Paroxetine updated on 07-01-2025

Neonatal disorders (as a whole)

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.
S18437
R78168
Lee (Controls exposed to TCAs), 2025 Any neonatal outcomes (preterm, low birth weight, small for gestational age, large for gestational age, low Apgar score, during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 0.65 [0.40;1.05] C
excluded (control group)
33/77   328/613 361 77
ref
S18419
R77926
Lee (Controls unexposed, general pop), 2025 Any neonatal outcomes (preterm, low birth weight, small for gestational age, large for gestational age, low Apgar score, during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 0.93 [0.59;1.46] 33/77   161,405/463,440 161,438 77
ref
S564
R21072
Maschi, 2008 Neonatal complications during pregnancy (anytime or not specified) prospective cohort unexposed (general population or NOS) Adjustment: No Matched Monotherapy: no or not specified 1.06 [0.30;3.74] C 3/58   17/348 20 58
ref
S6731
R19025
Costei (Controls unexposed, NOS), 2002 Neonatal complications 3rd trimester prospective cohort unexposed (general population or NOS) excluded Adjustment: No Matched Monotherapy: no or not specified 7.26 [0.89;59.09] C
excluded (control group)
12/55   1/27 13 55
ref
S6732
R19028
Costei (Controls unexposed, sick), 2002 Neonatal complications 3rd trimester prospective cohort unexposed, sick Adjustment: No Matched Monotherapy: no or not specified Unexposed sick: recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 3.49 [0.72;16.87] C 12/55   2/27 14 55
ref
Total 3 studies 1.12 [0.63;2.00] 161,472 190
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 0.93[0.59; 1.46]161,4387770%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Maschi, 2008Maschi, 2008 1.06[0.30; 3.74]205818%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Costei (Controls unexposed, sick), 2002Costei, 2002 2 3.49[0.72; 16.87]145512%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: unclearROB mesure: criticalROB reporting: moderate Total (3 studies) I2 = 20% 1.12[0.63; 2.00]161,4721900.210.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

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

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.12[0.63; 2.00]161,47219020%NALee (Controls unexposed, general pop), 2025 Maschi, 2008 Costei (Controls unexposed, sick), 2002 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 0.94[0.62; 1.45]161,4581350%NALee (Controls unexposed, general pop), 2025 Maschi, 2008 2 unexposed, sickunexposed, sick 3.49[0.72; 16.87]1455 -NACostei (Controls unexposed, sick), 2002 1 Tags Adjustment   - No  - No 1.74[0.55; 5.51]3411325%NAMaschi, 2008 Costei (Controls unexposed, sick), 2002 2   - Yes  - Yes 0.93[0.59; 1.46]161,43877 -NALee (Controls unexposed, general pop), 2025 1 MatchedMatched 1.74[0.55; 5.51]3411325%NAMaschi, 2008 Costei (Controls unexposed, sick), 2002 2 Monotherapy   - no or not specified  - no or not specified 1.74[0.55; 5.51]3411325%NAMaschi, 2008 Costei (Controls unexposed, sick), 2002 2   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 0.93[0.59; 1.46]161,43877 -NALee (Controls unexposed, general pop), 2025 1 Unexposed sick   - recent illness/treatment (during o ...  - recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 3.49[0.72; 16.87]1455 -NACostei (Controls unexposed, sick), 2002 1 All studiesAll studies 1.12[0.63; 2.00]161,47219020%NALee (Controls unexposed, general pop), 2025 Maschi, 2008 Costei (Controls unexposed, sick), 2002 30.210.01.0

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 6731, 18437

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.27[0.54; 2.96]161,47119043%NALee (Controls unexposed, general pop), 2025 Maschi, 2008 Costei (Controls unexposed, NOS), 2002 3 unexposed, sick controlsunexposed, sick controls 3.49[0.72; 16.87]1455 -NACostei (Controls unexposed, sick), 2002 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 0.65[0.40; 1.05]36177 -NALee (Controls exposed to TCAs), 2025 10.510.01.0