Oxcarbazepine (All indications)

Congenital heart defects

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.
S12831
R48322
Thomas (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2021 Cardiac malformations 1st trimester prospective cohort exposed to other treatment, sick excluded Adjustment: No 2.16 [0.22;21.41] C
excluded (control group)
3/71   1/50 4 71
ref
S12833
R48334
Thomas (Oxcarbazepine) (Controls unexposed, sick), 2021 Cardiac malformations 1st trimester prospective cohort unexposed, sick Adjustment: No 1.62 [0.43;6.15] C 3/71   9/340 12 71
ref
S9074
R31061
Tomson (Oxcarbazepine), 2018 Cardiac malformations at least 1st trimester prospective cohort exposed to other treatment, sick Adjustment: No 2.03 [0.67;6.14] C 4/333   15/2,514 19 333
ref
S9062
R30936
Morrow (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2006 Cardiac 1st trimester prospective cohort exposed to other treatment, sick Adjustment: No 10.98 [0.53;225.56] C 0/7   4/647 4 7
ref
S9057
R30915
Artama (Oxcarbazepine), 2005 Cardiovascular 1st trimester retrospective cohort (registry) unexposed, sick Adjustment: No 0.63 [0.04;11.12] C 0/99   7/939 7 99
ref
Total 4 studies 1.93 [0.87;4.24] 42 510
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 Thomas (Oxcarbazepine) (Controls unexposed, sick), 2021Thomas, 2021 1 1.62[0.43; 6.15]127135%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Tomson (Oxcarbazepine), 2018Tomson, 2018 2 2.03[0.67; 6.14]1933351%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Morrow (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2006Morrow, 2006 3 10.98[0.53; 225.56]477%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Artama (Oxcarbazepine), 2005Artama, 2005 4 0.63[0.04; 11.12]7998%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (4 studies) I2 = 0% 1.93[0.87; 4.24]425100.250.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Oxcarbazepine) (Controls unexposed, sick; 2: Oxcarbazepine; 3: Oxcarbazepine) (Controls exposed to Lamotrigine, sick; 4: Oxcarbazepine;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.93[0.87; 4.24]425100%NAThomas (Oxcarbazepine) (Controls unexposed, sick), 2021 Tomson (Oxcarbazepine), 2018 Morrow (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2006 Artama (Oxcarbazepine), 2005 4 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 1.37[0.41; 4.60]191700%NAThomas (Oxcarbazepine) (Controls unexposed, sick), 2021 Artama (Oxcarbazepine), 2005 2 exposed to other treatment, sickexposed to other treatment, sick 2.57[0.81; 8.10]233406%NATomson (Oxcarbazepine), 2018 Morrow (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2006 2 Tags Adjustment   - No  - No 1.93[0.87; 4.24]425100%NAThomas (Oxcarbazepine) (Controls unexposed, sick), 2021 Tomson (Oxcarbazepine), 2018 Morrow (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2006 Artama (Oxcarbazepine), 2005 4 All studiesAll studies 1.93[0.87; 4.24]425100%NAThomas (Oxcarbazepine) (Controls unexposed, sick), 2021 Tomson (Oxcarbazepine), 2018 Morrow (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2006 Artama (Oxcarbazepine), 2005 40.250.01.0

Publication bias and p-hacking diagnosis

funnel plot
0.0-3.64.31.8500.000Thomas (Oxcarbazepine) (Controls unexposed, sick), 2021Tomson (Oxcarbazepine), 2018Morrow (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2006Artama (Oxcarbazepine), 2005

Asymetry test p-value = NaN (by Egger's regression)

not enought points

p values plot
0.01.00.01.0

Sub-groups analysis using all included studies

excluded 12831

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed, sick controlsunexposed, sick controls 1.37[0.41; 4.60]191700%NAThomas (Oxcarbazepine) (Controls unexposed, sick), 2021 Artama (Oxcarbazepine), 2005 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 2.42[0.94; 6.24]274110%NAThomas (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2021 Tomson (Oxcarbazepine), 2018 Morrow (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2006 30.510.01.0