Bupropion (Smoking cessation indication) updated on 07-01-2025

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.
S13463
R51845
Tran (Controls exposed to Nicotine replacement therapy), 2020 Small for gestation age (birthweight < 10th percentile sex- and gestational age-specific) during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Indications Bupropion: Smoking cessation Monotherapy: no or not specified 1.13 [0.71;1.81] C
excluded (control group)
37/232   47/328 84 232
ref
S13464
R51852
Tran (Controls unexposed, sick), 2020 Small for gestation age (birthweight < 10th percentile sex- and gestational age-specific) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed, sick Adjustment: Yes Indications Bupropion: Smoking cessation Monotherapy: no or not specified Unexposed sick: recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.89 [0.60;1.30] 37/232   369/2,320 406 232
ref
S13459
R51837
Bérard (Controls exposed to nicotine patch), 2016 Small for gestational age (the lowest 10th percentile of the gestational age-specific birthweight) during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: Yes Indications Bupropion: Smoking cessation Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 2.12 [0.93;4.81]
excluded (control group)
13/72   44/316 57 72
ref
S13460
R51839
Bérard (Controls unexposed, sick), 2016 Small for gestational age (the lowest 10th percentile of the gestational age-specific birthweight) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed, sick Adjustment: Yes Indications Bupropion: Smoking cessation Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) Unexposed sick: recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.97 [0.50;1.89] 13/72   149/900 162 72
ref
Total 2 studies 0.91 [0.65;1.27] 568 304
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 Tran (Controls unexposed, sick), 2020Tran, 2020 1 0.89[0.60; 1.30]40623275%ROB confusion: moderateROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Bérard (Controls unexposed, sick), 2016Bérard, 2016 2 0.97[0.50; 1.89]1627225%ROB confusion: seriousROB selection: moderateROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 0% 0.91[0.65; 1.27]5683040.22.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, sick; 2: Controls unexposed, sick;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.91[0.65; 1.27]5683040%NATran (Controls unexposed, sick), 2020 Bérard (Controls unexposed, sick), 2016 2 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 0.91[0.65; 1.27]5683040%NATran (Controls unexposed, sick), 2020 Bérard (Controls unexposed, sick), 2016 2 Tags Adjustment   - Yes  - Yes 0.91[0.65; 1.27]5683040%NATran (Controls unexposed, sick), 2020 Bérard (Controls unexposed, sick), 2016 2 Indications Bupropion   - Smoking cessation  - Smoking cessation 0.91[0.65; 1.27]5683040%NATran (Controls unexposed, sick), 2020 Bérard (Controls unexposed, sick), 2016 2 Monotherapy   - no or not specified  - no or not specified 0.89[0.60; 1.31]406232 -NATran (Controls unexposed, sick), 2020 1   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 0.97[0.50; 1.89]16272 -NABérard (Controls unexposed, sick), 2016 1 Unexposed sick   - recent illness/treatment (during o ...  - recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 0.91[0.65; 1.27]5683040%NATran (Controls unexposed, sick), 2020 Bérard (Controls unexposed, sick), 2016 2 All studiesAll studies 0.91[0.65; 1.27]5683040%NATran (Controls unexposed, sick), 2020 Bérard (Controls unexposed, sick), 2016 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 13459, 13463

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed, sick controlsunexposed, sick controls 0.91[0.65; 1.27]5683040%NATran (Controls unexposed, sick), 2020 Bérard (Controls unexposed, sick), 2016 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.41[0.79; 2.53]14130440%NATran (Controls exposed to Nicotine replacement therapy), 2020 Bérard (Controls exposed to nicotine patch), 2016 20.510.01.0