Acetaminophen (Neuro-developmental outcomes)


Study Exclusion reasons Rmk Reference
Streissguth, 1987 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Streissguth Teratology 1987; 35:211-9 10.1002/tera.1420350207

Ruisch, 2018 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Ruisch J Psychiatr Res 2018; 101:63-71 10.1016/j.jpsychires.2018.02.020

Stergiakouli a, 2016 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Stergiakouli JAMA Pediatr 2016; 170:964-970 10.1001/jamapediatrics.2016.1775

Avella-Garcia, 2016 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Avella-Garcia Int J Epidemiol 2016; 45:1987-1996 10.1093/ije/dyw115

Alemany_GASPII, 2021 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Alemany Eur J Epidemiol 2021; 36:993-1004 10.1007/s10654-021-00754-4

Liew, 2019 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Liew Am J Epidemiol 2019; 188:768-775 10.1093/aje/kwy288

Bertoldi_Viva, 2020 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Bertoldi Paediatr Perinat Epidemiol 2020; 34:267-277 10.1111/ppe.12632

Bornehag_Girls, 2018 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Bornehag Eur Psychiatry 2018; 51:98-103 10.1016/j.eurpsy.2017.10.007

Alemany_Generation R, 2021 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Alemany Eur J Epidemiol 2021; 36:993-1004 10.1007/s10654-021-00754-4

Bornehag_Boys, 2018 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Bornehag Eur Psychiatry 2018; 51:98-103 10.1016/j.eurpsy.2017.10.007

Baker, 2020 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Baker JAMA Pediatr 2020; 174:1073-1081 10.1001/jamapediatrics.2020.3080

Alemany_INMA, 2021 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Alemany Eur J Epidemiol 2021; 36:993-1004 10.1007/s10654-021-00754-4

Alemany_RHEA, 2021 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions)

Alemany Eur J Epidemiol 2021; 36:993-1004 10.1007/s10654-021-00754-4

Lye, 2023 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Lye Pediatr Res 2023; 93:959-963 10.1038/s41390-022-02182-w

Alemany_ALSPAC, 2021 inadequate or absent control group EXCLUDED: Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared. No used in the core analysis in the 1st stage (use only classic, mutually exclusive exposure definitions).

Alemany Eur J Epidemiol 2021; 36:993-1004 10.1007/s10654-021-00754-4

Skovlund, 2020 not relevant exposure EXCLUDED: Analysis of opioid exposure (paracetamol use measured for adjustment of the analysis).

Skovlund, E. Pharmacoepidemiology and Drug Safety 2020; 29:736-. 10.1002/pds.5009

Tronnes, 2021 not relevant exposure EXCLUDED: Analysis of Opioid Exposure.

Tronnes JAMA Netw Open 2021; 4:e2124324 10.1001/jamanetworkopen.2021.24324

Hornig, 2016 not relevant exposure EXCLUDED: Analysis of impact of fever on Autism spectrum disorders (without analysis of paracetamol users versus no users).

Hornig, M. Journal of the American Academy of Child and Adolescent Psychiatry. 2016;55(10 Supplement 1):S266. 10.1016/j.jaac.2016.07.152

Croen, 2019 not relevant exposure EXCLUDED: Analysis of illness impact on Autism Spectrum Disorders (acetaminophen used as an adjustment factor).

Croen Autism Res 2019; 12:1551-1561 10.1002/aur.2175

Nordeng, 2018 not human EXCLUDED: Results of a CNS pharmacology safety model (chicken embryo) and human embryonic stem cells are used.

Nordeng, H. Basic and Clinical Pharmacology and Toxicology. 2018;123(Supplement 1):5.

Anand a, 2021 not in pregnancy EXCLUDED: Exposure determined as Coord blood acetaminophen => probably delivery or post-partum exposure. i) Same dataset Ji 2020; ii) ADHD diagnosis available according cord plasma acetaminophen ≤50th percentile vs >50th percentile.

