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) |
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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 |