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. Author manuscript; available in PMC: 2016 Aug 23.
Published in final edited form as: Ann Surg. 2015 Mar;261(3):487–496. doi: 10.1097/SLA.0000000000000757

Table 2.

Clinical Characteristics of Different Detectable Serum anti-TNFα Drug Levels

Low
Level
(n=6)
Medium
Level
(n=17)
High
Level
(n= 44)
p

Mean Age (years) 32.2 (19.2) 40.1 (17.1) 37.1 (16.3) 0.60

Gender M:F 3 : 3 13 : 4 29 : 15 0.46

Type of IBD
  Crohn’s disease 3 (50) 12 (71) 35 (79) 0.23
  Ulcerative colitis 3 (50) 5 (29) 9 (21)

Preoperative Steroids 3 (50) 12 (70) 32 (73) 0.58

Preoperative Immunomodulators
  6-mercaptopurine 5 (83) 9 (53) 33 (75) 0.23
  Azathioprine 0 1 (6) 1 (2) 0.57
  Methotrexate 1 (17) 1 (6) 7 (16) 0.53
  Cyclosporine 2 (33) 1 (6) 3 (7) 0.12

Preoperative anti-TNFα Agent
  Infliximab alone 5 (83) 10 (59) 21 (48) 0.27
  Adalimumab alone 1 (17) 5 (29) 3 (7) 0.06
  Certolizumab alone 0 1 (6) 1 (2) 0.57
  Multiple 0 1 (6) 19 (43) 0.003

Mean Preoperative Lab Values
  Hemoglobin (g/dl) 10.7 (0.97) 10.9 (1.98) 12.7 (1.75) 0.004
  Serum albumin (g/dl) 3.6 (0.34) 3.42 (0.73) 4.0 (0.62) 0.03
  C-reactive protein (mg/dl) 5.72 (2.03) 2.94 (4.03) 1.76 (2.91) 0.05

Indication for Surgery
  Medical intractability 6 (100) 15 (88) 38 (86) 1.0
  Abscess at time of surgery 0 1 (6) 6 (14) 0.83
  Dysplasia/cancer 0 1 (6) 0 0.34

Surgical Procedures
  Small bowel/ ileocolic resection 3 (50) 12 (71) 30 (68) 0.62
  Ileal pouch-anal anastomosis 2 (33) 2 (12) 3 (7) 0.10
  Subtotal colectomy and ileostomy 1 (17) 4 (24) 6 (14) 0.67
  Low colorectal anastomosis 0 1 (6) 5 (11) 1.0
  Closure of ileostomy/colostomy 0 0 0 -
  Total proctocolectomy/ileostomy 0 0 0 -

Pelvic Anastomosis Created 2 (33) 3 (18) 8 (18) 0.71

All values in parentheses denote % except age and preoperative lab values (standard deviation)

IBD inflammatory bowel disease