Postoperative outcomes after preoperative ustekinumab exposure in patients with Crohn disease: A systematic review and meta-analysis
Annals of Gastroenterology Aug 25, 2021
Garg R, Mohan BP, Ponnada S, et al. - The rate of postoperative complications in individuals who were exposed to ustekinumab (UST) before surgery may be similar to that seen with anti-tumor necrosis factor (TNF) medication. The risk of postoperative complications is influenced by preoperative UST exposure.
In total, 5 studies were involved in the analysis.
The medicine was last taken at least 16 weeks before the abdomino-pelvic surgery.
The sample consisted of 172 Crohn disease patients (61% female; median age 35 years).
Any complications and any infectious complications had a pooled rate of 23.5% and 20.2%, respectively.
There were no differences in intra-abdominal sepsis rates between the UST and anti-TNF groups.
In the UST group, readmission and reoperation rates were 17.4% and 14.6%, respectively.
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