Anand Brain Sci 2021; 11: 10.3390/brainsci11101302

Ji, 2020 not in pregnancy EXCLUDED: Exposure determined as Cord blood acetaminophen => probably delivery or post-partum exposure. Comparison of 2nd and 3rd tertile groups of Cord Acetaminophen Burden to the 1st tertile of Cord Acetaminophen Burden.

Ji JAMA Psychiatry 2020; 77:180-189 10.1001/jamapsychiatry.2019.3259

Ji, 2018 not about fetal exposure EXCLUDED: Maternal plasma biomarkers of acetaminophen use were measured using nonfasting blood samples obtained within 1–3 days postpartum. => 2h half life => Exposure could be during or after pregnancy.

Ji Brain Sci 2018; 8: 10.3390/brainsci8070127

Bauer, 2013 not relevant study design EXCLUDED: Ecological study on the correlation between autism/ASD prevalence and paracetamol (acetaminophen) use.

Bauer Environ Health 2013; 12:41 10.1186/1476-069X-12-41

Lupattelli, 2023 not relevant study design EXCLUDED: Study related to the association between maternal personality traits and the use of medication during pregnancy.

Lupattelli Front Pharmacol 2023; 14:1160168 10.3389/fphar.2023.1160168

Wing, 2017 not relevant outcome EXCLUDED: Systematic review with qualitative results only for miscarriage and gastroschisis (no quantitative results).

Wing, A. B. Obstetrics and Gynecology 2017; 129:148S-.

Ray-Griffith, 2016 not relevant outcome EXCLUDED: No relevant outcomes (results provided for depressive scores (BDI) certainly in mothers; additional exposures associated with acetaminophen; but no result provided for the Child Behavior Checklist (CBCL)).

Ray-Griffith, S. Neuropsychopharmacology. 2016 Dec;41:S347–S347.

Smith-Webb, 2023 not relevant outcome EXCLUDED: Only behavioral/emotional outcomes, not included in this meta-analysis on neuro-developmental disorders.

Smith-Webb Front Pharmacol 2023; 14:1084781 10.3389/fphar.2023.1084781

Rifas-Shiman, 2020 not relevant outcome EXCLUDED: Behavioral/emotional and executive function not included outcomes.

Rifas-Shiman Paediatr Perinat Epidemiol 2020; 34:287-298 10.1111/ppe.12596

Anand b, 2021 not relevant outcome EXCLUDED: Subsample of the Boston Birth Cohort, focusing on candidate metabolites in cord plasma as possible modifiers or mediators linking prenatal acetaminophen exposure and childhood ADHD.

Anand, N. S. Journal of Clinical and Translational Science. 2021;5(Supplement 1):120. 10.1017/cts.2021.707

Zhou, 2024 data not abstractable EXCLUDED: Data not extractable (artificial neural network models were developed (authors providing AUC and IQR)).

Zhou Healthcare (Basel) 2024; 12: 10.3390/healthcare12070713

Laue, 2019 data not abstractable EXCLUDED: Authors provided: generalized linear models with each WISC-IV subtest scaled score as the outcome and categorical acetaminophen exposure => not extractable. Definitions of the exposed and unexposed groups not mutually exclusives.

Laue Toxicol Sci 2019; 167:138-144 10.1093/toxsci/kfy222

Thompson, 2014 data not abstractable EXCLUDED: Authors provided Mean differences with 95% confidence intervals (CI), but the number of children in each groups not clearly provided => Available data cannot be transformed in OR. => Not extracted.

Thompson PLoS One 2014; 9:e108210 10.1371/journal.pone.0108210

Brandlistuen, 2012 data not abstractable EXCLUDED: Congress abstract without quantitative data ('no association') and data probably fully published in Brandlistuen 2013, Liew 2014 and/or Liew 2016.

Brandlistuen, R. Birth Defects Research Part A - Clinical and Molecular Teratology. 2012;94(5):406 10.1002/bdra.23023

Blakey, 2021 data not abstractable EXCLUDED: Maternal paracetamol intake included in early environmental risks, but no results provided for this parameter.

