Beta-blockers (All routes except ocular) (versus unexposed) updated on 12-17-2024

Oro-facial clefts

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.
S17127
R71762
Delteil - Beta-blockers, 2024 Oro-facial Clefts 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: No Indications Antihypertensive: Only chronic indication (hypertension or cardiac) 1.04 [0.15;7.42] C 1/974   164/165,775 165 974
ref
S13539
R54083
Bateman_Nordic - Beta-blockers, 2018 Cleft lip or palate 1st trimester population based cohort retrospective unexposed, sick Adjustment: Yes Indications Antihypertensive: All hypertensions, any indications or not specified 2.26 [0.47;10.80] 3/682   4/2,895 7 682
ref
S13791
R54090
Bateman_USMAX - Beta-blockers, 2018 Cleft lip or palate 1st trimester retrospective cohort (claims database) unexposed, sick Adjustment: Yes Indications Antihypertensive: All hypertensions, any indications or not specified 1.81 [0.52;6.33] -/1,668   13/13,232 - 1,668
ref
Total 3 studies 1.74 [0.72;4.17] 172 3,324
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 Delteil - Beta-blockers, 2024Delteil - Beta-blockers, 2024 1.04[0.15; 7.42]16597420%ROB confusion: criticalROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Bateman_Nordic - Beta-blockers, 2018Bateman_Nordic - Beta-blockers, 2018 2.26[0.47; 10.80]768231%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Bateman_USMAX - Beta-blockers, 2018Bateman_USMAX - Beta-blockers, 2018 1.81[0.52; 6.33]-1,66849%ROB confusion: moderateROB selection: lowROB classification: moderateROB missing: lowROB mesure: criticalROB reporting: moderate Total (3 studies) I2 = 0% 1.74[0.72; 4.17]1723,3240.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.74[0.72; 4.17]1723,3240%NADelteil - Beta-blockers, 2024 Bateman_Nordic - Beta-blockers, 2018 Bateman_USMAX - Beta-blockers, 2018 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.04[0.15; 7.42]165974 -NADelteil - Beta-blockers, 2024 1 unexposed, sickunexposed, sick 1.97[0.74; 5.24]72,3500%NABateman_Nordic - Beta-blockers, 2018 Bateman_USMAX - Beta-blockers, 2018 2 Tags Adjustment   - No  - No 1.04[0.15; 7.42]165974 -NADelteil - Beta-blockers, 2024 1   - Yes  - Yes 1.97[0.74; 5.24]72,3500%NABateman_Nordic - Beta-blockers, 2018 Bateman_USMAX - Beta-blockers, 2018 2 Indications Antihypertensive   - All hypertensions, any indications ...  - All hypertensions, any indications or not specified 1.97[0.74; 5.24]72,3500%NABateman_Nordic - Beta-blockers, 2018 Bateman_USMAX - Beta-blockers, 2018 2   - Only chronic indication (hypertensi ...  - Only chronic indication (hypertension or cardiac) 1.04[0.15; 7.42]165974 -NADelteil - Beta-blockers, 2024 1 All studiesAll studies 1.74[0.72; 4.17]1723,3240%NADelteil - Beta-blockers, 2024 Bateman_Nordic - Beta-blockers, 2018 Bateman_USMAX - Beta-blockers, 2018 30.55.01.0

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

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.04[0.15; 7.42]165974 -NADelteil - Beta-blockers, 2024 1 unexposed, sick controlsunexposed, sick controls 1.97[0.74; 5.24]112,3500%NABateman_Nordic - Beta-blockers, 2018 Bateman_USMAX - Beta-blockers, 2018 20.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Wu (Cleft lip or palate (adjusted studies))Wu (Cleft lip or palate (adjusted studies)) 1.34[0.98; 1.85]0%-Wwhatever (meta-analysis)Earlyearly pregnancystudies TTT6 Wu (Cleft lip or palate (all studies))Wu (Cleft lip or palate (all studies)) 1.50[1.18; 1.91]7%-Wwhatever (meta-analysis)Earlyearly pregnancystudies TTT13 metaPregmetaPreg 1.74[0.72; 4.17]0%3,324----Delteil - Beta-blockers, 2024 Bateman_Nordic - Beta-blockers, 2018 Bateman_USMAX - Beta-blockers, 2018 30.510.01.0