Paroxetine updated on 07-01-2025

Small for gestational age (weight)

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.
S18437
R78171
Lee (Controls exposed to TCAs), 2025 Small for gestational age (birth weight <2 standard deviations below the mean for gestational age) during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 0.52 [0.07;4.03] C
excluded (control group)
1/77   15/613 16 77
ref
S18419
R77929
Lee (Controls unexposed, general pop), 2025 Small for gestational age (birth weight <2 standard deviations below the mean for gestational age) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 0.63 [0.09;4.52] 1/77   6,986/463,440 6,987 77
ref
S18223
R76454
Martin, 2024 Small for gestational age (SGA, defined as those with a birth weight in the lowest 10 percentiles for gestational age (<10th percentile) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 1.20 [1.05;1.38] 276/2,137   229,066/2,408,707 229,342 2,137
ref
S7698
R22844
Kivistö, 2016 Small for gestational age ( birthweight < 10th centile) during pregnancy (anytime or not specified) retrospective cohort unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 0.59 [0.14;2.49] -/32   2,336/24,402 - 32
ref
Total 3 studies 1.19 [1.04;1.36] 236,329 2,246
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 Lee (Controls unexposed, general pop), 2025Lee, 2025 1 0.63[0.09; 4.52]6,987770%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Martin, 2024Martin, 2024 1.20[1.05; 1.38]229,3422,13799%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Kivistö, 2016Kivistö, 2016 0.59[0.14; 2.49]-321%ROB confusion: seriousROB selection: criticalROB classification: moderateROB missing: criticalROB mesure: moderateROB reporting: moderate Total (3 studies) I2 = 0% 1.19[1.04; 1.36]236,3292,2460.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, general pop;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.19[1.04; 1.36]236,3292,2460%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.19[1.04; 1.36]236,3292,2460%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 Tags Adjustment   - Yes  - Yes 1.19[1.04; 1.36]236,3292,2460%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 Monotherapy   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 1.19[1.04; 1.36]236,3292,2460%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 All studiesAll studies 1.19[1.04; 1.36]236,3292,2460%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 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 18437

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.19[1.04; 1.36]238,6562,2460%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 exposed to other treatment, sick controlsexposed to other treatment, sick controls 0.52[0.07; 4.03]1677 -NALee (Controls exposed to TCAs), 2025 10.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Vlenterie (Small for gestational age)Vlenterie (Small for gestational age) 0.60[0.10; 2.20]-U,Sunexposed, sickAnyduring pregnancy (anytime or not specified)studies TTT4 Vlenterie (Small for gestational age)Vlenterie (Small for gestational age) 0.60[0.20; 2.30]-U,GPunexposed (general population or NOS)Anyduring pregnancy (anytime or not specified)studies TTT4 metaPregmetaPreg 1.19[1.04; 1.36]0%2,246----Lee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 30.510.01.0