Oxcarbazepine (All indications)

Small for gestational age (weight)

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.
S12541
R47231
Dreier (Oxcarbazepine), 2021 Small for gestational age (birth weight below the 10th percentile for GA, sex and country) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: Yes 1.37 [1.13;1.65] -/1,459   -/- - 1,459
ref
S9039
R30840
Aydin (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2020 Small for gestational age (birth weight) throughout pregnancy retrospective cohort exposed to other treatment, sick excluded Adjustment: No 7.80 [0.23;262.83] C
excluded (control group)
1/4   0/7 1 4
ref
S9040
R30850
Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Small for gestational age (birth weight) throughout pregnancy retrospective cohort unexposed, sick Adjustment: No 25.80 [0.81;819.45] C 1/4   0/22 1 4
ref
S9087
R31113
Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Small for gestational age (weight) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No 1.00 [0.58;1.74] C 14/143   167,376/1,710,441 167,390 143
ref
S9041
R30861
Cohen (Oxcarbazepine) (Controls exposed to Lamotrigine, sick) (Mixed indications), 2019 Small for gestational age (ICD-9 656.5, 764.0, 764.1, 764.9) early pregnancy retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: Yes 1.43 [0.99;2.07]
excluded (control group)
47/1,109   106/2,682 153 1,109
ref
S9043
R30875
Cohen (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2019 Small for gestational age (ICD-9 656.5, 764.0, 764.1, 764.9) early pregnancy retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes 0.95 [0.70;1.27] 47/1,109   41,653/1,440,631 41,700 1,109
ref
S9042
R30866
Bank (Oxcarbazepine) (Mixed indications), 2017 Small for Gestational Age birthweight (<10th percentile) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick Adjustment: No 3.67 [0.29;47.11] C 1/4   3/36 4 4
ref
S9093
R31152
Kilic (Oxcarbazepine) (Controls exposed to Lamotrigine, sick) (Mixed indications), 2014 Small for gestational age (birth weight <10% percentile for the gestational birth week) during pregnancy (anytime or not specified) population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No 1.94 [1.32;2.85] C
excluded (control group)
49/307   78/876 127 307
ref
S9094
R31155
Kilic (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2014 Small for gestational age (birth weight <10% percentile for the gestational birth week) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) excluded Adjustment: Yes 1.50 [1.10;2.00]
excluded (control group)
49/310   65,118/673,844 65,167 310
ref
S9095
R31158
Kilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014 Small for gestational age (birth weight <10% percentile for the gestational birth week) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: No Controls: epilepsy indication 1.50 [1.09;2.06] C 49/307   594/5,275 643 307
ref
S9036
R30811
Artama (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2013 Small for gestational age (weight) during pregnancy (anytime or not specified) population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No 3.02 [0.69;13.17] C
excluded (control group)
18/527   2/173 20 527
ref
S9037
R30823
Artama (Oxcarbazepine) (Controls unexposed, disease free), 2013 Small for gestational age (weight) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, disease free excluded Adjustment: Yes 1.64 [1.02;2.64]
excluded (control group)
18/527   14,079/719,509 14,097 527
ref
S9038
R30835
Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 Small for gestational age (weight) during pregnancy (anytime or not specified) population based cohort retrospective unexposed, sick Adjustment: Yes 1.52 [0.91;2.53] 18/527   42/1,793 60 527
ref
Total 7 studies 1.28 [1.04;1.58] 209,798 3,553
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 Dreier (Oxcarbazepine), 2021Dreier, 2021 1 1.37[1.13; 1.65]-1,45931%ROB confusion: unclearROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020Aydin, 2020 2 25.80[0.81; 819.45]140%ROB confusion: criticalROB selection: criticalROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020Coste, 2020 3 1.00[0.58; 1.74]167,39014311%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Cohen (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2019Cohen, 2019 4 0.95[0.70; 1.27]41,7001,10923%ROB confusion: moderateROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Bank (Oxcarbazepine) (Mixed indications), 2017Bank, 2017 5 3.67[0.29; 47.11]441%ROB confusion: criticalROB selection: lowROB classification: lowROB missing: lowROB mesure: moderateROB reporting: moderate Kilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014Kilic, 2014 6 1.50[1.09; 2.06]64330722%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Artama (Oxcarbazepine) (Controls unexposed, sick), 2013Artama, 2013 7 1.52[0.91; 2.53]6052712%ROB confusion: moderateROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Total (7 studies) I2 = 40% 1.28[1.04; 1.58]209,7983,5530.2100.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Oxcarbazepine; 2: Oxcarbazepine) (Controls unexposed, sick; 3: Oxcarbazepine) (Controls unexposed, NOS; 4: Oxcarbazepine) (Controls unexposed NOS) (Mixed indications; 5: Oxcarbazepine) (Mixed indications; 6: Oxcarbazepine) (Controls unexposed, sick) (Mixed indications; 7: Oxcarbazepine) (Controls unexposed, sick;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.28[1.04; 1.58]209,7983,55340%NADreier (Oxcarbazepine), 2021 Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Cohen (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2019 Bank (Oxcarbazepine) (Mixed indications), 2017 Kilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 7 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 0.96[0.74; 1.25]209,0901,2520%NACoste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Cohen (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2019 2 unexposed, sickunexposed, sick 1.42[1.22; 1.66]7042,2970%NADreier (Oxcarbazepine), 2021 Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Kilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 4 exposed to other treatment, sickexposed to other treatment, sick 3.67[0.29; 47.11]44 -NABank (Oxcarbazepine) (Mixed indications), 2017 1 Tags Adjustment   - No  - No 1.40[0.85; 2.32]168,03845838%NAAydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Bank (Oxcarbazepine) (Mixed indications), 2017 Kilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014 4   - Yes  - Yes 1.23[0.94; 1.62]41,7603,09558%NADreier (Oxcarbazepine), 2021 Cohen (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2019 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 3 Controls   - epilepsy indication  - epilepsy indication 1.50[1.09; 2.06]643307 -NAKilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014 1 All studiesAll studies 1.28[1.04; 1.58]209,7983,55340%NADreier (Oxcarbazepine), 2021 Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Cohen (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2019 Bank (Oxcarbazepine) (Mixed indications), 2017 Kilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 70.2100.01.0

