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

Norgard 2013.

Study characteristics
Methods Retrospective cohort. Study period: 2003 to 2010
Participants Country: Denmark. CD patients who underwent abdominal surgery in the Danish National Patient Registry
Interventions 1. Preoperative anti‐TNF therapy (n= 214) within 12 weeks
2. No preoperative anti‐TNF therapy (n= 2079)
Outcomes Anastomotic leak, intraabdominal abscess, bacteremia within 30 days of surgery
Notes NOS very high risk of bias overall
Risk of bias
Bias Authors' judgement Support for judgement
Representativeness of the exposed cohort Low risk CD patients who underwent abdominal surgery from 2003 to 2010
Selection of the non exposed cohort Low risk Both groups obtained from the same database and time period
Ascertainment of exposure Low risk Exposure identified by codes from the National Patient Registry and prescription database
Demonstration that outcome of interest was not present at start of study Unclear risk Information not provided
Comparability of cohorts (Controlled for critical factor/other medications) High risk OR adjusted for age, gender, comorbidity, steroids, duration of CD, year and length of inpatient stay was available for anastomotic leak and intraabodminal abscess outcomes separately. Combined event rate of anastomotic leak and intraabdominal abscess was used for our analysis.
Comparability of cohorts (Controlled for additional factor) High risk See above
Assessment of outcome Low risk Outcome identified by codes from the National Patient Registry
Was follow‐up long enough for outcomes to occur Low risk 30 days
Adequacy of follow up of cohorts Low risk All patients had 30 and 60 day follow up data after surgery