Tricyclic antidepressants updated on 07-01-2025

Severe cognitive developmental delay (Mental retardation) (3-6 years old)

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.
S18247
R76565		 Suarez (Controls unexposed, discontinuers), 2022 Intellectual disability - ≥ 2 dates with ICD-9 Dx 317, 318.x, 319 - At ≥ 2 years of age 2nd and/or 3rd trimester retrospective cohort (claims database) unexposed, sick Adjustment: Yes Monotherapy: no or not specified Unexposed sick: recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.95 [0.29;3.16] -/3,494   -/4,258 - 3,494
ref
S18248
R76573		 Suarez (Controls unexposed, general pop), 2022 Intellectual disability - ≥ 2 dates with ICD-9 Dx 317, 318.x, 319 - At ≥ 2 years of age 2nd and/or 3rd trimester retrospective cohort (claims database) unexposed (general population or NOS) excluded Adjustment: Yes Monotherapy: no or not specified 0.52 [0.21;1.27]
excluded (control group) 		-/3,511   2,852/1,789,773 - 3,511
ref
Total 1 studies 0.95 [0.29;3.14] 0 3,494
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 Suarez (Controls unexposed, discontinuers), 2022Suarez, 2022 1 0.95[0.29; 3.16]-3,4940%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: criticalROB reporting: moderate0.22.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, discontinuers;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.95[0.29; 3.14]-3,494 -NASuarez (Controls unexposed, discontinuers), 2022 1 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 0.95[0.29; 3.14]-3,494 -NASuarez (Controls unexposed, discontinuers), 2022 1 Tags Adjustment   - Yes  - Yes 0.95[0.29; 3.14]-3,494 -NASuarez (Controls unexposed, discontinuers), 2022 1 Monotherapy   - no or not specified  - no or not specified 0.95[0.29; 3.14]-3,494 -NASuarez (Controls unexposed, discontinuers), 2022 1 Unexposed sick   - recent illness/treatment (during o ...  - recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.95[0.29; 3.14]-3,494 -NASuarez (Controls unexposed, discontinuers), 2022 1 All studiesAll studies 0.95[0.29; 3.14]-3,494 -NASuarez (Controls unexposed, discontinuers), 2022 10.210.01.0

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 18248

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 0.52[0.21; 1.28]2,8433,511 -NASuarez (Controls unexposed, general pop), 2022 1 unexposed, sick controlsunexposed, sick controls 0.95[0.29; 3.14]-3,494 -NASuarez (Controls unexposed, discontinuers), 2022 10.510.01.0