| 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. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| S17439 R73290 |
Madley-Dowd_SE (Valproate) (Controls exposed to LTG), 2024 | Attention Deficit Hyperactivity Disorder - ICD-8/9/10 codes and/or ADHD medication prescription - Mean 5-20 years old (according groups) | during pregnancy (anytime or not specified) | population based cohort retrospective | exposed to other treatment, sick excluded | Adjustment: No Partial overlapping |
3.47 [2.63;4.58] C excluded (control group) |
113/792 109/2,383 | 222 | 792 |
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| S17440 R73291 |
Madley-Dowd_SE (Valproate) (Controls unexposed, sick), 2024 | Attention Deficit Hyperactivity Disorder - ICD-8/9/10 codes and/or ADHD medication prescription - Mean 5-20 years old (according groups) | during pregnancy (anytime or not specified) | population based cohort retrospective | unexposed, sick | Adjustment: Yes Partial overlapping | 1.21 [0.99;1.47] | 113/792 929/10,769 | 1,042 | 792 |
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| S17261 R72266 |
Madley-Dowd_UK (Valproate) (Controls exposed to LTG) (Epilepsy), 2024 | Attention Deficit Hyperactivity Disorder - ICD10 codes and/or ADHD medication prescription - Median follow up 9.32 (5.54-12.83) years old | during pregnancy (anytime or not specified) | retrospective cohort (claims database) | exposed to other treatment, sick excluded | Adjustment: No |
1.28 [0.53;3.09] C excluded (control group) |
8/354 14/791 | 22 | 354 |
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| S17256 R72267 |
Madley-Dowd_UK (Valproate) (Controls unexposed, sick) (Epilepsy), 2024 | Attention Deficit Hyperactivity Disorder - ICD10 codes and/or ADHD medication prescription - Median follow up 9.32 (5.54-12.83) years old | during pregnancy (anytime or not specified) | retrospective cohort (claims database) | unexposed, sick | Adjustment: Yes | 1.50 [0.62;3.63] | 8/354 38/4,075 | 46 | 354 |
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| S15877 R65469 |
Dreier (Valproate) (Epilepsy) (Controls exposed to LTG), 2023 | Attention-deficit/hyperactivity disorder (ADHD) - Corresponding ICD-10 F-chapter - Up to 22 years of age | during pregnancy (anytime or not specified) | population based cohort propective | exposed to other treatment, sick excluded | Adjustment: No |
3.14 [2.37;4.16] C excluded (control group) |
106/1,952 95/5,288 | 201 | 1,952 |
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| S15878 R65483 |
Dreier (Valproate) (Epilepsy) (Controls unexposed, sick), 2023 | Attention-deficit/hyperactivity disorder (ADHD) - Corresponding ICD-10 F-chapter - Up to 22 years of age | during pregnancy (anytime or not specified) | population based cohort propective | unexposed, sick | Adjustment: Yes | 1.41 [1.10;1.81] | 106/1,952 528/22,203 | 634 | 1,952 |
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| S7508 R46565 |
Huber-Mollema (Valproate), 2019 | Diagnosis of ADHD | throughout pregnancy | prospective cohort | exposed to other treatment, sick | Adjustment: No | 1.38 [0.25;7.58] C | 2/26 5/88 | 7 | 26 |
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| S7309 R46567 |
Bromley (Valproate), 2016 | Maladaptive behavior: Attention (BASC) (5-9 years old) | during pregnancy (anytime or not specified) | retrospective cohort (registry) | unexposed, sick | Adjustment: No extrapolated (cont. endpoint) | 0.89 [0.44;1.79] | -/47 -/55 | - | 47 |
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| S6662 R46561 |
Bromley (Valproate) (Controls exposed to Lamotrigine, sick), 2013 | Attention deficit hyperactivity disorder (at 6 years old) | during pregnancy (anytime or not specified) | prospective cohort | exposed to other treatment, sick excluded | Adjustment: No |
