Oxcarbazepine (All indications)

Neonatal medical care

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.
S9039
R30842
Aydin (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2020 Neonatal intensive care unit (NICU) throughout pregnancy retrospective cohort exposed to other treatment, sick excluded Adjustment: No 0.83 [0.05;13.63] C
excluded (control group)
1/4   2/7 3 4
ref
S9040
R30852
Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Neonatal intensive care unit (NICU) throughout pregnancy retrospective cohort unexposed, sick Adjustment: No 3.33 [0.23;49.10] C 1/4   2/22 3 4
ref
S9042
R30869
Bank (Oxcarbazepine) (Mixed indications), 2017 Admission to neonatal intensive care unit (NICU) or Special Care Nursery during pregnancy (anytime or not specified) prospective cohort exposed to other treatment, sick Adjustment: No 0.65 [0.03;14.14] C 0/4   6/36 6 4
ref
S9036
R30803
Artama (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2013 Admission to neonatal care unit 3rd trimester population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No 0.59 [0.35;1.01] C
excluded (control group)
46/465   24/154 70 465
ref
S9037
R30815
Artama (Oxcarbazepine) (Controls unexposed, disease free), 2013 Admission to neonatal care unit 3rd trimester population based cohort retrospective unexposed, disease free excluded Adjustment: Yes 1.33 [0.98;1.82]
excluded (control group)
46/465   49,612/689,482 49,658 465
ref
S9038
R30827
Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 Admission to neonatal care unit 3rd trimester population based cohort retrospective unexposed, sick Adjustment: Yes 1.04 [0.73;1.49] 46/465   152/1,708 198 465
ref
S9064
R30943
Viinikainen (Oxcarbazepine) (Controls unexposed, disease free) a, 2006 Admission to a neonatal unit throughout pregnancy prospective cohort unexposed, disease free Adjustment: No 37.81 [1.54;928.50] C 2/2   1,822/24,778 1,824 2
ref
Total 4 studies 2.02 [0.48;8.47] 2,031 475
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 Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020Aydin, 2020 1 3.33[0.23; 49.10]3419%ROB confusion: criticalROB selection: criticalROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Bank (Oxcarbazepine) (Mixed indications), 2017Bank, 2017 2 0.65[0.03; 14.14]6415%ROB confusion: criticalROB selection: lowROB classification: lowROB missing: lowROB mesure: moderateROB reporting: moderate Artama (Oxcarbazepine) (Controls unexposed, sick), 2013Artama, 2013 3 1.04[0.73; 1.49]19846552%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Viinikainen (Oxcarbazepine) (Controls unexposed, disease free) a, 2006Viinikainen, 2006 4 37.81[1.54; 928.50]1,824215%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Total (4 studies) I2 = 46% 2.02[0.48; 8.47]2,0314750.2100.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Oxcarbazepine) (Controls unexposed, sick; 2: Oxcarbazepine) (Mixed indications; 3: Oxcarbazepine) (Controls unexposed, sick; 4: Oxcarbazepine) (Controls unexposed, disease free) ;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 2.02[0.48; 8.47]2,03147546%NAAydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Bank (Oxcarbazepine) (Mixed indications), 2017 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 Viinikainen (Oxcarbazepine) (Controls unexposed, disease free) a, 2006 4 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 37.81[1.54; 928.50]1,8242 -NAViinikainen (Oxcarbazepine) (Controls unexposed, disease free) a, 2006 1 unexposed, sickunexposed, sick 1.06[0.75; 1.51]2014690%NAAydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 2 exposed to other treatment, sickexposed to other treatment, sick 0.65[0.03; 14.14]64 -NABank (Oxcarbazepine) (Mixed indications), 2017 1 Tags Adjustment   - No  - No 4.14[0.46; 37.10]1,8331038%NAAydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Bank (Oxcarbazepine) (Mixed indications), 2017 Viinikainen (Oxcarbazepine) (Controls unexposed, disease free) a, 2006 3   - Yes  - Yes 1.04[0.73; 1.49]198465 -NAArtama (Oxcarbazepine) (Controls unexposed, sick), 2013 1 All studiesAll studies 2.02[0.48; 8.47]2,03147546%NAAydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Bank (Oxcarbazepine) (Mixed indications), 2017 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 Viinikainen (Oxcarbazepine) (Controls unexposed, disease free) a, 2006 40.2100.01.0

Publication bias and p-hacking diagnosis

funnel plot
0.0-4.44.51.9600.000Aydin (Oxcarbazepine) (Controls unexposed, sick), 2020Bank (Oxcarbazepine) (Mixed indications), 2017Artama (Oxcarbazepine) (Controls unexposed, sick), 2013Viinikainen (Oxcarbazepine) (Controls unexposed, disease free) a, 2006

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 9036, 9037, 9039

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 4.78[0.20; 115.83]51,48246776%NAArtama (Oxcarbazepine) (Controls unexposed, disease free), 2013 Viinikainen (Oxcarbazepine) (Controls unexposed, disease free) a, 2006 2 unexposed, sick controlsunexposed, sick controls 1.06[0.75; 1.51]2014690%NAAydin (Oxcarbazepine) (Controls unexposed, sick), 2020 Artama (Oxcarbazepine) (Controls unexposed, sick), 2013 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 0.60[0.36; 1.01]794730%NAAydin (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2020 Bank (Oxcarbazepine) (Mixed indications), 2017 Artama (Oxcarbazepine) (Controls exposed to Lamotrigine, sick), 2013 30.510.01.0