El‐Hussuna 2012.
Study characteristics | ||
Methods | Retrospective, multicenter (4 institutions) cohort. Study period: 2000 to 2007. | |
Participants | Country: Denmark. CD patients who underwent resection and anastomosis or with stricturoplasty | |
Interventions | 1. Preoperative infliximab/certolizumab (n= 32) within 3 months of surgery 2. Azathioprine/6‐mercaptopurine/methotrexate (n= 166) within 1 month o surgery 3. Preoperative steroids (n= 66) 4. No preoperative anti‐TNF medication (n= 385) 5. No preoperative immunosuppressants (n= 251) 6. No preoperative steroids (n= 351) |
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Outcomes | Intraabdominal septic complications (anastomotic dehiscence, fistula, abscess), septic complications, other infective complications 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 resection form 2000 to 2007 |
Selection of the non exposed cohort | Low risk | Both groups obtained from the same hospitals and time period |
Ascertainment of exposure | Unclear risk | No information provided |
Demonstration that outcome of interest was not present at start of study | High risk | 20% patients had preoperative intraabdominal infection |
Comparability of cohorts (Controlled for critical factor/other medications) | High risk | Univariate analysis |
Comparability of cohorts (Controlled for additional factor) | High risk | Univariate analysis |
Assessment of outcome | Unclear risk | No information provided |
Was follow‐up long enough for outcomes to occur | Low risk | 30 days |
Adequacy of follow up of cohorts | Unclear risk | No information provided |