Thiouracil, propylthiouracil, benzylthiouracil

Genital anomalies

id	Study   Auto Andersen 2019 (control exposed to MMI/CMZ), 2019Andersen 2019 (control unexposed, disease free), 2019Seo (control exposed to MMI), 2018Seo (control unexposed, NOS), 2018Andersen 2017 (control exposed to MMI/CMZ), 2017Andersen 2017 (control unexposed, disease free), 2017Andersen 2017 (control unexposed, sick), 2017Korelitz (control exposed to MMI), 2013Korelitz (control exposed to MMI), 2013Korelitz (control unexposed, disease free), 2013Korelitz (control unexposed, sick), 2013	Lib. in paper	Exposition period  Auto during pregnancy (anytime or not specified)1st trimester2nd trimester3rd trimester2nd and/or 3rd trimesterthroughout pregnancyearly pregnancydays before deliverylate pregnancypreconception-onlypericonceptionalpreconceptional for kinetic reasonat least 1st trimester3 months (or more) before pregnancy or during pregnancy1st and 2nd trimester3 months or more before pregnancy or1st trimester	Study type  All studies Case control excluded Only case control	Control type    Auto unexposed (general population or NOS)unexposed, sickunexposed, disease freeexposed to other treatment, sicknot specifiedwhatever (meta-analysis)	Tags	OR 95%CI	x1/n1 x0/n0	no cases	no exposed	ROB	Ref.
S3448 R6459	Andersen 2019 (control exposed to MMI/CMZ), 2019	Genital organs (Q50-56)	early pregnancy	population based cohort retrospective	exposed to other treatment, sick excluded	Adjustment: No	1.06 [0.46;2.44] C excluded (control group)	9/889   15/1,574	24	889		ref
S3449 R6474	Andersen 2019 (control unexposed, disease free), 2019	Genital organs (Q50-56)	early pregnancy	population based cohort retrospective	unexposed, disease free	Adjustment: No	0.96 [0.50;1.86] C	9/889   12,182/1,159,181	12,191	889		ref
S3366 R6158	Seo (control exposed to MMI), 2018	Genital organs (Q50–Q56)	1st trimester	retrospective cohort (claims database)	exposed to other treatment, sick excluded	Adjustment: No	0.98 [0.45;2.15] C excluded (control group)	61/9,930   7/1,120	68	9,930		ref
S3367 R6170	Seo (control unexposed, NOS), 2018	Genital organs (Q50–Q56)	1st trimester	retrospective cohort (claims database)	unexposed (general population or NOS)	Adjustment: Yes	1.29 [1.00;1.66]	61/9,930   13,532/2,872,109	13,593	9,930		ref
S3340 R5759	Andersen 2017 (control exposed to MMI/CMZ), 2017	Genital organs	early pregnancy	population based cohort retrospective	exposed to other treatment, sick excluded	Adjustment: No	0.29 [0.06;1.52] C excluded (control group)	2/218   5/162	7	218		ref
S3339 R5742	Andersen 2017 (control unexposed, disease free), 2017	Genital organs	early pregnancy	population based cohort retrospective	unexposed, disease free excluded	Adjustment: No	0.66 [0.16;2.66] C excluded (control group)	2/218   9,415/682,343	9,417	218		ref
S3338 R5725	Andersen 2017 (control unexposed, sick), 2017	Genital organs	early pregnancy	population based cohort retrospective	unexposed, sick	Adjustment: No	0.57 [0.13;2.40] C	2/218   25/1,551	27	218		ref
S8718 R29462	Korelitz (control exposed to MMI), 2013	Congenital anomalies of genital organs	3 months (or more) before pregnancy or during pregnancy	retrospective cohort (claims database)	exposed to other treatment, sick excluded	Adjustment: No	2.50 [0.15;42.90] C excluded (control group)	10/915   0/108	10	915		ref
S3387 R6311	Korelitz (control exposed to MMI), 2013	Congenital anomalies of genital organs	3 months (or more) before pregnancy or during pregnancy	retrospective cohort (claims database)	exposed to other treatment, sick excluded	Adjustment: No	2.50 [0.15;42.90] C excluded (control group)	10/915   0/108	10	915		ref
S3388 R6319	Korelitz (control unexposed, disease free), 2013	Congenital anomalies of genital organs	3 months (or more) before pregnancy or during pregnancy	retrospective cohort (claims database)	unexposed, disease free excluded	Adjustment: No	1.13 [0.60;2.10] C excluded (control group)	10/915   6,161/634,858	6,171	915		ref
S3389 R6327	Korelitz (control unexposed, sick), 2013	Congenital anomalies of genital organs	3 months (or more) before pregnancy or during pregnancy excluded	retrospective cohort (claims database)	unexposed, sick	Adjustment: No	1.18 [0.58;2.42] C excluded (exposition period)	10/915   30/3,236	40	915		ref
					Total	3 studies	1.22 [0.96;1.54]		25,811	11,037
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

Sensitivity analysis

Publication bias and p-hacking diagnosis

Sub-groups analysis using all included studies

excluded 3387, 8718, 3388, 3340, 3339, 3366, 3448