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. 2020 Oct 24;2020(10):CD013256. doi: 10.1002/14651858.CD013256.pub2

Summary of findings 2. Risk of postoperative infectious complications: 5‐ASA compared to control.

Risk of postoperative infectious complications: 5‐ASA compared to control
Patient or population: inflammatory bowel disease
Setting:Intervention: 5‐ASA
Comparison: control
Outcomes Anticipated absolute effects* (95% CI) Relative effect
(95% CI) № of participants
(studies) Certainty of the evidence
(GRADE)
Risk with control Risk with 5‐ASA
Overall infectious complications within 30 days of surgery Study population OR 0.76
(0.51 to 1.14) 6 observational studies ⊕⊝⊝⊝
VERY LOW 2 3
148 per 1,000 1 116 per 1,000
(81 to 165)
Overall infectious complications within 30 days of surgery (Adjusted Analysis) 1 Study population 0 studies
Overall infectious complications within 30 days of surgery (Unadjusted Analysis) Study population OR 0.76
(0.51 to 1.14) 6 observational studies ⊕⊝⊝⊝
VERY LOW 2 3
148 per 1,000 116 per 1,000
(81 to 165)
Incisional infections and wound dehiscence within 30 days of surgery Study population OR 0.53
(0.30 to 0.95) 1 study
265 per 1,000 160 per 1,000
(98 to 255)
Intra‐abdominal infectious complications within 30 days of surgery Study population OR 0.77
(0.45 to 1.33) 3 observational studies ⊕⊝⊝⊝
VERY LOW 2 3
108 per 1,000 86 per 1,000
(52 to 139)
Extra‐abdominal infections within 30 days of surgery 1 Study population 0 studies
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: Confidence interval; RR: Risk ratio; OR: Odds ratio;
GRADE Working Group grades of evidenceHigh certainty: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate certainty: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low certainty: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
Very low certainty: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

1 Analysis was not performed as no appropriate studies were identified

2 All studies were considered very high risk of bias according to the Newcastle Ottawa Scale

3 Wide confidence interval

4 Unable to assess GRADE as only 1 study was identified