Valproate (Epilepsy)


Study Exclusion reasons Rmk Reference
Vajda (Valproate) (Controls unexposed, sick), 2018 Overlapping between Vajda 2024a (1999 - 2023) and Vajda 2018 (1999 - 2016) based on the same register and for the almost same outcome (with or without elective termination) => Use of Vajda 2024a because accounting for more relevant confounders.

Vajda Acta Neurol Scand 2018; 137:20-23 10.1111/ane.12816

Vajda (Valproate) (Controls exposed to Lamotrigine, sick), 2018 Overlapping between Vajda 2024a (1999 - 2023) and Vajda 2018 (1999 - 2016) based on the same register and for the almost same outcome (with or without elective termination) => Use of Vajda 2024a because accounting for more relevant confounders.

Vajda Acta Neurol Scand 2018; 137:20-23 10.1111/ane.12816

Coste (Valproate) (Controls unexposed, sick), 2020 EXCLUDED: this control group doesn't exist in the article (only in the report). Children with a diagnosis of brain malformation (ICD-10 codes Q00 to Q04 and Q05.0 to Q05.4) during their stay in the maternity unit are excluded.

Coste Sci Rep 2020; 10:17362 10.1038/s41598-020-74409-x

Elkjaer (Valproate), 2018 Overlapping: this publication totally included the data of Elkjaer, 2018, for an higher academic grade => use of Ren 2023.

Elkjaer JAMA Neurol 2018; 75:663-671 10.1001/jamaneurol.2017.5035

Wiggs (Valproate), 2020 repeat population groups, duplicate reports (most recent study included) EXCLUDED: Overlapping: Totally included in Madley-Dowd 2024. Children who were multiples were dropped. Crude data are not specified for monotherapy exposure.

Wiggs Neurology 2020; 95:e3232-e3240 10.1212/WNL.0000000000010993

He (Valproate) (Controls exposed to Lamotrigine, sick), 2017 repeat population groups, duplicate reports (most recent study included) Overlapping: He 2017 totally included in Li 2023, with a longer study period and more pregnancies => Use of Li 2023. Patients who developed epilepsy during pregnancy or after delivery were not included.

He Epilepsy Behav 2017; 74:10-14 10.1016/j.yebeh.2017.05.034

He (Valproate) (Controls unexposed, sick), 2017 repeat population groups, duplicate reports (most recent study included) Overlapping: He 2017 totally included in Li 2023, with a longer study period and more pregnancies => Use of Li 2023. Patients who developed epilepsy during pregnancy or after delivery were not included.

He Epilepsy Behav 2017; 74:10-14 10.1016/j.yebeh.2017.05.034

Gopinath (Valproate), 2015 repeat population groups, duplicate reports (most recent study included) Overlapping: Thomas 2022 included data on language and cognitive delay, also evaluated in Sreedharan et al., 2018; Thomas 2007 and Gopinath 2015, but with more exposed pregnancies, more relevant control group and older children => Use of Thomas 2022.

Gopinath Epilepsy Res 2015; 117:58-62 10.1016/j.eplepsyres.2015.09.003

Thomas (Valproate), 2007 repeat population groups, duplicate reports (most recent study included) Overlapping: Thomas 2022 included data on language and cognitive delay, also evaluated in Sreedharan et al., 2018; Thomas 2007 and Gopinath 2015, but with more exposed pregnancies, more relevant control group and older children => Use of Thomas 2022.

Thomas Epilepsia 2007; 48:2234-40 10.1111/j.1528-1167.2007.01376.x