Blakey, R. European Neuropsychopharmacology 2021; 51:e56-. 10.1016/j.euroneuro.2021.07.122

Posner, 2021 data not abstractable EXCLUDED: Symposium abstract, without quantitative results.

Posner, J. Journal of the American Academy of Child and Adolescent Psychiatry 2021; 60:S284-. 10.1016/j.jaac.2021.07.654

Golding, 2023 data not abstractable EXCLUDED: Authors provided Mean diff [95% CI], without n in each group for each outcome => cannot be transformed in OR. Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared.

Golding Front Pharmacol 2023; 14:1116683 10.3389/fphar.2023.1116683

Saunders, 2019 data not abstractable EXCLUDED: No abstractable data for acetaminophen (only Pearson Chi-Square). OR available for use of medications (other than acetaminophen or antibiotics).

Saunders Cureus 2019; 11:e5223 10.7759/cureus.5223

Parker, 2016 data not abstractable EXCLUDED: Child cognition: Authors provided adjusted mean difference (95% CI), without raw data for each group (mean; SD; n) => cannot be transformed in OR. => Not extracted. Children’s behavioral and emotional problems available in Smith-Webb 2023.

Parker Neurotoxicol Teratol 2016; 57:54-59 10.1016/j.ntt.2016.06.007

Woodbury b, 2024 data not abstractable EXCLUDED: Authors provided β estimates and 95% confidence interval, of the multivariable linear regression analyses => Available data cannot be transformed in OR. => Not extracted.

Woodbury Neurotoxicol Teratol 2024; 101:107319 10.1016/j.ntt.2024.107319

Bertrand, 2015 data not abstractable EXCLUDED: Congress abstract without quantitative data ('No statistically significant associations were observed between acetaminophen use during pregnancy and ASQ scores').

Bertrand, K. Neurotoxicology and Teratology 2015; 49:137-. 10.1016/j.ntt.2015.04.117

Skovlund, 2017 repeat population groups, duplicate reports (most recent study included) Overlapping: same dataset and same outcome than in Tronnes 2020, with older children here => use of Tronnes 2020. Authors provided 3 analyses according to the duration of exposure (without analysis for whole exposure): use of results for 1 period of use.

Skovlund Pharmacoepidemiol Drug Saf 2017; 26:625-634 10.1002/pds.4170

Liew c, 2016 repeat population groups, duplicate reports (most recent study included) EXCLUDED: For ADHDrisk: SubAttention/hyperactivity studied by Liew 2016a,c also studied by Inoue 2021 (same dataset) => use of Inoue 2021 because older children and full cohort. Continuous outcomes also available. Executive fonctions not reported here.

Liew Int J Epidemiol 2016; 45:2009-2017 10.1093/ije/dyw296

Parker, 2020 repeat population groups, duplicate reports (most recent study included) EXCLUDED: Data updated by Smith-Webb 2023, considering the same dataset and the same outcomes, assessing child at on older age, i.e childhood (ages 5–10) and adolescence (ages 11–17). Attention provided as a mean difference only => not extractable here.

Parker Paediatr Perinat Epidemiol 2020; 34:299-308 10.1111/ppe.12601

Brandlistuen, 2013 repeat population groups, duplicate reports (most recent study included) EXCLUDED: Overlapping (same outcomes and same dataset than Vlenterie 2016; Tronnes 2020 but with a sibling design. Adjusted betas for exposure > 28 days vs < 28 days.

Brandlistuen Int J Epidemiol 2013; 42:1702-13 10.1093/ije/dyt183

Stoltenberg, 2020 same data already obtained by other studies EXCLUDED: Methodological study, using essentially the same data as Ystrom et al., 2017 (epidemiological study specifically on ADHD and prenatal paracetamol), without reject of Ystrom results => Use of Ystrom et al., 2017.

Stoltenberg Stat Methods Med Res 2020; 29:2783-2794 10.1177/0962280220904092

Golding, 2020 same data already obtained by other studies EXCLUDED: Overlapping: all data available in Ruisch 2018; Stergiakouli 2016 and Alemany 2021. Definitions of the exposed and unexposed groups led to partial exposure of the 2 groups compared.

