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

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)
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