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) |
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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. |
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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 |