Oxcarbazepine (Epilepsy) updated on 04-22-2025

Cognitive developmental disorders/delay (< 3 years old)

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.
S16785
R70461
Thomas (Controls exposed to LTG), 2022 The mental development quotient (MEDQ) - The developmental assessment scale for Indian infants (DASII) - Between 12-24 months of age (mean (SD): 15.3 (3.9) months)) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick excluded Adjustment: No extrapolated (cont. endpoint) 0.55 [0.22;1.34]
excluded (control group)
-/42   -/26 - 42
ref
S16786
R70464
Thomas (Controls unexposed, sick), 2022 The mental development quotient (MEDQ) - The developmental assessment scale for Indian infants (DASII) - Between 12-24 months of age (mean (SD): 15.3 (3.9) months)) during pregnancy (anytime or not specified) prospective cohort unexposed, sick Adjustment: No extrapolated (cont. endpoint) 0.58 [0.30;1.10] -/42   -/110 - 42
ref
S9934
R53726
Videman (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2016 Griffiths Mental Developmental Scale - General quotient (at the age of 7 months) during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick excluded Adjustment: No extrapolated (cont. endpoint) 1.32 [0.24;7.16]
excluded (control group)
-/10   -/8 - 10
ref
S9941
R53727
Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 Griffiths Mental Developmental Scale - General quotient (at the age of 7 months) during pregnancy (anytime or not specified) prospective cohort unexposed, disease free Adjustment: No extrapolated (cont. endpoint) 5.76 [1.65;20.16] -/10   -/59 - 10
ref
Total 2 studies 1.71 [0.18;16.19] 0 52
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 Thomas (Controls unexposed, sick), 2022Thomas, 2022 1 0.58[0.30; 1.10]-4253%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: lowROB reporting: moderate Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016Videman, 2016 2 5.76[1.65; 20.16]-1047%ROB confusion: unclearROB selection: lowROB classification: moderateROB missing: criticalROB mesure: lowROB reporting: moderate Total (2 studies) I2 = 90% 1.71[0.18; 16.19]-520.220.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, sick; 2: Oxcarbazepine) (Controls unexposed, disease free;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.71[0.18; 16.19]-5290%NAThomas (Controls unexposed, sick), 2022 Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 5.76[1.65; 20.13]-10 -NAVideman (Oxcarbazepine) (Controls unexposed, disease free), 2016 1 unexposed, sickunexposed, sick 0.58[0.30; 1.11]-42 -NAThomas (Controls unexposed, sick), 2022 1 Tags Adjustment   - No  - No 1.71[0.18; 16.19]-5290%NAThomas (Controls unexposed, sick), 2022 Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 2 extrapolated (cont. endpoint)extrapolated (cont. endpoint) 1.71[0.18; 16.19]-5290%NAThomas (Controls unexposed, sick), 2022 Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 2 All studiesAll studies 1.71[0.18; 16.19]-5290%NAThomas (Controls unexposed, sick), 2022 Videman (Oxcarbazepine) (Controls unexposed, disease free), 2016 20.220.01.0

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 9934, 16785

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 5.76[1.65; 20.13]-10 -NAVideman (Oxcarbazepine) (Controls unexposed, disease free), 2016 1 unexposed, sick controlsunexposed, sick controls 0.58[0.30; 1.11]-42 -NAThomas (Controls unexposed, sick), 2022 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 0.67[0.30; 1.48]-520%NAThomas (Controls exposed to LTG), 2022 Videman (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2016 20.510.01.0