Serotonin and Noradrenaline Reuptake Inhibitors (SNRI) updated on 07-01-2025

Jaundice / Icterus

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.
S13145
R50178
Marks - Duloxetine (Controls exposed to Bupropion), 2021 Jaundice during pregnancy (anytime or not specified) retrospective cohort exposed to other treatment, sick Adjustment: No Monotherapy: SNRI only 0.97 [0.57;1.66] C 21/139   63/406 84 139
ref
S11693
R43006
Reis - SNRI (Controls exposed to TCA), 2010 Jaundice 2nd and/or 3rd trimester population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No Monotherapy: SNRI only 1.18 [0.76;1.85] C
excluded (control group)
37/538   46/784 83 538
ref
S11694
R43018
Reis - SNRI (Controls unexposed, NOS), 2010 Jaundice 2nd and/or 3rd trimester population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Monotherapy: SNRI only 1.46 [1.04;2.05] 37/538   52,004/1,062,190 52,041 538
ref
Total 2 studies 1.26 [0.85;1.85] 52,125 677
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 Marks - Duloxetine (Controls exposed to Bupropion), 2021Marks - Duloxetine, 2021 1 0.97[0.57; 1.66]8413937%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Reis - SNRI (Controls unexposed, NOS), 2010Reis - SNRI, 2010 2 1.46[1.04; 2.05]52,04153863%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 38% 1.26[0.85; 1.85]52,1256770.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls exposed to Bupropion; 2: Controls unexposed, NOS;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.26[0.85; 1.85]52,12567738%NAMarks - Duloxetine (Controls exposed to Bupropion), 2021 Reis - SNRI (Controls unexposed, NOS), 2010 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.46[1.04; 2.05]52,041538 -NAReis - SNRI (Controls unexposed, NOS), 2010 1 exposed to other treatment, sickexposed to other treatment, sick 0.97[0.57; 1.66]84139 -NAMarks - Duloxetine (Controls exposed to Bupropion), 2021 1 Tags Adjustment   - No  - No 0.97[0.57; 1.66]84139 -NAMarks - Duloxetine (Controls exposed to Bupropion), 2021 1   - Yes  - Yes 1.46[1.04; 2.05]52,041538 -NAReis - SNRI (Controls unexposed, NOS), 2010 1 Monotherapy   - SNRI only  - SNRI only 1.26[0.85; 1.85]52,12567738%NAMarks - Duloxetine (Controls exposed to Bupropion), 2021 Reis - SNRI (Controls unexposed, NOS), 2010 2 All studiesAll studies 1.26[0.85; 1.85]52,12567738%NAMarks - Duloxetine (Controls exposed to Bupropion), 2021 Reis - SNRI (Controls unexposed, NOS), 2010 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 11693

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.46[1.04; 2.05]52,041538 -NAReis - SNRI (Controls unexposed, NOS), 2010 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.09[0.77; 1.54]1676770%NAMarks - Duloxetine (Controls exposed to Bupropion), 2021 Reis - SNRI (Controls exposed to TCA), 2010 20.510.01.0