Table 5. The summary outcomes of this meta-analysis (including those of sensitivity analysis).
All the 12 included studies (12 studies) | MMI/CMZ vs. No ATD | MMI/CMZ vs. Control | PTU vs. No ATD | PTU vs. Control | MMI/CMZ &PTU vs. No ATD | MMI/CMZ &PTU vs. Control | MMI/CMZ vs. PTU |
No. of the included studies | 8 | 4 | 7 | 4 | 3 | 2 | 9 |
Participants | 19054 | 1462483 | 19263 | 1463993 | 10980 | 1446873 | 7256 |
Odds Ratio [95%CI] | 1.72[1.41, 2.09] | 1.61[1.32, 1.97] | 1.10[0.92, 1.32] | 1.29[1.07, 1.55] | 1.76[1.21, 2.56] | 1.92[1.32, 2.81] | 1.38[1.08, 1.77] |
I2 | 40% | 1% | 25% | 0% | 0% | 0% | 38% |
P | <0.00001 | <0.00001 | 0.30 | 0.008 | 0.003 | 0.0007 | 0.01 |
Excluded studies with sample size less than or equal to 30 (9 studies) | MMI/CMZ vs. No ATD | MMI/CMZ vs. Control | PTU vs. No ATD | PTU vs. Control | MMI/CMZ &PTU vs. No ATD | MMI/CMZ &PTU vs. Control | MMI/CMZ vs. PTU |
No. of the included studies | 6 | 4 | 5 | 4 | 2 | 2 | 6 |
Participants | 17780 | 1462483 | 17496 | 1463993 | 9760 | 1446873 | 6653 |
Odds Ratio [95%CI] | 1.68[1.37, 2.05] | 1.61[1.32, 1.97] | 1.17[0.97, 1.42] | 1.29[1.07, 1.55] | 1.88[1.27, 2.77] | 1.92[1.32, 2.81] | 1.31[1.01, 1.69] |
I2 | 0% | 1% | 5% | 0% | 0% | 0% | 29% |
P | <0.00001 | <0.00001 | 0.11 | 0.008 | 0.002 | 0.0007 | 0.04 |
Only major congenital malformations (7 studies) | MMI/CMZ vs. No ATD | MMI/CMZ vs. Control | PTU vs. No ATD | PTU vs. Control | MMI/CMZ &PTU vs. No ATD | MMI/CMZ &PTU vs. Control | MMI/CMZ vs. PTU |
No. of the included studies | 4 | 2 | 3 | 2 | 0 | 0 | 4 |
Participants | 7100 | 14690 | 6542 | 15926 | 0 | 0 | 3969 |
Odds Ratio [95%CI] | 1.75[1.22, 2.53] | 2.75[0.58, 12.96] | 0.91[0.59, 1.41] | 0.91[0.40, 2.06] | — | — | 1.73[1.15, 2.59] |
I2 | 0% | 0% | 0% | 11% | — | — | 11% |
P | 0.003 | 0.20 | 0.67 | 0.82 | — | — | 0.008 |
Abbreviations are as follows: CI, confidence interval; I2, heterogeneity; P, p value; MMI, methimazole; CMZ, carbimazole; PTU, propylthiouracil; ATD, antithyroid drugs; vs., versus; /, or; &, and.