Gu 2013.
Study characteristics | ||
Methods | Retrospective cohort. Study period 2006 to 2010 | |
Participants | Country: USA. UC or indeterminate colitis ptints who underwent total proctocolectomy or subtotal colectomy with end ileostomy. Patients who underwent surgery for toxic megacolon, massive hemorrhage, colonic perforation, dyplasia or malignancy were exlcuded | |
Interventions | 1. Anti‐TNF medication (n= 167) within 12 weeks of surgery for infliximab and within 4 weeks of surgery for adalimumab/certolizumab 2. No preoperative anti‐TNF medication (n= 421) |
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Outcomes | Pelvic sepsis, wound infection, anastomotic leak within 30 days | |
Notes | NOS very high risk of bias overall | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Representativeness of the exposed cohort | Low risk | UC or indeterminate colitis ptints who underwent total proctocolectomy or subtotal colectomy with end ileostomy |
Selection of the non exposed cohort | Low risk | Both groups obtained from the same hospitals and time period |
Ascertainment of exposure | Low risk | Information obtained from prospective database |
Demonstration that outcome of interest was not present at start of study | Unclear risk | Did not provide information |
Comparability of cohorts (Controlled for critical factor/other medications) | High risk | Did not control for other medications |
Comparability of cohorts (Controlled for additional factor) | High risk | Did not control of other factors |
Assessment of outcome | Low risk | Information obtained from prospective database |
Was follow‐up long enough for outcomes to occur | Low risk | 30 days |
Adequacy of follow up of cohorts | Unclear risk | No information provided |