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

Yamada 2017.

Study characteristics
Methods Retrospective cohort. Study period: 2014 to 2016
Participants Country: USA. UC and CD patients who underwent major and minor abdominal surgeries. Patients with less than 30 days of follow up data or missing data were excluded
Interventions 1. Preoperative anti‐TNF therapy (n= 129) within 4 weeks of surgery
2. Preoperative vedolizumab (n= 64) within 4 weeks
3. No preoperative biologic therapy (n= 250)
Outcomes Infectious complications (wound infection or dehiscence, anastomotic leak, abscess, sepsis, fistula, pulmonary infection, UTI) within 30 days of surgery
Notes NOS very high risk of bias overall
Adjusted OR for preoperative steroids was obtained from multivariate model.
Risk of bias
Bias Authors' judgement Support for judgement
Representativeness of the exposed cohort Low risk UC and CD patients who underwent major and minor abdominal surgeries from 2014 to 2016
Selection of the non exposed cohort Low risk Both groups obtained from the same database and time period.
Ascertainment of exposure Low risk Data was obtained from a prospectively maintained 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 Univariate analysis
Comparability of cohorts (Controlled for additional factor) High risk Univariate analysis
Assessment of outcome Low risk Data was obtained from a prospectively maintained database
Was follow‐up long enough for outcomes to occur Low risk 30 days
Adequacy of follow up of cohorts Low risk Patients with less than 30 days of follow up data or missing data were excluded