Adalimumab

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.
S4893
R12915
Broms (Controls exposed to other treatments), 2020 Small for gestation age (sex-specific weight by gestational age in the 10th percentile or below 2 standard deviations) 3 months (or more) before pregnancy or during pregnancy population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No 1.07 [0.72;1.58] C
excluded (control group)
29/257   998/9,393 1,027 257
ref
S4892
R12910
Broms (Controls unexposed, disease free), 2020 Small for gestation age (sex-specific weight by gestational age in the 10th percentile or below 2 standard deviations) 3 months (or more) before pregnancy or during pregnancy excluded population based cohort retrospective unexposed, disease free Adjustment: No 1.16 [0.79;1.70] C
excluded (exposition period)
29/257   160,698/1,623,483 160,727 257
ref
S5066
R13187
De Lorenzo (Controls unexposed, disease free), 2020 Small for gestational age at least 1st trimester retrospective cohort unexposed, disease free excluded Adjustment: No 3.10 [0.10;91.39] C
excluded (control group)
0/2   3/36 3 2
ref
S5067
R13193
De Lorenzo (Controls unexposed, sick), 2020 Small for gestational age at least 1st trimester retrospective cohort unexposed, sick Adjustment: No 3.93 [0.12;124.06] C 0/2   2/32 2 2
ref
S5069
R13221
Chambers (Controls unexposed, disease free), 2019 Weight < 10th centile for Gestational Age At Birth at least 1st trimester prospective cohort unexposed, disease free excluded Adjustment: Yes 1.07 [0.52;2.21]
excluded (control group)
17/206   15/192 32 206
ref
S5068
R13206
Chambers (Controls, sick), 2019 Weight < 10th centile for Gestational Age At Birth at least 1st trimester prospective cohort unexposed, sick Adjustment: No 0.75 [0.37;1.54] 17/206   11/100 28 206
ref
Total 2 studies 0.80 [0.40;1.61] 30 208
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 De Lorenzo (Controls unexposed, sick), 2020De Lorenzo, 2020 1 3.93[0.12; 124.06]224%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Chambers (Controls, sick), 2019Chambers, 2019 2 0.75[0.37; 1.54]2820696%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (2 studies) I2 = 0% 0.80[0.40; 1.61]302080.210.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, sick; 2: Controls, sick;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.80[0.40; 1.61]302080%NADe Lorenzo (Controls unexposed, sick), 2020 Chambers (Controls, sick), 2019 2 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 0.80[0.40; 1.61]302080%NADe Lorenzo (Controls unexposed, sick), 2020 Chambers (Controls, sick), 2019 2 Tags Adjustment   - No  - No 0.80[0.40; 1.61]302080%NADe Lorenzo (Controls unexposed, sick), 2020 Chambers (Controls, sick), 2019 2 All studiesAll studies 0.80[0.40; 1.61]302080%NADe Lorenzo (Controls unexposed, sick), 2020 Chambers (Controls, sick), 2019 20.210.01.0

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 5069, 4893, 5066

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.12[0.55; 2.27]352080%NADe Lorenzo (Controls unexposed, disease free), 2020 Chambers (Controls unexposed, disease free), 2019 2 unexposed, sick controlsunexposed, sick controls 0.80[0.40; 1.61]302080%NADe Lorenzo (Controls unexposed, sick), 2020 Chambers (Controls, sick), 2019 20.510.01.0