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

Summary of findings 5. Risk of postoperative infectious complications: anti‐integrin agents compared to control.

Risk of postoperative infectious complications: anti‐integrin agents compared to control
Patient or population: inflammatory bowel disease
Setting:Intervention: Anti‐integrin agents
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 Anti‐integrin agents
Overall infectious complications within 30 days of surgery Study population OR 1.11
(0.76 to 1.62) 9 observational studies ⊕⊝⊝⊝
VERY LOW 1 2
136 per 1,000 149 per 1,000
(107 to 203)
Overall infectious complications within 30 days of surgery (Adjusted Analysis) Study population OR 1.04
(0.79 to 1.36) 2 observational studies ⊕⊕⊝⊝
LOW
136 per 1,000 141 per 1,000
(111 to 176)
Overall infectious complications within 30 days of surgery (Unadjusted Analysis) Study population OR 1.06
(0.54 to 2.10) 7 observational studies ⊕⊝⊝⊝
VERY LOW 1 2
136 per 1,000 143 per 1,000
(78 to 248)
Incisional infections and wound dehiscence within 30 days of surgery Study population OR 1.64
(0.77 to 3.50) 6 observational studies ⊕⊝⊝⊝
VERY LOW 1 2 3
20 per 1,000 32 per 1,000
(15 to 67)
Intra‐abdominal infectious complications within 30 days of surgery Study population OR 0.40
(0.14 to 1.20) 5 observational studies ⊕⊝⊝⊝
VERY LOW 1 2
88 per 1,000 37 per 1,000
(13 to 104)
Extra‐abdominal infections within 30 days of surgery Study population OR 1.15
(0.43 to 3.08) 5 observational studies ⊕⊝⊝⊝
VERY LOW 1 2 3
28 per 1,000 32 per 1,000
(12 to 81)
*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 Many studies did not performed adjusted analyses and were considered to have a high risk of bias according to the Newcastle Ottawa Scale

2 Wide confidence interval

3 High degree of heterogeneity