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

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)
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