From: Maternal drug use and the risk of anorectal malformations: systematic review and meta-analysis
 | Study population |  | ||||||
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No. participants | ||||||||
Ref. | First author, year | Country | Cases | Controls | Age range | Setting, control type | Data acquisition (period) | Assessed medical drug(s) |
[28] | Zwink, 2016 | Germany | 158 | 474a | < 18 - ≥30 | population-based, no major birth defects | Data from the German Network for congenital uro-rectal malformations and Malformation Monitoring Centre Saxony-Anhalt of the Otto-von-Guericke University in Magdeburg (2009–2011) | Folic acid, multivitamins |
[52] | Furu, 2015 | Norway | 799 | 2,303,647 | ≤24 - ≥45 | population-based, all births | Data from nationwide Nordic health registers (Denmark, Finland, Iceland, Norway, Sweden) (1996–2010) | Antidepressants (any SSRI, citalopram, sertraline) |
[73] | Garne, 2015 | Denmark | 772 265c | 53,402 | < 25 - ≥40 | population-based, non-chromosomal and chromosol anomalies | Data from the EUROmediCAT registries (1995–2010) | Anti-asthma medication (any asthma medication, inhaled ß2-agonists, inhaled corticosteroids) |
[50] | Wemakor, 2015 | UK | 392 | 2,177,977 | N.A. | registry-based, other congenital malformations | Data from 12 EUROCAT congenital anomalies registries (1995–2009) | Antidepressants (any SSRI, fluoxetine, paroxetine, citalopram, sertraline, escitalopram) |
[53] | Zwink and Choinitzki, 2015 | Germany | 123 | 140 | < 18 - ≥30 | population-based, other congenital malformationsa | Data from the German Network for congenital uro-rectal malformations (2009–2012) and Consortium of Genetic Risk for Esophageal Atresia (2011–2012) | Anti-asthma medication, thyroid hormone supplementations, iron intake, folic acid, multivitamins |
[57] | Gilboa, 2014 | USA | 176 | 4525 | < 20 - ≥35 | population-based, all births | Data from the National Birth Defects Prevention Study (1997–2005) | Vitamin E |
[75] | Källén and Wikner, 2014 | Sweden | 588 | 48,012 | < 20 - ≥45 | population-based, all births | Data from the nationwide Swedish Medical Birth Register (1996–2011) | Thyroxin |
[41] | Wijers, 2014 | The Netherlands | 643b | 714 | < 18 - ≥30 | hospital-based, no major birth defects | Questionnaire (1990–2012) | Folic acid |
[76] | Källén, 2013 | Sweden | 590 | 69,749 | < 20 - ≥45 | population-based, all births | Data from the nationwide Swedish Medical Birth Register (1996–2011) | Opioids, anticonvulsants, neuroleptics other than dixyrazine or prochloperazine, dixyrazine or prochlorperazine, sedatives or hypnotics, antidepressants |
[49] | Pasternak, 2013 | Denmark | 52 | 1,222,503 | N.A. | register-based, all births | Data from the nationwide administrative and health care registries in Denmark (1997–2011) | Metoclopramide |
[54] | Polen, 2013 | USA | 741 | 8002 | < 30 - ≥30 | population-based, no birth defects | Data from the National Birth Defects Prevention Study (1997–2007) | Antidepressants, venlafaxine |
[67] | Yau, 2013 | USA | 274 | 7606 | < 25 - ≥34 | population-based, no birth defects | Data from the Slone Epidemiology Center Birth Defects Study (1993–2010) | Decongestants (pseudoephedrine) |
[59] | Lin, 2012 | USA | 285 | 6726 | < 20 - ≥35 | population-based, no birth defects | Data from the National Birth Defects Prevention Study (1997–2003) | Anti-asthma medication (bronchodilator use), anti-inflammatory use |
[58] | Hernandez, 2012 | USA | 540 | 5546 | < 20 - ≥35 | population-based, no birth defects | Data from the National Birth Defects Prevention Study (1997–2004) | Non-steroidal anti-inflammatory drugs (aspirin, ibuprofen, naproxen) |
[60] | van Gelder, 2011 | The Netherlands | 16 | 65,287 | < 20 - ≥40 | population-based, no major birth defects | Data from the Norwegian Mother and Child Cohort Study (1999–2006) | Non-steroidal anti-inflammatory drugs |
[55] | Reefhuis, 2011 | USA | 582 | 6406 | < 25 - ≥40 | population-based, no birth defects | Data from the National Birth Defects Prevention Study (1997–2005) | Clomiphene citrate |
[56] | Reis and Källén, 2010 | Sweden | 428 | 1,062,190 | < 20 - ≥45 | population-based, all births | Data from the nationwide Swedish Medical Birth Register (1995–2007) | Antidepressants |
