Acetaminophen (Paracetamol) updated on 09-20-2024

Macrosomia (> 4000g)

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.
S18496
R78614
Xu, 2024 High birth weight (≥4000 g) during pregnancy (anytime or not specified) retrospective cohort unexposed (general population or NOS) Adjustment: Yes Paracetamol use: prescription or medical files 1.75 [1.05;2.92] 42/501   26/501 68 501
ref
S18513
R78659
Zafeiri, 2022 High birth weight (≥4000g) during pregnancy (anytime or not specified) retrospective cohort unexposed (general population or NOS) Adjustment: Yes Paracetamol use: maternal ITW/questionnaires during pregnancy 0.98 [0.93;1.02] 2,720/24,096   13,233/107,109 15,953 24,096
ref
Total 2 studies 1.24 [0.71;2.16] 16,021 24,597
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 Xu, 2024Xu, 2024 1.75[1.05; 2.92]6850140%ROB confusion: seriousROB selection: unclearROB classification: moderateROB missing: criticalROB mesure: moderateROB reporting: moderate Zafeiri, 2022Zafeiri, 2022 0.98[0.93; 1.02]15,95324,09660%ROB confusion: criticalROB selection: criticalROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 80% 1.24[0.71; 2.16]16,02124,5970.25.01.0ROB: 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 1.24[0.71; 2.16]16,02124,59780%NAXu, 2024 Zafeiri, 2022 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.24[0.71; 2.16]16,02124,59780%NAXu, 2024 Zafeiri, 2022 2 Tags Adjustment   - Yes  - Yes 1.24[0.71; 2.16]16,02124,59780%NAXu, 2024 Zafeiri, 2022 2 Paracetamol use   - maternal ITW/questionnaires during ...  - maternal ITW/questionnaires during pregnancy 0.98[0.94; 1.03]15,95324,096 -NAZafeiri, 2022 1   - prescription or medical files  - prescription or medical files 1.75[1.05; 2.92]68501 -NAXu, 2024 1 All studiesAll studies 1.24[0.71; 2.16]16,02124,59780%NAXu, 2024 Zafeiri, 2022 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

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.24[0.71; 2.16]16,02124,59780%NAXu, 2024 Zafeiri, 2022 20.510.01.0