Thiopurines (Azathioprine, Mercaptopurin) updated on 07-28-2025

Cardiac septal defects

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.
S6258
R18170
Cleary (Controls unexposed, NOS), 2009 Ventricular/Atrial septal defects early pregnancy population based cohort retrospective unexposed (general population or NOS) excluded Adjustment: Yes Indications: Any or not specified 3.18 [1.45;6.04]
excluded (control group)
9/481   6,629/1,181,450 6,638 481
ref
S12174
R45436
Cleary (Controls unexposed, sick), 2009 Ventricular/Atrial septal defects early pregnancy population based cohort retrospective unexposed, sick Adjustment: Yes Indications: Any or not specified 1.91 [0.75;4.57] 9/481   17/1,739 26 481
ref
Total 1 studies 1.91 [0.77;4.71] 26 481
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 Cleary (Controls unexposed, sick), 2009Cleary, 2009 1 1.91[0.75; 4.57]264810%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate0.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, sick;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.91[0.77; 4.71]26481 -NACleary (Controls unexposed, sick), 2009 1 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 1.91[0.77; 4.71]26481 -NACleary (Controls unexposed, sick), 2009 1 Tags Adjustment   - Yes  - Yes 1.91[0.77; 4.71]26481 -NACleary (Controls unexposed, sick), 2009 1 Indications   - Any or not specified  - Any or not specified 1.91[0.77; 4.71]26481 -NACleary (Controls unexposed, sick), 2009 1 All studiesAll studies 1.91[0.77; 4.71]26481 -NACleary (Controls unexposed, sick), 2009 10.55.01.0

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 6258

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 3.18[1.56; 6.49]6,638481 -NACleary (Controls unexposed, NOS), 2009 1 unexposed, sick controlsunexposed, sick controls 1.91[0.77; 4.71]26481 -NACleary (Controls unexposed, sick), 2009 10.510.01.0