Acetaminophen (Neuro-developmental outcomes) updated on 07-16-2024

Cognitive developmental disorders/delay (> 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.
S16219
R67888
Ahlqvist (Population-Based), 2024 Intellectual disability - ICD-10 (F70-F79) or ICD-9 (317-319) - Median (IQR) follow-up of 13.4 (7.6-19.8) years (median diag 8.2 (5.3- 12.7)) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Paracetamol use: maternal ITW/questionnaires during pregnancy 1.05 [1.00;1.10] 2,084/185,909   22,470/2,294,888 24,554 185,909
ref
S16218
R67889
Ahlqvist (Sibling), 2024 Intellectual disability - ICD-10 (F70-F79) or ICD-9 (317-319) - Median (IQR) follow-up of 13.4 (7.6-19.8) years (median diag 8.2 (5.3- 12.7)) during pregnancy (anytime or not specified) population based cohort retrospective sibling excluded Adjustment: Yes Control group: Sibling Paracetamol use: maternal ITW/questionnaires during pregnancy 1.01 [0.92;1.10]
excluded (control group)
1,350/-   14,009/- 15,359 -
ref
Total 1 studies 1.05 [1.00;1.10] 24,554 185,909
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 Ahlqvist (Population-Based), 2024Ahlqvist, 2024 1 1.05[1.00; 1.10]24,554185,9090%ROB confusion: moderateROB selection: lowROB classification: moderateROB missing: lowROB mesure: criticalROB reporting: moderate0.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Population-Based;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.05[1.00; 1.10]24,554185,909 -NAAhlqvist (Population-Based), 2024 1 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.05[1.00; 1.10]24,554185,909 -NAAhlqvist (Population-Based), 2024 1 Tags Adjustment   - Yes  - Yes 1.05[1.00; 1.10]24,554185,909 -NAAhlqvist (Population-Based), 2024 1 Paracetamol use   - maternal ITW/questionnaires during ...  - maternal ITW/questionnaires during pregnancy 1.05[1.00; 1.10]24,554185,909 -NAAhlqvist (Population-Based), 2024 1 All studiesAll studies 1.05[1.00; 1.10]24,554185,909 -NAAhlqvist (Population-Based), 2024 10.55.01.0

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 16218

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.05[1.00; 1.10]24,554185,909 -NAAhlqvist (Population-Based), 2024 1 siblingssiblings 1.01[0.92; 1.10]15,359- -NAAhlqvist (Sibling), 2024 10.510.01.0