Primidone AND Phenobarbital (Epilepsy) updated on 04-22-2025

Minor congenital malformations

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.
S8652
R29100
Dean (Phenobarbital or Primidone), 2002 Minor congenital malformations at least 1st trimester retrospective cohort unexposed, sick Adjustment: No 3.80 [1.30;11.08] C 23/63   5/38 28 63
ref
S8672
R29211
Battino (Phenobarbital or Primidone) , 1992 Minor anomalies 1st trimester prospective cohort unexposed, sick Adjustment: No 3.22 [0.18;58.97] C 14/91   0/9 14 91
ref
S8714
R29415
Van der Pol (Phenobarbital) (Controls unexposed, disease free), 1991 Waldrop score >2 throughout pregnancy prospective cohort unexposed, disease free excluded Adjustment: No Matched 4.50 [1.20;16.89] C
excluded (control group)
6/12   10/55 16 12
ref
S8715
R29440
Van der Pol (Phenobarbital) (Controls unexposed, sick), 1991 Waldrop score >2 throughout pregnancy prospective cohort unexposed, sick Adjustment: No 1.20 [0.29;4.91] C 6/12   10/22 16 12
ref
S8687
R29298
Robert (Phenobarbital), 1986 Minor malformations 1st trimester retrospective cohort unexposed, sick Adjustment: No 0.86 [0.20;3.73] C 4/40   4/35 8 40
ref
Total 4 studies 1.93 [0.91;4.11] 66 206
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 Dean (Phenobarbital or Primidone), 2002Dean, 2002 1 3.80[1.30; 11.08]286343%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Battino (Phenobarbital or Primidone) , 1992Battino, 1992 2 3.22[0.18; 58.97]14917%ROB confusion: criticalROB selection: moderateROB classification: lowROB missing: lowROB mesure: moderateROB reporting: moderate Van der Pol (Phenobarbital) (Controls unexposed, sick), 1991Van der Pol, 1991 3 1.20[0.29; 4.91]161226%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Robert (Phenobarbital), 1986Robert, 1986 4 0.86[0.20; 3.73]84024%ROB confusion: NAROB selection: NAROB classification: NAROB missing: NAROB mesure: NAROB reporting: NA Total (4 studies) I2 = 8% 1.93[0.91; 4.11]662060.210.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Phenobarbital or Primidone; 2: Phenobarbital or Primidone; 3: Phenobarbital) (Controls unexposed, sick; 4: Phenobarbital;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.93[0.91; 4.11]662068%NADean (Phenobarbital or Primidone), 2002 Battino (Phenobarbital or Primidone) , 1992 Van der Pol (Phenobarbital) (Controls unexposed, sick), 1991 Robert (Phenobarbital), 1986 4 case control studiescase control studies 0 Type of controls unexposed, sickunexposed, sick 1.93[0.91; 4.11]662068%NADean (Phenobarbital or Primidone), 2002 Battino (Phenobarbital or Primidone) , 1992 Van der Pol (Phenobarbital) (Controls unexposed, sick), 1991 Robert (Phenobarbital), 1986 4 Tags Adjustment   - No  - No 1.93[0.91; 4.11]662068%NADean (Phenobarbital or Primidone), 2002 Battino (Phenobarbital or Primidone) , 1992 Van der Pol (Phenobarbital) (Controls unexposed, sick), 1991 Robert (Phenobarbital), 1986 4 All studiesAll studies 1.93[0.91; 4.11]662068%NADean (Phenobarbital or Primidone), 2002 Battino (Phenobarbital or Primidone) , 1992 Van der Pol (Phenobarbital) (Controls unexposed, sick), 1991 Robert (Phenobarbital), 1986 40.210.01.0

Publication bias and p-hacking diagnosis

funnel plot
0.0-3.54.11.7800.000Dean (Phenobarbital or Primidone), 2002Battino (Phenobarbital or Primidone) , 1992Van der Pol (Phenobarbital) (Controls unexposed, sick), 1991Robert (Phenobarbital), 1986

Asymetry test p-value = NaN (by Egger's regression)

not enought points

p values plot
0.01.00.01.0

Sub-groups analysis using all included studies

excluded 8714

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 4.50[1.20; 16.89]1612 -NAVan der Pol (Phenobarbital) (Controls unexposed, disease free), 1991 1 unexposed, sick controlsunexposed, sick controls 1.93[0.91; 4.11]662068%NADean (Phenobarbital or Primidone), 2002 Battino (Phenobarbital or Primidone) , 1992 Van der Pol (Phenobarbital) (Controls unexposed, sick), 1991 Robert (Phenobarbital), 1986 40.510.01.0