Skip to main content
. 2020 Oct 24;2020(10):CD013256. doi: 10.1002/14651858.CD013256.pub2

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)
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 .
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