Tricyclic antidepressants updated on 07-01-2025

Atrial septal defect

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.
S18161
R76387
Chan (Controls exposed to SSRIs), 2024 Atrial septal defect (ASD) 1st trimester retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Monotherapy: TCA only 1.59 [0.70;3.60] C
excluded (control group)
9/322   17/956 26 322
ref
S18156
R76341
Chan (Controls unexposed, general pop), 2024 Atrial septal defect (ASD) 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) excluded Adjustment: Yes Monotherapy: TCA only 2.77 [1.43;5.38]
excluded (control group)
9/322   4,755/462,377 4,764 322
ref
S18157
R76352
Chan (Controls unexposed, sick), 2024 Atrial septal defect (ASD) 1st trimester retrospective cohort (claims database) unexposed, sick Adjustment: Yes Monotherapy: TCA only Unexposed sick: old history of illness/treatment (> 12 months before pregnancy) or not specified 0.90 [0.22;3.72] 2/181   55/4,413 57 181
ref
S10938
R40734
Ban (Controls unexposed, disease free), 2014 Atrial septal defect 1st trimester retrospective cohort (claims database) unexposed, disease free Adjustment: Yes Monotherapy: TCA only 1.43 [0.54;3.83] -/2,428   -/325,294 - 2,428
ref
S11322
R41708
Louik, 2014 Atrial septal defects 1st trimester case control unexposed (general population or NOS) Adjustment: Yes Monotherapy: no or not specified 1.50 [0.60;3.60] 6/38   1,136/9,715 1,142 38
ref
Total 3 studies 1.34 [0.74;2.45] 1,199 2,647
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 Chan (Controls unexposed, sick), 2024Chan, 2024 1 0.90[0.22; 3.72]5718118%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Ban (Controls unexposed, disease free), 2014Ban, 2014 2 1.43[0.54; 3.83]-2,42837%ROB confusion: seriousROB selection: moderateROB classification: criticalROB missing: lowROB mesure: criticalROB reporting: moderate Louik, 2014Louik, 2014 1.50[0.60; 3.60]1,1423845%ROB confusion: moderateROB selection: criticalROB classification: criticalROB missing: lowROB mesure: criticalROB reporting: moderate Total (3 studies) I2 = 0% 1.34[0.74; 2.45]1,1992,6470.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

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

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.23[0.55; 2.75]572,6090%NAChan (Controls unexposed, sick), 2024 Ban (Controls unexposed, disease free), 2014 2 case control studiescase control studies 1.50[0.61; 3.67]1,14238 -NALouik, 2014 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.47[0.76; 2.84]1,1422,4660%NABan (Controls unexposed, disease free), 2014 Louik, 2014 2 unexposed, sickunexposed, sick 0.90[0.22; 3.70]57181 -NAChan (Controls unexposed, sick), 2024 1 Tags Adjustment   - Yes  - Yes 1.34[0.74; 2.45]1,1992,6470%NAChan (Controls unexposed, sick), 2024 Ban (Controls unexposed, disease free), 2014 Louik, 2014 3 Monotherapy   - no or not specified  - no or not specified 1.50[0.61; 3.67]1,14238 -NALouik, 2014 1   - TCA only  - TCA only 1.23[0.55; 2.75]572,6090%NAChan (Controls unexposed, sick), 2024 Ban (Controls unexposed, disease free), 2014 2 Unexposed sick   - old history of illness/treatment (> ...  - old history of illness/treatment (> 12 months before pregnancy) or not specified 0.90[0.22; 3.70]57181 -NAChan (Controls unexposed, sick), 2024 1 All studiesAll studies 1.34[0.74; 2.45]1,1992,6470%NAChan (Controls unexposed, sick), 2024 Ban (Controls unexposed, disease free), 2014 Louik, 2014 30.25.01.0

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 18161, 18156

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 2.01[1.26; 3.22]5,9062,7880%NAChan (Controls unexposed, general pop), 2024 Ban (Controls unexposed, disease free), 2014 Louik, 2014 3 unexposed, sick controlsunexposed, sick controls 0.90[0.22; 3.70]57181 -NAChan (Controls unexposed, sick), 2024 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.59[0.70; 3.60]26322 -NAChan (Controls exposed to SSRIs), 2024 10.510.01.0