[27] | van Rooij, 2010 | The Netherlands | 85 | 650 | ≥35 | hospital-based, no major birth defects | Questionnaire (cases 1996–2008, controls 1996–2004) | Folic acid, multivitamins |
[61] | Browne, 2009 | USA | 534 | 5875 | 12 - ≥35 | population-based, no birth defects | Data from the National Birth Defects Prevention Study (1997–2004) | Anti-thyroid medication |
[63] | Crider, 2009 | USA | 470 | 5008 | < 18–49 | population-based, no birth defects | Data from the National Birth Defects Prevention Study (1997–2003) | Antibacterial medication (any antibacterial, penicillins, erythromycins, nitrofurantoins, sulfonamides, cephalosporins) |
[62] | Carter, 2008 | USA | 209 | 4774 | N.A. | population-based, no birth defects | Data from the National Birth Defects Prevention Study (1997–2003) | Antifungal drugs |
[68] | Alwan, 2007 | USA | 418 | 4092 | < 35 - ≥35 | population-based, no birth defects | Data from the National Birth Defects Prevention Study (1997–2002) | Antidepressants |
[42] | Källén and Otterblad Olausson, 2007 | Sweden | 495 | 40,728 | N.A. | population-based, all births | Data from the nationwide Swedish Medical Birth Register (1995–2004) | Anti-asthma medication (ß2-adrenergic agonists, inhaled corticosteroids, anticholinergic drugs, cromoglicic acid, xanthines, leucotrien receptor antagonists) |
[77] | Källén, 2007 | Sweden | 11 | 873,383 | < 20 - ≥45 | population-based, all births | Data from the nationwide Swedish Medical Birth Register (1995–2004) | Folic acid |
[64] | Louik, 2007 | USA | 215 | 5860 | N.A. | population-based, no birth defects | Data from the Slone Epidemiology Center Birth Defects Study (1993–2004) | Antidepressants (any SSRI, fluoxetine, sertraline, paroxetine, citalopram, non-SSRI antidepressant) |
[66] | Czeizel, 2004 | Hungary | 220 | 38,151 | < 25 - > 29 | national-based, no birth defects | Data from the Hungarian Congenital Abnormality Registry (1980–1996) and National Birth Registry of the Central Statistical Office (1996–1992) | Folic acid, multivitamins |
[69] | Czeizel, 2004 | Hungary | 220 | 38,151 | < 25 - > 29 | national-based, no birth defects | Data from the Hungarian Congenital Abnormality Registry (1980–1996) and National Birth Registry of the Central Statistical Office (1996–1992) | Multivitamins |
[6] | Correa, 2003 | USA | 50 | 3029 | < 20 - ≥30 | population-based, no birth defects | Data from the Atlanta Birth Defects Case-Control Study (1968–1980) | Multivitamins |
[65] | Czeizel, 2003 | Hungary | 220 | 38,151 | < 25 - > 29 | national-based, no birth defects | Data from the Hungarian Congenital Abnormality Registry (1980–1996) and National Birth Registry of the Central Statistical Office (1996–1992) | Diazepam |
[78] | Källén and Mottet, 2003 | Sweden | 8 | 504,660 | < 19–45 | population-based, all births | Data from the nationwide Swedish Medical Birth Register (1995–2001) | Meclozine |
[43] | Bonnot, 2001 | France | 6 | 13,703 | N.A. | population-based, all births | Data from the French Central-East Registry of congenital malformations (1976–1998) | Lorazepam |
[70] | Czeizel, 2001 | Hungary | 220 | 38,151 | < 25 - > 29 | national-based, no birth defects | Data from the Hungarian Congenital Abnormality Registry (1980–1996) and National Birth Registry of the Central Statistical Office (1996–1992) | Cephalosporin (cephalexin, cefuroxime) |
[51] | Myers, 2001 | USA | 50 | 222,264 | N.A. | provinces-based, all births | Data from a public health campaign conducted in China (1993–1995) | Folic acid |
[71] | Czeizel, 2000 | Hungary | 220 | 38,151 | < 25 - > 29 | national-based, no birth defects | Data from the Hungarian Congenital Abnormality Registry (1980–1996) and National Birth Registry of the Central Statistical Office (1996–1992) | Acetylsalicylic acid |
[72] | Stoll, 1997 | France | 108, 51c | 108 | F: mean age 26.9, M: mean age 29.9 | hospital-based, no birth defects | Interview (1979–1995) | Antibiotics, antispasmodics, estrogens and other miscellaneous medication |
[74] | Angerpointer, 1981 | Germany | 78 78 78 78 | 210d 169e 75f 53g | < 20 - > 40 | hospital-based, other malformed infants | Questionnaire (1970–1974) | Antiemetic, analgetic, laxative and antihypotensive drugs, and iron preparations |
[79] | Heinonen, 1977 | USA | 13 | N.A. | N.A. | population-based, no controls | Data from the Collaborative Perinatal Project (1958–1965) | Aspirin |