Sumatriptan

Late intrauterine deaths (> 22 weeks)

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.
S3552
R7056
Yusuf (Control exposed to Naratriptan), 2018 Stillbirth (NOS) 1st trimester retrospective cohort (claims database) exposed to other treatment, sick Adjustment: No 1.58 [0.09;26.56] C 14/3,496   0/190 14 3,496
ref
S3488
R6724
Ephross (Control exposed to Naratriptan), 2014 Fetal death (≥20 weeks of gestation) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick Adjustment: No 1.00 [0.05;18.35] C 5/626   0/57 5 626
ref
S3532
R6981
O'Quinn, 1999 Stillbirth (NOS) 1st trimester prospective cohort unexposed, sick Adjustment: No 0.40 [0.02;9.95] C 0/76   1/92 1 76
ref
Total 3 studies 0.91 [0.16;5.06] 20 4,198
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 Yusuf (Control exposed to Naratriptan), 2018Yusuf, 2018 1 1.58[0.09; 26.56]143,49637%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Ephross (Control exposed to Naratriptan), 2014Ephross, 2014 2 1.00[0.05; 18.35]562635%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA O'Quinn, 1999O'Quinn, 1999 0.40[0.02; 9.95]17628%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (3 studies) I2 = 0% 0.91[0.16; 5.06]204,1980.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Control exposed to Naratriptan; 2: Control exposed to Naratriptan;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.91[0.16; 5.06]204,1980%NAYusuf (Control exposed to Naratriptan), 2018 Ephross (Control exposed to Naratriptan), 2014 O'Quinn, 1999 3 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 0.40[0.02; 9.95]176 -NAO'Quinn, 1999 1 exposed to other treatment, sickexposed to other treatment, sick 1.27[0.17; 9.60]194,1220%NAYusuf (Control exposed to Naratriptan), 2018 Ephross (Control exposed to Naratriptan), 2014 2 Tags Adjustment   - No  - No 0.91[0.16; 5.06]204,1980%NAYusuf (Control exposed to Naratriptan), 2018 Ephross (Control exposed to Naratriptan), 2014 O'Quinn, 1999 3 All studiesAll studies 0.91[0.16; 5.06]204,1980%NAYusuf (Control exposed to Naratriptan), 2018 Ephross (Control exposed to Naratriptan), 2014 O'Quinn, 1999 30.15.01.0

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, sick controlsunexposed, sick controls Out of scale0.40[0.02; 9.95]176 -NAO'Quinn, 1999 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.27[0.17; 9.60]194,1220%NAYusuf (Control exposed to Naratriptan), 2018 Ephross (Control exposed to Naratriptan), 2014 20.510.01.0