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

Liang 2017.

Study characteristics
Methods Retrospective cohort. Study period: 2014 to 2016
Participants Country: USA. UC and CD patients who underwent lower GI surgery
Interventions 1. Preoperative anti‐TNF therapy (n= 686) within 12 weeks of surgery
2. Preoperative vedolizumab (n= 114)
3. Preoperative ustekinumab (n= 8)
4. Preoperative 5ASA (n= 733)
5. Preoperative corticosteroids (n= 674)
6. Preoperative immunosuppressants (n= 382)
7. No preoperative anti‐TNF therapy (n= 2674)
8. No preoperativ vedolizumab (n= 3246)
9. No preoperative ustekinumab (n= 3352)
10. No preoperative 5ASA (n= 2627)
11. No preoperative corticosteroids (n= 2686)
12. No preoperative immunosuppressants (n= 2978)
Outcomes Wound infection, peritonitis, retroperitoneal infection, sepsis within 30 days of surgery
Notes NOS very high risk of bias overall
Adjusted OR for preoperative corticosteroids was obtained from multivariate regression model.
Risk of bias
Bias Authors' judgement Support for judgement
Representativeness of the exposed cohort Low risk UC and CD patients who underwent lower GI surgery
Selection of the non exposed cohort Low risk Both groups obtained from Clinformatics DataMart database and time period
Ascertainment of exposure Low risk Identified exposures using medical and pharmacy claims
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 Univariate analysis
Comparability of cohorts (Controlled for additional factor) High risk Univariate analysis
Assessment of outcome Low risk Identified outcomes using ICD codes, facility claims and provider claims
Was follow‐up long enough for outcomes to occur Low risk 30 days
Adequacy of follow up of cohorts Unclear risk Did not provide information