Brouquet 2018.
Study characteristics | ||
Methods | Prospective, multicenter (19 institutions), cohort study. Study period: 2013 to 2015 | |
Participants | Country: France. Patients with ileocolonic CD who underwent abdominal surgery. Patients with perianal CD or colonic CD were excluded | |
Interventions | 1. Preoperative anti‐TNF therapy (n= 143) within 3 months of surgery 2. No preoperative anti‐TNF therapy (n= 449) |
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Outcomes | Peritonitis, anastomotic leak, and intraabdominal abscess within 30 days of surgery | |
Notes | NOS low risk of bias overall Adjusted OR for anti‐TNF medications was obtained from multivariate m odel with propensity s core analysis . |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Representativeness of the exposed cohort | Low risk | All patients who underwent surgery for ileocolonic CD from 2013 to 2015 |
Selection of the non exposed cohort | Low risk | Both groups obtained from the same database and time period |
Ascertainment of exposure | Low risk | Data prospectively collected on an electronic dedicated clinical research form |
Demonstration that outcome of interest was not present at start of study | High risk | 18% patients had intraoperative finding of abscess |
Comparability of cohorts (Controlled for critical factor/other medications) | Low risk | Controlled for systemic steroids and budesonide |
Comparability of cohorts (Controlled for additional factor) | Low risk | Also controlled for recurrent CD, hemoglobin, TPN, laparoscopic approach, and operative time |
Assessment of outcome | Low risk | Prospectively collected on an electronic dedicated clinical research form |
Was follow‐up long enough for outcomes to occur | Low risk | 30 days |
Adequacy of follow up of cohorts | Unclear risk | No information provided |