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

Yu 2019.

Study characteristics
Methods Retrospective cohort. Study period 2006 to 2015
Participants Country: Korea. Patients with Crohn's disease who underwent bowel resection with or without anastomosis or strictureplasty. Patients excluded if they had open biopsy or stoma formation/reversal only
Interventions 1. Preoperative steroids (n= 39)
2. Preoperative immunomodulators (azathioprine, 6MP, methotrexate) (n= 211)
3. Preoperative anti‐TNF medications within 8 weeks of surgery (n= 32)
Outcomes 30 day infectious and non‐infectious postoperative complications. Infectious complications include intra‐abdominal sepsis, enterocutaneous fistula, wound infection and extra‐abdominal infection
Notes NOS very high risk of bias overall
Risk of bias
Bias Authors' judgement Support for judgement
Representativeness of the exposed cohort Low risk Patients with Crohn's disease who underwent bowel resection with or without anastomosis or strictureplasty.
Selection of the non exposed cohort Low risk Both groups obtained from the same hospital and time period
Ascertainment of exposure Low risk Medical records reviewed
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 Medical records reviewed
Was follow‐up long enough for outcomes to occur Low risk 30 days
Adequacy of follow up of cohorts Unclear risk Information not provided