Bisoprolol (versus unexposed) updated on 12-17-2024

All congenital malformations (majors, minors, majors and minors, or unspecified)

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.
S17136
R73482
Delteil, 2024 Major congenital malformations at least 1st trimester retrospective cohort (claims database) unexposed (general population or NOS) Adjustment: Yes Indications Antihypertensive: Only chronic indication (hypertension or cardiac) 3.89 [1.50;8.29] 6/69   4,054/165,775 4,060 69
ref
S14336
R56722
Hoeltzenbein, 2018 Major birth defects at least 1st trimester prospective cohort unexposed, disease free Adjustment: Yes Indications Antihypertensive: All hypertensions, any indications or not specified 0.77 [0.34;1.75] 10/294   28/611 38 294
ref
Total 2 studies 1.72 [0.35;8.42] 4,098 363
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 Delteil, 2024Delteil, 2024 3.89[1.50; 8.29]4,0606950%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: lowROB mesure: moderateROB reporting: moderate Hoeltzenbein, 2018Hoeltzenbein, 2018 0.77[0.34; 1.75]3829450%ROB confusion: seriousROB selection: moderateROB classification: moderateROB missing: lowROB mesure: criticalROB reporting: moderate Total (2 studies) I2 = 86% 1.72[0.35; 8.42]4,0983630.210.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.72[0.35; 8.42]4,09836386%NADelteil, 2024 Hoeltzenbein, 2018 2 case control studiescase control studies 0 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.72[0.35; 8.42]4,09836386%NADelteil, 2024 Hoeltzenbein, 2018 2 Tags Adjustment   - Yes  - Yes 1.72[0.35; 8.42]4,09836386%NADelteil, 2024 Hoeltzenbein, 2018 2 Indications Antihypertensive   - All hypertensions, any indications ...  - All hypertensions, any indications or not specified 0.77[0.34; 1.75]38294 -NAHoeltzenbein, 2018 1   - Only chronic indication (hypertensi ...  - Only chronic indication (hypertension or cardiac) 3.89[1.65; 9.14]4,06069 -NADelteil, 2024 1 All studiesAll studies 1.72[0.35; 8.42]4,09836386%NADelteil, 2024 Hoeltzenbein, 2018 20.210.01.0

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

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.72[0.35; 8.42]4,09836386%NADelteil, 2024 Hoeltzenbein, 2018 20.510.01.0