Antimycotic Azoles (all routes except local only) updated on 01-29-2025

Hypoplastic left heart (HLH/HLHS)

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.
S17734
R74895
Howley - Fluconazole, 2016 Hypoplastic left heart syndrome 1st trimester case control unexposed (general population or NOS) Adjustment: No Fluconazole not specified or mixed dose 2.94 [0.35;24.42] C 1/7   659/12,265 660 7
ref
S17735
R74930
Molgaard-Nielsen - Fluconazole, 2013 Hypoplastic left heart 1st trimester population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Fluconazole not specified or mixed dose 2.03 [0.65;6.35] 3/7,352   184/968,236 187 7,352
ref
Total 2 studies 2.21 [0.81;6.02] 847 7,359
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 Howley - Fluconazole, 2016Howley - Fluconazole, 2016 2.94[0.35; 24.42]660722%ROB confusion: criticalROB selection: criticalROB classification: criticalROB missing: lowROB mesure: criticalROB reporting: moderate Molgaard-Nielsen - Fluconazole, 2013Molgaard-Nielsen - Fluconazole, 2013 2.03[0.65; 6.35]1877,35278%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 0% 2.21[0.81; 6.02]8477,3590.910.01.0ROB: 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 2.03[0.65; 6.34]1877,352 -NAMolgaard-Nielsen - Fluconazole, 2013 1 case control studiescase control studies 2.94[0.35; 24.42]6607 -NAHowley - Fluconazole, 2016 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 2.21[0.81; 6.02]8477,3590%NAHowley - Fluconazole, 2016 Molgaard-Nielsen - Fluconazole, 2013 2 Tags Adjustment   - No  - No 2.94[0.35; 24.42]6607 -NAHowley - Fluconazole, 2016 1   - Yes  - Yes 2.03[0.65; 6.34]1877,352 -NAMolgaard-Nielsen - Fluconazole, 2013 1 Fluconazole not specified or mixed doseFluconazole not specified or mixed dose 2.21[0.81; 6.02]8477,3590%NAHowley - Fluconazole, 2016 Molgaard-Nielsen - Fluconazole, 2013 2 All studiesAll studies 2.21[0.81; 6.02]8477,3590%NAHowley - Fluconazole, 2016 Molgaard-Nielsen - Fluconazole, 2013 20.510.01.0

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) 2.21[0.81; 6.02]8477,3590%NAHowley - Fluconazole, 2016 Molgaard-Nielsen - Fluconazole, 2013 20.510.01.0