Publication bias and p-hacking diagnosis

funnel plot
0.0-4.14.42.1170.000Dreier (Oxcarbazepine), 2021Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020Cohen (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2019Bank (Oxcarbazepine) (Mixed indications), 2017Kilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014Artama (Oxcarbazepine) (Controls unexposed, sick), 2013

Asymetry test p-value = 0.4093 (by Egger's regression)

slope=0.1394 (0.1546); intercept=0.7748 (0.8607); t=0.9002; p=0.4093

p values plot
0.01.00.01.0

Sub-groups analysis using all included studies

excluded 9036, 9037, 9093, 9094, 9041, 9039

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.24[0.93; 1.64]288,3542,08954%NACoste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Cohen (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2019 Kilic (Oxcarbazepine) (Controls unexposed NOS) (Mixed indications), 2014 Artama (Oxcarbazepine) (Controls unexposed, disease free), 2013 4 unexposed, sick controlsunexposed, sick controls 1.42[1.22; 1.66]7042,2970%NADreier (Oxcarbazepine), 2021 Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Kilic (Oxcarbazepine) (Controls unexposed, sick) (Mixed indications), 2014 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 4 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.72[1.32; 2.23]3051,9510%NAAydin (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2020 Cohen (Oxcarbazepine) (Controls exposed to Lamotrigine, sick) (Mixed indications), 2019 Bank (Oxcarbazepine) (Mixed indications), 2017 Kilic (Oxcarbazepine) (Controls exposed to Lamotrigine, sick) (Mixed indications), 2014 Artama (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2013 50.510.01.0