Morar 2015.
Study characteristics | ||
Methods | Retrospective cohort. Study period: 2005 to 2010 | |
Participants | Country: United Kingdom. CD patients who underwent ileocolonic resection. Patients with previous segmental or subtotal colectomy were excluded | |
Interventions | 1. Preoperative steroids (n= 34) 2. Preoperative immunomodulators (n= 64) 3. Preoperative 5ASA (n= 43) 4. Preoperative anti‐TNF therapy (n= 4) within 4 weeks of surgery 5. No preoperative steroids (n= 104) 6. No preoperative immunomodulators (n= 193) 7. No preoperative 5ASA (n= 82) 8. No preoper a tive anti‐TNF therapy (n= 126) |
|
Outcomes | Intrabdominal septic complication including anastomotic leak, intraabdominal collection, enter o cutaneous fistula formation within 30 days of surgery | |
Notes | NOS very high risk of bias ov erall Adjusted OR for preoperative anti‐TNF therapy was obtained from multivariate regression model. |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Representativeness of the exposed cohort | Low risk | CD patients who underwent ileocolonic resection from 2005 to 2010 |
Selection of the non exposed cohort | Low risk | Both groups obtained from the same databases and time period |
Ascertainment of exposure | Low risk | Clinical case records were examined |
Demonstration that outcome of interest was not present at start of study | High risk | Fistula/abscess was indication for surgery for some patients |
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 | Clinical case records were examined |
Was follow‐up long enough for outcomes to occur | Low risk | 30 days |
Adequacy of follow up of cohorts | Low risk | Low percentage of patients had missing data (<15%) |