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

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)
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.
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