Levetiracetam (Epilepsy)

Amniotic fluid problems (polyhydramnios and/or oligohydramnios)

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.
S12502
R47873
Mari (Levetiracetam), 2022 Oligohydramnios/polyhydramnios throughout pregnancy retrospective cohort exposed to other treatment, sick Adjustment: No 0.64 [0.01;34.59] C 0/17   0/11 0 17
ref
S8083
R24697
Aydin (Levetiracetam) (Controls exposed to Lamotrigine, sick), 2020 Amniotic fluid problems (polyhydramnios/oligohydramnios) throughout pregnancy retrospective cohort exposed to other treatment, sick excluded Adjustment: No 0.68 [0.01;39.07] C
excluded (control group)
0/10   0/7 0 10
ref
S8081
R24677
Aydin (Levetiracetam) (Controls unexposed, sick), 2020 Amniotic fluid problems (polyhydramnios/oligohydramnios) throughout pregnancy retrospective cohort unexposed, sick Adjustment: No 2.26 [0.04;122.79] C 0/10   0/22 0 10
ref
Total 2 studies 1.20 [0.07;20.23] 0 27
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 Mari (Levetiracetam), 2022Mari, 2022 1 0.64[0.01; 34.59]01750%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: unclear Aydin (Levetiracetam) (Controls unexposed, sick), 2020Aydin, 2020 2 2.26[0.04; 122.79]01050%ROB confusion: criticalROB selection: criticalROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 0% 1.20[0.07; 20.23]-270.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Levetiracetam; 2: Levetiracetam) (Controls unexposed, sick;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.20[0.07; 20.23]-270%NAMari (Levetiracetam), 2022 Aydin (Levetiracetam) (Controls unexposed, sick), 2020 2 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 2.26[0.04; 122.79]-10 -NAAydin (Levetiracetam) (Controls unexposed, sick), 2020 1 exposed to other treatment, sickexposed to other treatment, sick 0.64[0.01; 34.59]-17 -NAMari (Levetiracetam), 2022 1 Tags Adjustment   - No  - No 1.20[0.07; 20.23]-270%NAMari (Levetiracetam), 2022 Aydin (Levetiracetam) (Controls unexposed, sick), 2020 2 All studiesAll studies 1.20[0.07; 20.23]-270%NAMari (Levetiracetam), 2022 Aydin (Levetiracetam) (Controls unexposed, sick), 2020 20.25.01.0

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 8083

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed, sick controlsunexposed, sick controls 2.26[0.04; 122.79]-10 -NAAydin (Levetiracetam) (Controls unexposed, sick), 2020 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 0.66[0.04; 11.32]-270%NAMari (Levetiracetam), 2022 Aydin (Levetiracetam) (Controls exposed to Lamotrigine, sick), 2020 20.510.01.0