Oxcarbazepine (Epilepsy)

Neuro-developmental disorders (as a whole)

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.
S12734
R48058
Bjørk (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2022 Neurodevelopmental Disorder (ND): any diagnoses of autism spectrum disorder (F84.0, F84.1, F84.5) or intellectual disability (F70, F71, F72, F73) plus F84.3, F84.4, F84.8, F84.9, F79 (between 6.1 and 7.9 years old) during pregnancy (anytime or not specified) population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No 1.98 [1.38;2.85] C
excluded (control group)
48/1,539   81/5,073 129 1,539
ref
S12735
R48062
Bjørk (Oxcarbazepine) (Controls unexposed NOS), 2022 Neurodevelopmental Disorder (ND): any diagnoses of autism spectrum disorder (F84.0, F84.1, F84.5) or intellectual disability (F70, F71, F72, F73) plus F84.3, F84.4, F84.8, F84.9, F79 (between 6.1 and 7.9 years old) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) excluded Adjustment: Yes 1.53 [1.15;2.02]
excluded (control group)
48/1,539   68,295/4,463,879 68,343 1,539
ref
S12737
R48068
Bjørk (Oxcarbazepine) (Controls unexposed, sick), 2022 Neurodevelopmental Disorder (ND): any diagnoses of autism spectrum disorder (F84.0, F84.1, F84.5) or intellectual disability (F70, F71, F72, F73) plus F84.3, F84.4, F84.8, F84.9, F79 (between 6.1 and 7.9 years old) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: Yes 0.97 [0.68;1.37] -/1,429   443/21,634 434 1,429
ref
S7808
R23134
Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Diagnosis Disorders of psychological development (F80–F89) (mean age of 3.6 years old) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes 0.70 [0.10;5.30] 1/143   10,010/1,710,441 10,011 143
ref
Total 2 studies 0.96 [0.68;1.36] 10,445 1,572
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 Bjørk (Oxcarbazepine) (Controls unexposed, sick), 2022Bjørk, 2022 1 0.97[0.68; 1.37]4341,42997%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020Coste, 2020 2 0.70[0.10; 5.30]10,0111433%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (2 studies) I2 = 0% 0.96[0.68; 1.36]10,4451,5720.22.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Oxcarbazepine) (Controls unexposed, sick; 2: Oxcarbazepine) (Controls unexposed, NOS;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.96[0.68; 1.36]10,4451,5720%NABjørk (Oxcarbazepine) (Controls unexposed, sick), 2022 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 0.70[0.10; 5.10]10,011143 -NACoste (Oxcarbazepine) (Controls unexposed, NOS), 2020 1 unexposed, sickunexposed, sick 0.97[0.68; 1.38]4341,429 -NABjørk (Oxcarbazepine) (Controls unexposed, sick), 2022 1 Tags Adjustment   - Yes  - Yes 0.96[0.68; 1.36]10,4451,5720%NABjørk (Oxcarbazepine) (Controls unexposed, sick), 2022 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 2 All studiesAll studies 0.96[0.68; 1.36]10,4451,5720%NABjørk (Oxcarbazepine) (Controls unexposed, sick), 2022 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 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 12734, 12735

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.51[1.14; 1.99]78,3541,6820%NABjørk (Oxcarbazepine) (Controls unexposed NOS), 2022 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 2 unexposed, sick controlsunexposed, sick controls 0.97[0.68; 1.38]4341,429 -NABjørk (Oxcarbazepine) (Controls unexposed, sick), 2022 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.98[1.38; 2.85]1291,539 -NABjørk (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2022 10.510.01.0