Pregabalin (All indications)

Preterm (< 37 weeks)

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.
S15251
R62708
Dudukina (Controls exposed to LTG) (Mixed indications), 2023 Preterm birth (gestational age <37 weeks) 3 months (or more) before pregnancy or during pregnancy population based cohort retrospective exposed to other treatment, sick excluded Adjustment: Yes 0.94 [0.79;1.11]
excluded (control group)
188/2,414   540/7,243 728 2,414
ref
S15252
R62729
Dudukina (Controls unexposed, NOS) (Mixed indications), 2023 Preterm birth (gestational age <37 weeks) 3 months (or more) before pregnancy or during pregnancy excluded population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes 1.15 [1.00;1.32]
excluded (exposition period)
188/2,414   151,114/3,009,386 151,302 2,414
ref
S10100
R36794
Coste (Controls exposed to Lamotrigine, sick) (Mixed indications), 2020 Gestational age at birth (< 37 WA) during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No 1.09 [0.85;1.39] C
excluded (control group)
110/1,627   182/2,916 292 1,627
ref
S8541
R28338
Coste (Controls unexposed, NOS) (Mixed indications), 2020 Gestational age at birth (< 37 WA) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No 1.29 [1.06;1.56] C 110/1,627   91,255/1,710,441 91,365 1,627
ref
S8537
R28309
Kilic (Controls exposed to Lamotrigine, sick) (Mixed indications), 2014 Preterm (< 37 weeks) during pregnancy (anytime or not specified) population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No 2.88 [0.78;10.68] C
excluded (control group)
3/13   83/880 86 13
ref
S8538
R28312
Kilic (Controls unexposed NOS) (Mixed indications), 2014 Preterm (< 37 weeks) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) excluded Adjustment: No 5.68 [1.56;20.63] C
excluded (control group)
3/13   33,974/676,834 33,977 13
ref
S8539
R28315
Kilic (Controls unexposed, sick) (Mixed indications), 2014 Preterm (< 37 weeks) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: No Controls: epilepsy indication 3.85 [1.05;14.04] C 3/13   383/5,296 386 13
ref
Total 2 studies 1.83 [0.67;5.00] 91,751 1,640
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 Coste (Controls unexposed, NOS) (Mixed indications), 2020Coste, 2020 1 1.29[1.06; 1.56]91,3651,62768%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Kilic (Controls unexposed, sick) (Mixed indications), 2014Kilic, 2014 2 3.85[1.05; 14.04]3861332%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 63% 1.83[0.67; 5.00]91,7511,6400.510.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, NOS) (Mixed indications; 2: Controls unexposed, sick) (Mixed indications;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.83[0.67; 5.00]91,7511,64063%NACoste (Controls unexposed, NOS) (Mixed indications), 2020 Kilic (Controls unexposed, sick) (Mixed indications), 2014 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.29[1.06; 1.56]91,3651,627 -NACoste (Controls unexposed, NOS) (Mixed indications), 2020 1 unexposed, sickunexposed, sick 3.85[1.05; 14.04]38613 -NAKilic (Controls unexposed, sick) (Mixed indications), 2014 1 Tags Adjustment   - No  - No 1.83[0.67; 5.00]91,7511,64063%NACoste (Controls unexposed, NOS) (Mixed indications), 2020 Kilic (Controls unexposed, sick) (Mixed indications), 2014 2 Controls   - epilepsy indication  - epilepsy indication 3.85[1.05; 14.04]38613 -NAKilic (Controls unexposed, sick) (Mixed indications), 2014 1 All studiesAll studies 1.83[0.67; 5.00]91,7511,64063%NACoste (Controls unexposed, NOS) (Mixed indications), 2020 Kilic (Controls unexposed, sick) (Mixed indications), 2014 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 8537, 8538, 10100, 15251

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 2.34[0.56; 9.77]125,3421,64080%NACoste (Controls unexposed, NOS) (Mixed indications), 2020 Kilic (Controls unexposed NOS) (Mixed indications), 2014 2 unexposed, sick controlsunexposed, sick controls 3.85[1.05; 14.04]38613 -NAKilic (Controls unexposed, sick) (Mixed indications), 2014 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.42[0.61; 3.32]3781,64051%NACoste (Controls exposed to Lamotrigine, sick) (Mixed indications), 2020 Kilic (Controls exposed to Lamotrigine, sick) (Mixed indications), 2014 20.510.01.0