Calcium channel blockers (versus unexposed)

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.
S13987
R54922
Weber-Schoendorfer - Calcium blockers, 2008 Stillbirths at least 1st trimester prospective cohort unexposed (general population or NOS) Adjustment: Yes Indications Antihypertensive: All hypertensions, any indications or not specified 2.98 [1.02;8.72] 6/268   6/776 12 268
ref
S13969
R54747
Parazzini - Nifedipine, 1998 Intrauterine death (after 20 weeks of gestation) 2nd and/or 3rd trimester randomized controlled trial unexposed, sick Adjustment: Randomisation Indications Antihypertensive: All hypertensions, any indications or not specified 1.48 [0.24;8.99] C 3/132   2/129 5 132
ref
Total 2 studies 2.48 [0.99;6.24] 17 400
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 Weber-Schoendorfer - Calcium blockers, 2008Weber-Schoendorfer - Calcium blockers, 2008 2.98[1.02; 8.72]1226874%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: moderateROB mesure: unclearROB reporting: moderate Parazzini - Nifedipine, 1998Parazzini - Nifedipine, 1998 1.48[0.24; 8.99]513226%ROB confusion: lowROB selection: unclearROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 0% 2.48[0.99; 6.24]174000.510.01.0ROB: 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 2.98[1.02; 8.71]12268 -NAWeber-Schoendorfer - Calcium blockers, 2008 1 case control studiescase control studies 0 RCTRCT 1.48[0.24; 8.99]5132 -NAParazzini - Nifedipine, 1998 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 2.98[1.02; 8.71]12268 -NAWeber-Schoendorfer - Calcium blockers, 2008 1 unexposed, sickunexposed, sick 1.48[0.24; 8.99]5132 -NAParazzini - Nifedipine, 1998 1 Tags Adjustment   - Randomisation  - Randomisation 1.48[0.24; 8.99]5132 -NAParazzini - Nifedipine, 1998 1   - Yes  - Yes 2.98[1.02; 8.71]12268 -NAWeber-Schoendorfer - Calcium blockers, 2008 1 Indications Antihypertensive   - All hypertensions, any indications ...  - All hypertensions, any indications or not specified 2.48[0.99; 6.24]174000%NAWeber-Schoendorfer - Calcium blockers, 2008 Parazzini - Nifedipine, 1998 2 All studiesAll studies 2.48[0.99; 6.24]174000%NAWeber-Schoendorfer - Calcium blockers, 2008 Parazzini - Nifedipine, 1998 20.510.01.0

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) 2.98[1.02; 8.71]12268 -NAWeber-Schoendorfer - Calcium blockers, 2008 1 unexposed, sick controlsunexposed, sick controls 1.48[0.24; 8.99]5132 -NAParazzini - Nifedipine, 1998 10.510.01.0

Umbrella review (other published meta-analyses)

Published MATE95% CIn exposedkI2Control groupExposition period Sridharan (Isradipine)Sridharan (Isradipine) Out of scale0.10[0.00; 4.60]NA-exposed to other treatment, sickduring pregnancy (anytime or not specified)studies-9 Sridharan (Nifedipine)Sridharan (Nifedipine) 1.40[0.40; 5.10]NA-exposed to other treatment, sickduring pregnancy (anytime or not specified)studies-9 metaPregmetaPreg 2.48[0.99; 6.24]0%400--Weber-Schoendorfer - Calcium blockers, 2008 Parazzini - Nifedipine, 1998 20.510.01.0