Fluconazole (all routes except local only) - Cumulative dose ≤ 150 mg updated on 01-29-2025

Limb defects

R analysis
id Study   Lib. in paper Exposition period    Study type  Control type 
 
Tags OR 95%CI x1/n1 x0/n0 no cases no exposed ROB Ref.
S17647
R74538
Berard (150 mg), 2019 Musculoskeletal malformations 1st trimester nested case control unexposed (general population or NOS) Adjustment: Yes 1.03 [0.74;1.43] 37/913   8,244/224,431 8,281 913
ref
S17642
R74421
Molgaard-Nielsen (150 mg), 2013 Limb defects 1st trimester population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes 0.56 [0.30;1.04] 10/4,082   4,143/968,236 4,153 4,082
ref
S17653
R74570
Jick (92% received the single 150-mg dose preparation), 1999 Limb disorders (polydactyly, syndactyly, hip dislocation, talipes or others) 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No 0.87 [0.11;6.98] C 1/234   8/1,629 9 234
ref
Total 3 studies 0.84 [0.54;1.30] 12,443 5,229
x1: number of endpoints among exposed, n1: number of exposed; x0: number of endpoints among non exposed, n0: number of non exposed; C: calculated odds ratio from numbers of events and effectives

Forest plot

StudyTE95% CIn casesn exposedweightROBABCDEF Berard (150 mg), 2019Berard, 2019 1 1.03[0.74; 1.43]8,28191363%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: lowROB mesure: criticalROB reporting: moderate Molgaard-Nielsen (150 mg), 2013Molgaard-Nielsen, 2013 2 0.56[0.30; 1.04]4,1534,08233%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Jick (92% received the single 150-mg dose preparation), 1999Jick, 1999 3 0.87[0.11; 6.98]92344%ROB confusion: criticalROB selection: moderateROB classification: criticalROB missing: unclearROB mesure: criticalROB reporting: moderate Total (3 studies) I2 = 31% 0.84[0.54; 1.30]12,4435,2290.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: 150 mg; 2: 150 mg; 3: 92% received the single 150-mg dose preparation;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.58[0.32; 1.05]4,1624,3160%NAMolgaard-Nielsen (150 mg), 2013 Jick (92% received the single 150-mg dose preparation), 1999 2 case control studiescase control studies 1.03[0.74; 1.43]8,281913 -NABerard (150 mg), 2019 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 0.84[0.54; 1.30]12,4435,22931%NABerard (150 mg), 2019 Molgaard-Nielsen (150 mg), 2013 Jick (92% received the single 150-mg dose preparation), 1999 3 Tags Adjustment   - No  - No 0.87[0.11; 6.98]9234 -NAJick (92% received the single 150-mg dose preparation), 1999 1   - Yes  - Yes 0.81[0.45; 1.45]12,4344,99565%NABerard (150 mg), 2019 Molgaard-Nielsen (150 mg), 2013 2 All studiesAll studies 0.84[0.54; 1.30]12,4435,22931%NABerard (150 mg), 2019 Molgaard-Nielsen (150 mg), 2013 Jick (92% received the single 150-mg dose preparation), 1999 30.25.01.0

Publication bias and p-hacking diagnosis

funnel plot

Funnel plot not drawn. Less than 3 points.

Asymetry test p-value = NaN (by Egger's regression)

not enought points

p values plot

Funnel plot not drawn. Less than 3 points.

Sub-groups analysis using all included studies

excluded

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 0.84[0.54; 1.30]12,4435,22931%NABerard (150 mg), 2019 Molgaard-Nielsen (150 mg), 2013 Jick (92% received the single 150-mg dose preparation), 1999 30.510.01.0