Paroxetine updated on 07-01-2025

Eye 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.
S7350
R21486
Wemakor, 2015 Eye malformations 1st trimester case control unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 1.37 [0.41;4.59] 3/30   825/17,881 828 30
ref
S5886
R14754
Ban (Controls unexposed, disease free), 2014 Eye malformations 1st trimester retrospective cohort (claims database) unexposed, disease free Adjustment: Yes Monotherapy: substance alone among the specific class of antidep (SSRI, SNRI, ...) 0.83 [0.12;5.76] -/1,200   313/325,294 - 1,200
ref
S7180
R20240
Colvin, 2011 Congenital abnormalities of eye 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No Monotherapy: substance alone among the specific class of antidep (SSRI, SNRI, ...) 1.11 [0.07;17.93] C 0/572   74/94,561 74 572
ref
S7228
R20755
Davis, 2007 Congenital anomalies of eye 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No Monotherapy: no or not specified 2.36 [1.20;4.66] 8/182   641/49,654 649 182
ref
Total 4 studies 1.87 [1.08;3.26] 1,551 1,984
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 Wemakor, 2015Wemakor, 2015 1.37[0.41; 4.59]8283021%ROB confusion: criticalROB selection: criticalROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Ban (Controls unexposed, disease free), 2014Ban, 2014 1 0.83[0.12; 5.76]-1,2008%ROB confusion: seriousROB selection: moderateROB classification: criticalROB missing: lowROB mesure: criticalROB reporting: moderate Colvin, 2011Colvin, 2011 1.11[0.07; 17.93]745724%ROB confusion: criticalROB selection: moderateROB classification: criticalROB missing: unclearROB mesure: moderateROB reporting: moderate Davis, 2007Davis, 2007 2.36[1.20; 4.66]64918267%ROB confusion: criticalROB selection: moderateROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (4 studies) I2 = 0% 1.87[1.08; 3.26]1,5511,9840.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, disease free;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 2.04[1.09; 3.80]7231,9540%NABan (Controls unexposed, disease free), 2014 Colvin, 2011 Davis, 2007 3 case control studiescase control studies 1.37[0.41; 4.58]82830 -NAWemakor, 2015 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.87[1.08; 3.26]1,5511,9840%NAWemakor, 2015 Ban (Controls unexposed, disease free), 2014 Colvin, 2011 Davis, 2007 4 Tags Adjustment   - No  - No 2.26[1.17; 4.37]7237540%NAColvin, 2011 Davis, 2007 2   - Yes  - Yes 1.19[0.43; 3.32]8281,2300%NAWemakor, 2015 Ban (Controls unexposed, disease free), 2014 2 Monotherapy   - no or not specified  - no or not specified 2.36[1.20; 4.65]649182 -NADavis, 2007 1   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 1.37[0.41; 4.58]82830 -NAWemakor, 2015 1   - substance alone among the specific ...  - substance alone among the specific class of antidep (SSRI, SNRI, ...) 0.91[0.19; 4.47]741,7720%NABan (Controls unexposed, disease free), 2014 Colvin, 2011 2 All studiesAll studies 1.87[1.08; 3.26]1,5511,9840%NAWemakor, 2015 Ban (Controls unexposed, disease free), 2014 Colvin, 2011 Davis, 2007 40.25.01.0

Publication bias and p-hacking diagnosis

funnel plot
0.0-3.34.01.7030.000Wemakor, 2015Ban (Controls unexposed, disease free), 2014Colvin, 2011Davis, 2007

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

not enought points

p values plot
0.01.00.01.0

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) 1.87[1.08; 3.26]1,8551,9840%NAWemakor, 2015 Ban (Controls unexposed, disease free), 2014 Colvin, 2011 Davis, 2007 40.510.01.0