Tzivanakis 2012.
Study characteristics | ||
Methods | Retrospective cohort. Study period: 2000 to 2010 | |
Participants | Country: UK. CD patients who underwent ileocecal and ileocolic resection. Strictureplasties, mulitple resections, subtotal or isolated colonic resections were excluded | |
Interventions | 1. Preoperative steroids (n= 56) 2. No preoperative steroids (n= 117) |
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Outcomes | Anastomotic leak, intraabdominal abscess, fistula within 30 days of surgery | |
Notes | NOS low risk of bias overall Unadjusted OR for preoperative corticosteroids was ob tained from regression analysis. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Representativeness of the exposed cohort | Low risk | CD patients who underwent ileocecal and ileocolic resection from 2000 to 2010 |
Selection of the non exposed cohort | Low risk | Both groups obtained from the same hospital and time period |
Ascertainment of exposure | Low risk | Data from propsective database that was audited weekly to ensure accurate entry of data |
Demonstration that outcome of interest was not present at start of study | High risk | Preoperative abscess was found to an independent predictor of anastomotic‐associated complication |
Comparability of cohorts (Controlled for critical factor/other medications) | High risk | Did not control for other medications |
Comparability of cohorts (Controlled for additional factor) | Low risk | Controlled for age, sex, malnutrition, preoperative serum albumin, smoking, urgency of surgery, mode of surgery, presence of abscess or fistula at the time of surgery and previous resection for CD |
Assessment of outcome | Low risk | Data from propsective database that was audited weekly to ensure accurate entry of data |
Was follow‐up long enough for outcomes to occur | Low risk | 30 days |
Adequacy of follow up of cohorts | Unclear risk | Information not provided |