Golding Paediatr Perinat Epidemiol 2020; 34:257-266 10.1111/ppe.12582

Vlenterie b, 2016 same data already obtained by other studies EXCLUDED: Congress abstract latter published as a full text publication (Vlenterie, Int J Epidemiol 2016).

Vlenterie, R. Pharmacoepidemiology and Drug Safety 2016; 25:296-. 10.1002/pds.4070

Ritz, 2013 same data already obtained by other studies EXCLUDED: Congress abstract latter published as a full texte article (Liew 2014).

Ritz European Journal of Epidemiology 2013; 28:S17-. 10.1007/s10654-013-9820-0

Saunders, 2016 same data already obtained by other studies EXCLUDED: Abstract latter published as a full publication (Saunders 2019).

Saunders, A. Paediatrics and Child Health (Canada) 2016; 21:e96-. 10.1093/pch/21.supp5.e96

Baker, 2021 same data already obtained by other studies EXCLUDED: Symposium abstract latter published as a full text article (Baker 2020).

Baker, B. Journal of the American Academy of Child and Adolescent Psychiatry 2021; 60:S285-. 10.1016/j.jaac.2021.07.656

Ystrom, 2017 same data already obtained by other studies EXCLUDED: Congress abstract latter published as a full text article by Ystrom 2017.

Ystrom, E. Pharmacoepidemiology and Drug Safety 2017; 26:407-.

Troennes, 2018 same data already obtained by other studies EXCLUDED: Congress abstract later published as a full text article (Trønnes 2020).

Troennes, J. N. Pharmacoepidemiology and Drug Safety 2018; 27:379-.

Gustavson, 2019 same data already obtained by other studies EXCLUDED: Subanalysis of the same dataset used by Ystrom 2017 in order to specifically study association between ADHD and acetaminophen.

Gustavson Sci Rep 2019; 9:9519 10.1038/s41598-019-45920-7

Liew, 2013 same data already obtained by other studies EXCLUDED: Abstract latter published as a full text article (Liew 2014 and Liew 2016).

Liew, Z. American Journal of Epidemiology. 2013;177(SUPPL. 11):S79 10.1093/aje/kwt103

Zerbo, 2013 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Antipyretic medications considered as a whole (Advil, Tylenol, Excedrin, Darvocet, Ibuprofen, Motrin, Nyquil, Theraflu, Advil), without separate data for acetaminophen.

Zerbo J Autism Dev Disord 2013; 43:25-33 10.1007/s10803-012-1540-x

Denisova, 2021 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: No specific analysis of acetaminophen (included in 'Specific psychotropic medications' with different opioid analgesics or pain killerswith opioid-type ingredients) and no adequate outcome.

Denisova Infancy 2021; 26:515-532 10.1111/infa.12398

Robson, 2019 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Study on pain medication as a whole, without specific estimation of paracetamol use, only assumed from previous studies ('Mothers’ use of pain medication ...(estimated to be paracetamol in 92–97% of cases based on Australian studies)').

Robson, S. Australian and New Zealand Journal of Obstetrics and Gynaecology 2019; 59:13-. 10.1111/ajo.13067

Stergiakouli b, 2016 Review articles, letter to editor, editorial, comments EXCLUDED: Abstract and comment of the full article published by Stergiakouli 2016.

Stergiakouli, Evie Pediatric Dentistry 2016; 38:483-.

Society for Maternal-Fetal Medicine (SMFM), 2017 Review articles, letter to editor, editorial, comments EXCLUDED: Not an original study (review of the nature and findings of the recent studies to provide guidance to practicing obstetric care providers as they discuss these issues with their patients).

Society for Maternal-Fetal Medicine (SMFM) American Journal of Obstetrics and Gynecology 2017; 216:B14-.

Benevent, 2019 pattern of exposure EXCLUDED: methodology of a new cohort and the prevalence of the ten most frequently prescribed drugs (excluding vaccines), without data on fetal/maternal/neonatal safety.

Benevent Drug Saf 2019; 42:45-54 10.1007/s40264-018-0712-9