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

Ferrante 2017.

Study characteristics
Methods Retrospective cohort. Enrolment period: 2006 to 2016
Participants Country: Belgium. UC patients who underwent colectomy. Patients who were treated with investigational products and who were anticipated to have a permant ileostomy were excluded
Interventions 1. Preoperative mesalamine (n= 97)
2. Preoperative thiopurine/methotrexate (n= 38)
3. Preoperative steroids (n= 32)
4. Preoperative anti‐TNF medications within 8 weeks of surgery (n= 60)
5. Preoperative vedolizumab within 16 weeks of surgery (n= 34)
6. No preoperative mesalamine (n= 73)
7. No preoperative thiopurine/methotrexate (n= 132)
8. No preoperative steroids (n= 138)
9. No preoperative anti‐TNF medications (n= 110)
10. No preoperative vedolizumab (n= 136)
Outcomes Pouch specific infectious complications, surgical site infections, non‐surgical site infections within 30 days of surgery
Notes NOS very high risk of bias overall
Unadjusted ORs for preoperative mesalamine, thiopurine/methotrexate, steroids, anti‐TNF therapy, and vedolizumab were obtained from univariate regre ssion models.
Risk of bias
Bias Authors' judgement Support for judgement
Representativeness of the exposed cohort Low risk All UC patients who underwent colectomy from 2006 to 2016
Selection of the non exposed cohort Low risk Both groups obtained from the same hospitals and time period
Ascertainment of exposure Low risk Patient charts reviewed
Demonstration that outcome of interest was not present at start of study Unclear risk No information provided
Comparability of cohorts (Controlled for critical factor/other medications) High risk Did not adjust for other medications
Comparability of cohorts (Controlled for additional factor) High risk Did not adjust for additional factors
Assessment of outcome Low risk Patient charts reviewed
Was follow‐up long enough for outcomes to occur Low risk 30 days
Adequacy of follow up of cohorts Unclear risk No information provided