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

Wilson 2014.

Study characteristics
Methods Retrospective cohort. Study period: 2005 to 2010
Participants Country: USA. CD patients in National Surgical Quality Improvement Project database who underwent ileocolectomy
Interventions 1. Preoperative steroid therapy (n= 954)
2. No preoperative steroid therapy (n= 1515)
Outcomes Organ space surgical site infection within 30 days of surgery
Notes NOS low risk of bias overall
Risk of bias
Bias Authors' judgement Support for judgement
Representativeness of the exposed cohort Low risk CD patients in National Surgical Quality Improvement Project database who underwent ileocolectomy from 2005 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 NSQIP database
Demonstration that outcome of interest was not present at start of study High risk Wound class classification IV in 12% of patients
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 BMI, diabetes, smoking, ASA classification, extended operative time, open procedure, preoperative SIRS, emergent procedure, and wound classification
Assessment of outcome Low risk NSQIP database
Was follow‐up long enough for outcomes to occur Low risk 30 days
Adequacy of follow up of cohorts Unclear risk Information not provided