Oxcarbazepine (Epilepsy)

ASD (Autism spectrum disorder): Diagnosis/Risk

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.
S15873
R65424
Dreier (Oxcarbazepine) (Epilepsy) (Controls exposed to LTG), 2023 Autism spectrum disorder - 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 1.77 [1.15;2.73] C
excluded (control group)
31/1,460   64/5,288 95 1,460
ref
S15874
R65439
Dreier (Oxcarbazepine) (Epilepsy) (Controls unexposed, sick), 2023 Autism spectrum disorder - 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 1.22 [0.80;1.87] 31/1,460   323/22,203 354 1,460
ref
S10096
R46429
Coste (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2020 Diagnosis Pervasive developmental disorders (F84) (mean age of 3.7 years old) during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: Yes Controls: mixed indications 2.00 [0.30;13.80]
excluded (control group)
1/143   11/2,916 12 143
ref
S7808
R46430
Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Diagnosis Pervasive developmental disorders (F84)(mean age of 3.6 years old) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes 1.70 [0.20;12.40] 1/143   4,280/1,710,441 4,281 143
ref
S9965
R46432
Bjørk (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2018 Autistic traits at 18 months and/or at 36 months (M-CHAT <2/6 critical or <3/23 or SCQ >13) during pregnancy (anytime or not specified) population based cohort propective exposed to other treatment, sick excluded Adjustment: No 0.66 [0.03;13.57] C
excluded (control group)
0/4   13/76 13 4
ref
S9953
R46433
Bjørk (Oxcarbazepine) (Controls unexposed, disease free), 2018 Autistic traits at 18 months and/or at 36 months (M-CHAT <2/6 critical or <3/23 or SCQ >13) during pregnancy (anytime or not specified) population based cohort propective unexposed, disease free excluded Adjustment: No 1.42 [0.07;27.47] C
excluded (control group)
0/4   6,907/75,497 6,907 4
ref
S9967
R46434
Bjørk (Oxcarbazepine) (Controls unexposed, sick), 2018 Autistic traits at 18 months and/or at 36 months (M-CHAT <2/6 critical or <3/23 or SCQ >13) during pregnancy (anytime or not specified) population based cohort propective unexposed, sick Adjustment: No 1.27 [0.06;25.24] C 0/4   27/272 27 4
ref
Total 3 studies 1.24 [0.82;1.87] 4,662 1,607
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 Dreier (Oxcarbazepine) (Epilepsy) (Controls unexposed, sick), 2023Dreier, 2023 1 1.22[0.80; 1.87]3541,46094%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: criticalROB reporting: moderate Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020Coste, 2020 2 1.70[0.20; 12.40]4,2811434%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Bjørk (Oxcarbazepine) (Controls unexposed, sick), 2018Bjørk, 2018 3 1.27[0.06; 25.24]2742%ROB confusion: unclearROB selection: lowROB classification: lowROB missing: lowROB mesure: moderateROB reporting: moderate Total (3 studies) I2 = 0% 1.24[0.82; 1.87]4,6621,6070.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Oxcarbazepine) (Epilepsy) (Controls unexposed, sick; 2: Oxcarbazepine) (Controls unexposed, NOS; 3: Oxcarbazepine) (Controls unexposed, sick;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.24[0.82; 1.87]4,6621,6070%NADreier (Oxcarbazepine) (Epilepsy) (Controls unexposed, sick), 2023 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Bjørk (Oxcarbazepine) (Controls unexposed, sick), 2018 3 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.70[0.22; 13.39]4,281143 -NACoste (Oxcarbazepine) (Controls unexposed, NOS), 2020 1 unexposed, sickunexposed, sick 1.22[0.80; 1.86]3811,4640%NADreier (Oxcarbazepine) (Epilepsy) (Controls unexposed, sick), 2023 Bjørk (Oxcarbazepine) (Controls unexposed, sick), 2018 2 Tags Adjustment   - No  - No 1.27[0.06; 25.24]274 -NABjørk (Oxcarbazepine) (Controls unexposed, sick), 2018 1   - Yes  - Yes 1.24[0.82; 1.87]4,6351,6030%NADreier (Oxcarbazepine) (Epilepsy) (Controls unexposed, sick), 2023 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 2 All studiesAll studies 1.24[0.82; 1.87]4,6621,6070%NADreier (Oxcarbazepine) (Epilepsy) (Controls unexposed, sick), 2023 Coste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Bjørk (Oxcarbazepine) (Controls unexposed, sick), 2018 30.55.01.0

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 9965, 9953, 10096, 15873

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.60[0.29; 8.71]11,1881470%NACoste (Oxcarbazepine) (Controls unexposed, NOS), 2020 Bjørk (Oxcarbazepine) (Controls unexposed, disease free), 2018 2 unexposed, sick controlsunexposed, sick controls 1.22[0.80; 1.86]3811,4640%NADreier (Oxcarbazepine) (Epilepsy) (Controls unexposed, sick), 2023 Bjørk (Oxcarbazepine) (Controls unexposed, sick), 2018 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.75[1.15; 2.66]1201,6070%NADreier (Oxcarbazepine) (Epilepsy) (Controls exposed to LTG), 2023 Coste (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2020 Bjørk (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2018 30.510.01.0