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. 2014 Aug 21;2014(8):CD002913. doi: 10.1002/14651858.CD002913.pub3

Hellers 1999.

Methods Randomized, parallel‐group, double‐blind, placebo‐controlled, multicenter trial
Participants Patients scheduled for surgical resection of ileocolonic CD (N = 130)
 METHOD OF INDUCTION OF REMISSION: Surgical resection of diseased area
EXCLUSION CRITERIA: 1) Previous ileal resection > 100 cm, 2) Infectious complication such as abscess or fistula, 3) Corticosteroids less than 30 days from surgery, 4) Any medication for treatment of CD (except budesonide)
Interventions Group 1: CIR budesonide (Entocort) 6 mg once daily for 52 weeks (n = 63)
Group 2: Placebo for 52 weeks (n = 67)
Outcomes 1) Proportion of patients with disease in remission defined as CDAI < 150 at specific time points
2) Recurrence of disease defined by a score of 2 or higher on the Rutgeerts scale (Rutgeerts 1990)
3) CDAI score (note: baseline CDAI was taken 6 weeks after surgical resection to induce remission)
4) ACTH stimulation test (normal response defined as baseline plasma cortisol concentration > 150 nmol/L and a concentration of > 400 nmol/L or an increase of at least 200 nmol/L at 30 or 60 minutes).
Notes Additional unpublished data obtained from study sponsor
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No description provided
Allocation concealment (selection bias) Unclear risk No description provided
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk The study is described as double blind; however, no description is provided with regard to the mechanisms to ensure the blinding of participants and outcome assessors (endoscopists)
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Withdrawals similar across groups
Selective reporting (reporting bias) Low risk All key outcomes were included
Other bias Low risk No additional sources of bias were identified