb, n (%)

 Overall

45,558 (46.0)

24,398 (39.4)

786 (17.1)

320 (21.2)

 Psychostimulants:

  Overall

40,248 (40.7)

21,591 (34.8)

23 (0.5)

5 (0.3)

  Other generic MPH

23,566 (23.8)

12,915 (20.8)

24 (0.5)

5 (0.3)

  Amphetamine

11,775 (11.9)

5385 (8.7)

0

0

  Other psychostimulantsc

10,660 (10.8)

5581 (9.0)

0

0

 Non-psychostimulants:

  Overall

11,815 (11.9)

5922 (9.6)

766 (16.7)

317 (21.0)

  Atomoxetine

5978 (6.0)

3040 (4.9)

637 (13.9)

282 (18.7)

  Guanfacine

3320 (3.4)

1678 (2.7)

185 (4.0)

51 (3.4)

  Clonidine

3426 (3.5)

1613 (2.6)

0

0

  Other non-psychostimulantsd

0

0

1 (0.02)

9 (0.6)

  1. ADHD Attention deficit hyperactivity disorder, OROS-MPH Osmotic release oral system methylphenidate, IQR Inter-quartile range, Child group: 6 to < 13 years; adolescent group: 13 to < 18 years
  2. aComorbid psychiatric disorders within 6 months prior to index episode; patients might have more than one disorder
  3. ball ADHD medications within 6 months prior to index episode; patients might have more than one medication
  4. clisdexamfetamine, dextroamphetamine, methamphetamine, and dexmethylphenidate; d: modafinil and pemoline