Serotonin and Noradrenaline Reuptake Inhibitors (SNRI) updated on 07-01-2025

Large for gestational age (weight)

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.
S18440
R78235
Lee (Controls exposed to TCAs), 2025 Large for gestational age (birth weight >2 standard deviations above the mean for gestational age) during pregnancy (anytime or not specified) retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Monotherapy: SNRI only 1.75 [0.38;8.14] C
excluded (control group)
2/71   10/613 12 71
ref
S18441
R78256
Lee (Controls unexposed, general pop), 2025 Large for gestational age (birth weight >2 standard deviations above the mean for gestational age) during pregnancy (anytime or not specified) retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes Monotherapy: SNRI only 1.18 [0.29;4.84] 2/71   9,744/463,440 9,746 71
ref
S11693
R42998
Reis - SNRI (Controls exposed to TCA), 2010 Large for gestational age (>2 S.D. from expected weight) 2nd and/or 3rd trimester population based cohort retrospective exposed to other treatment, sick excluded Adjustment: No Monotherapy: SNRI only 0.95 [0.62;1.45] C
excluded (control group)
38/538   58/784 96 538
ref
S11694
R43010
Reis - SNRI (Controls unexposed, NOS), 2010 Large for gestational age (>2 S.D. from expected weight) 2nd and/or 3rd trimester population based cohort retrospective unexposed (general population or NOS) Adjustment: Yes Monotherapy: SNRI only 1.23 [0.88;1.72] 38/538   68,814/1,062,190 68,852 538
ref
Total 2 studies 1.23 [0.89;1.70] 78,598 609
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 Lee (Controls unexposed, general pop), 2025Lee, 2025 1 1.18[0.29; 4.84]9,746715%ROB confusion: seriousROB selection: lowROB classification: criticalROB missing: lowROB mesure: moderateROB reporting: moderate Reis - SNRI (Controls unexposed, NOS), 2010Reis - SNRI, 2010 2 1.23[0.88; 1.72]68,85253895%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 0% 1.23[0.89; 1.70]78,5986090.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, general pop; 2: Controls unexposed, NOS;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.23[0.89; 1.70]78,5986090%NALee (Controls unexposed, general pop), 2025 Reis - SNRI (Controls unexposed, NOS), 2010 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.23[0.89; 1.70]78,5986090%NALee (Controls unexposed, general pop), 2025 Reis - SNRI (Controls unexposed, NOS), 2010 2 Tags Adjustment   - Yes  - Yes 1.23[0.89; 1.70]78,5986090%NALee (Controls unexposed, general pop), 2025 Reis - SNRI (Controls unexposed, NOS), 2010 2 Monotherapy   - SNRI only  - SNRI only 1.23[0.89; 1.70]78,5986090%NALee (Controls unexposed, general pop), 2025 Reis - SNRI (Controls unexposed, NOS), 2010 2 All studiesAll studies 1.23[0.89; 1.70]78,5986090%NALee (Controls unexposed, general pop), 2025 Reis - SNRI (Controls unexposed, NOS), 2010 20.55.01.0

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 11693, 18440

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.23[0.89; 1.70]78,5986090%NALee (Controls unexposed, general pop), 2025 Reis - SNRI (Controls unexposed, NOS), 2010 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 0.99[0.66; 1.50]1086090%NALee (Controls exposed to TCAs), 2025 Reis - SNRI (Controls exposed to TCA), 2010 20.510.01.0