The only study in the provided records directly comparing MMR exposure to ASD/PDD outcomes is the Lancet case-control study: 1,294 PDD cases and 4,469 matched controls from the UK General Practice Research Database, with vaccination recorded in 78.1% of cases vs 82.1% of controls before diagnosis (adjusted OR 0.86, 95% CI 0.68β1.09) . Because the CI includes 1.0 and the point estimate is below 1, this study shows no increased risk.
A formal meta-analysis is not computable from the supplied records: a pooled estimate, IΒ² heterogeneity, and subgroup analyses require at least two MMR-specific effect estimates. The remaining records concern thimerosal exposure (not MMR), MMR immunogenicity with rotavirus co-administration , or unrelated ASD phenotyping. The thimerosal study's positive signal cannot be transferred to MMR: different exposure, passive-reporting design, and authors involved in vaccine litigation .
What would complete the requested meta-analysis: at minimum, the Danish cohort (Madsen 2002), Taylor 2014 systematic review, and Hviid 2019 cohort β none supplied here β to compute a pooled random-effects OR with subgroup breakdowns by sex, calendar period, and vaccination timing. What would change the current inference: replicated, pre-registered cohort evidence of a consistent doseβresponse rise in ASD incidence after MMR. Confidence in the no-association conclusion from the single supplied study: moderate-to-strong given its size and design, with acknowledged limitations in vaccination-record completeness and unadjusted confounders.
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