Selective Serotonin Reuptake Inhibitor (SSRI) updated on 07-01-2025

Hydrocephaly

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.
S7467
R22113
Anderson, 2020 Hydrocephaly 1st trimester case control unexposed (general population or NOS) Adjustment: Yes Monotherapy: SSRI only 0.99 [0.57;1.71] -/-   0/- - -
ref
S5364
R16336
Nishigori, 2017 Hydrencephalus 1st trimester population based cohort retrospective unexposed (general population or NOS) Adjustment: No Monotherapy: no or not specified 16.09 [3.91;66.15] 2/172   70/95,433 72 172
ref
S5372
R18242
Jordan, 2016 Hydrocephaly 3 months or more before pregnancy or1st trimester excluded retrospective cohort (registry) unexposed (general population or NOS) Adjustment: No Monotherapy: no or not specified 0.80 [0.33;1.93] C
excluded (exposition period)
5/12,962   245/506,155 250 12,962
ref
Total 2 studies 3.69 [0.24;56.44] 72 172
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 Anderson, 2020Anderson, 2020 0.99[0.57; 1.71]--53%ROB confusion: seriousROB selection: criticalROB classification: criticalROB missing: lowROB mesure: criticalROB reporting: moderate Nishigori, 2017Nishigori, 2017 16.09[3.91; 66.15]7217247%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (2 studies) I2 = 92% 3.69[0.24; 56.44]721720.250.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 16.09[3.91; 66.15]72172 -NANishigori, 2017 1 case control studiescase control studies 0.99[0.57; 1.71]-- -NAAnderson, 2020 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 3.69[0.24; 56.44]7217292%NAAnderson, 2020 Nishigori, 2017 2 Tags Adjustment   - No  - No 16.09[3.91; 66.15]72172 -NANishigori, 2017 1   - Yes  - Yes 0.99[0.57; 1.71]-- -NAAnderson, 2020 1 Monotherapy   - no or not specified  - no or not specified 16.09[3.91; 66.15]72172 -NANishigori, 2017 1   - SSRI only  - SSRI only 0.99[0.57; 1.71]-- -NAAnderson, 2020 1 All studiesAll studies 3.69[0.24; 56.44]7217292%NAAnderson, 2020 Nishigori, 2017 20.250.01.0

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) 3.69[0.24; 56.44]7217292%NAAnderson, 2020 Nishigori, 2017 20.510.01.0