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) |
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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 |