Sertraline updated on 07-01-2025

Small for gestational age (weight)

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.
S18438
R78192
Lee (Controls exposed to TCAs), 2025 Small for gestational age (birth weight <2 standard deviations below the mean for gestational age) 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, ...) 0.76 [0.35;1.63] C
excluded (control group)
12/643   15/613 27 643
ref
S18420
R77950
Lee (Controls unexposed, general pop), 2025 Small for gestational age (birth weight <2 standard deviations below the mean for gestational age) 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, ...) 1.24 [0.69;2.24] 12/643   6,986/463,440 6,998 643
ref
S18304
R77082
Martin, 2024 Small for gestational age (SGA, defined as those with a birth weight in the lowest 10 percentiles for gestational age (<10th percentile) during pregnancy (anytime or not specified) population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 0.98 [0.94;1.02] 3,123/30,355   229,066/2,408,707 232,189 30,355
ref
S7699
R22861
Kivistö, 2016 Small for gestational age ( birthweight < 10th centile) during pregnancy (anytime or not specified) retrospective cohort unexposed (general population or NOS) Adjustment: Yes Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 0.23 [0.03;1.68] -/49   2,336/24,402 - 49
ref
Total 3 studies 0.99 [0.75;1.32] 239,187 31,047
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 1.24[0.69; 2.24]6,99864318%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Martin, 2024Martin, 2024 0.98[0.94; 1.02]232,18930,35580%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: unclearROB mesure: moderateROB reporting: moderate Kivistö, 2016Kivistö, 2016 0.23[0.03; 1.68]-492%ROB confusion: seriousROB selection: criticalROB classification: moderateROB missing: criticalROB mesure: moderateROB reporting: moderate Total (3 studies) I2 = 23% 0.99[0.75; 1.32]239,18731,0470.25.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, general pop;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 0.99[0.75; 1.32]239,18731,04723%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 0.99[0.75; 1.32]239,18731,04723%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 Tags Adjustment   - Yes  - Yes 0.99[0.75; 1.32]239,18731,04723%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 Monotherapy   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 0.99[0.75; 1.32]239,18731,04723%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 All studiesAll studies 0.99[0.75; 1.32]239,18731,04723%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 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 18438

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 0.99[0.75; 1.32]241,51431,04723%NALee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 3 exposed to other treatment, sick controlsexposed to other treatment, sick controls 0.76[0.35; 1.63]27643 -NALee (Controls exposed to TCAs), 2025 10.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Vlenterie (Small for gestational age)Vlenterie (Small for gestational age) Out of scale0.40[0.10; 1.10]-U,Sunexposed, sickAnyduring pregnancy (anytime or not specified)studies TTT4 Vlenterie (Small for gestational age)Vlenterie (Small for gestational age) Out of scale0.40[0.10; 1.30]-U,GPunexposed (general population or NOS)Anyduring pregnancy (anytime or not specified)studies TTT4 metaPregmetaPreg 0.99[0.75; 1.32]23%31,047----Lee (Controls unexposed, general pop), 2025 Martin, 2024 Kivistö, 2016 30.510.01.0