Tricyclic antidepressants updated on 07-01-2025

Large 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.
S18445
R78340
Lee (Controls exposed to SSRI), 2025 Large for gestational age (birth weight >2 standard deviations above the mean for gestational age) during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Monotherapy: TCA only 0.92 [0.44;1.92] C
excluded (control group)
10/613   26/1,465 36 613
ref
S18410
R77741
Lee (Controls unexposed, general pop), 2025 Large for gestational age (birth weight >2 standard deviations above the mean for gestational age) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes Monotherapy: TCA only 0.55 [0.29;1.03] 10/613   9,744/463,440 9,754 613
ref
S10933
R40666
Reis (Controls exposed to SSRIs), 2010 Large for gestational age (>2 S.D. from expected weight) 2nd and/or 3rd trimester population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No Monotherapy: TCA only 1.24 [0.92;1.66] C
excluded (control group)
58/784   292/4,809 350 784
ref
S10934
R40669
Reis (Controls unexposed, NOS), 2010 Large for gestational age (>2 S.D. from expected weight) 2nd and/or 3rd trimester population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Monotherapy: TCA only 1.12 [0.85;1.48] 58/784   68,814/1,062,190 68,872 784
ref
Total 2 studies 0.83 [0.42;1.66] 78,626 1,397
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 Lee (Controls unexposed, general pop), 2025Lee, 2025 1 0.55[0.29; 1.03]9,75461342%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Reis (Controls unexposed, NOS), 2010Reis, 2010 2 1.12[0.85; 1.48]68,87278458%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 75% 0.83[0.42; 1.66]78,6261,3970.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, general pop; 2: Controls unexposed, NOS;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.83[0.42; 1.66]78,6261,39775%NALee (Controls unexposed, general pop), 2025 Reis (Controls unexposed, NOS), 2010 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 0.83[0.42; 1.66]78,6261,39775%NALee (Controls unexposed, general pop), 2025 Reis (Controls unexposed, NOS), 2010 2 Tags Adjustment   - Yes  - Yes 0.83[0.42; 1.66]78,6261,39775%NALee (Controls unexposed, general pop), 2025 Reis (Controls unexposed, NOS), 2010 2 Monotherapy   - TCA only  - TCA only 0.83[0.42; 1.66]78,6261,39775%NALee (Controls unexposed, general pop), 2025 Reis (Controls unexposed, NOS), 2010 2 All studiesAll studies 0.83[0.42; 1.66]78,6261,39775%NALee (Controls unexposed, general pop), 2025 Reis (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 10933, 18445

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 0.83[0.42; 1.66]78,6261,39775%NALee (Controls unexposed, general pop), 2025 Reis (Controls unexposed, NOS), 2010 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.19[0.90; 1.56]3861,3970%NALee (Controls exposed to SSRI), 2025 Reis (Controls exposed to SSRIs), 2010 20.510.01.0