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

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%)