Colombel 2004.
Study characteristics | ||
Methods | Retrospective cohort. Study period: 1998 to 2001 | |
Participants | Country: USA. CD patients who underwent surgical resection, stricturoplasty, or intestinal bypass. Patients who received cyclosporine, tacrolimus, or investigational therapy within 8 weeks of surgery were excluded. Patients who underwent perianal surgery were also excluded. | |
Interventions | 1. Preoperative infliximab (n= 52) 8 weeks prior to surgery and within 30 days after surgery 2. Preoperative azathioprine/6‐mercatopurine/methotrexate (n= 105) 3. Preoperative moderate/high dose steroids (n= 77) 4. No preoperative infliximab (n= 218) 5. No preoperative azathioprine/6‐mercatopurine/methotrexate (n= 165) 6. Low dose/no preoperative steroids (n=193) |
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Outcomes | Wound sepsis, intraabdominal infections and extraabdominal infections within 30 days of surgery | |
Notes | NOS very high risk of bias overall | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Representativeness of the exposed cohort | Low risk | CD patients who underwent surgical resection, stricturoplastly or intestinal bypass from 1998 to 2001 |
Selection of the non exposed cohort | Low risk | Both groups obtained from the same hospital and time period |
Ascertainment of exposure | Low risk | Medical records were examined |
Demonstration that outcome of interest was not present at start of study | Unclear risk | Information not provided |
Comparability of cohorts (Controlled for critical factor/other medications) | High risk | Univariate analysis only |
Comparability of cohorts (Controlled for additional factor) | High risk | Univariate analysis only |
Assessment of outcome | Low risk | Medical records were examined |
Was follow‐up long enough for outcomes to occur | Low risk | 30 days |
Adequacy of follow up of cohorts | Unclear risk | Information not provided |