0.60 [0.01;30.84] C excluded (control group) |
0/50 0/30 | 0 | 50 |
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| S6659 R46562 |
Bromley (Valproate) (Controls unexposed, disease free), 2013 | Attention deficit hyperactivity disorder (at 6 years old) | during pregnancy (anytime or not specified) | prospective cohort | unexposed, disease free excluded | Adjustment: No |
4.31 [0.08;220.05] C excluded (control group) |
0/50 0/214 | 0 | 50 |
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| S6602 R46563 |
Bromley (Valproate) (Controls unexposed, sick), 2013 | Attention deficit hyperactivity disorder (at 6 years old) | during pregnancy (anytime or not specified) | prospective cohort | unexposed, sick | Adjustment: No | 0.52 [0.01;26.73] C | 0/50 0/26 | 0 | 50 |
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| S7295 R46564 |
Cohen (Valproate), 2013 | Children with either ADHD inattentive OR combined types > 1 SD (from the Attention Problems and Hyperactivity scales of the BASC) (Both Parent and Teacher) | during pregnancy (anytime or not specified) | prospective cohort | exposed to other treatment, sick | Adjustment: No | 1.84 [0.46;7.35] C | 6/28 4/31 | 10 | 28 |
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| S6353 R46568 |
Veiby (Valproate) (Controls exposed to Lamotrigine, sick) b, 2013 | ADHD symptoms ≥ 2SD (at 36 months) (Specific checklist) (Parent-reported) | during pregnancy (anytime or not specified) | prospective cohort | exposed to other treatment, sick excluded | Adjustment: No |
0.76 [0.07;7.80] C excluded (control group) |
1/19 3/44 | 4 | 19 |
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| S5506 R46569 |
Veiby (Valproate) (Controls unexposed, disease free) b, 2013 | ADHD symptoms ≥ 2SD (at 36 months) (Specific checklist) (Parent-reported) | during pregnancy (anytime or not specified) | prospective cohort | unexposed, disease free excluded | Adjustment: No |
1.30 [0.20;9.90] excluded (control group) |
1/19 1,743/43,571 | 1,744 | 19 |
|
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| S6350 R46570 |
Veiby (Valproate) (Controls unexposed, sick) b, 2013 | ADHD symptoms ≥ 2SD (at 36 months) (Specific checklist) (Parent-reported) | during pregnancy (anytime or not specified) | prospective cohort | unexposed, sick | Adjustment: No | 2.08 [0.22;19.67] C | 1/19 4/154 | 5 | 19 |
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| S5543 R46571 |
Viinikainen (Valproate) b, 2006 | Conners' Teacher Rating Scale Global Index scores >1 SD | throughout pregnancy | prospective cohort | unexposed, sick | Adjustment: No Matched | 0.90 [0.10;7.78] C | 2/12 2/11 | 4 | 12 |
|
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| S7175 R46560 |
Adab (Valproate), 2004 | Attention deficit hyperactivity disorder | during pregnancy (anytime or not specified) | retrospective cohort | unexposed, sick | Adjustment: No | 8.31 [0.39;175.93] C | 2/63 0/101 | 2 | 63 |
|
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| Total | 10 studies | 1.28 [1.10;1.48] | 1,750 | 3,343 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
1: Valproate) (Controls unexposed, sick; 2: Valproate) (Controls unexposed, sick) (Epilepsy; 3: Valproate) (Epilepsy) (Controls unexposed, sick; 4: Valproate; 5: Valproate; 6: Valproate) (Controls unexposed, sick; 7: Valproate; 8: Valproate) (Controls unexposed, sick) ; 9: Valproate) ; 10: Valproate;
Asymetry test p-value = 0.5593 (by Egger's regression)
slope=0.2169 (0.0717); intercept=0.1847 (0.3031); t=0.6093; p=0.5593
excluded 6662, 6659, 6353, 5506, 15877, 17439, 17261