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) |
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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. |
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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 |