{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:36:20Z","timestamp":1777952180287,"version":"3.51.4"},"reference-count":0,"publisher":"Termedia Sp. z.o.o.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Med Sci"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The aim of the study is to identify patient-related factors influencing the risk of early postoperative complications in Crohn\u2019s disease (CD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>A meta-analysis was conduced based on articles addressing early complications after abdominal surgery for CD. The analysis included the following risk factors: age, sex, hypoalbuminemia, serum CRP levels, anemia, blood leukocyte levels, BMI, smoking, diabetes mellitus and hypertension. A systematic review was performed  between  21 November 2021 and 4 December 2021 and repeated after a three and a half years. Outcomes were reported as two effect sizes: odds ratio (OR) w and response ratio (R), both with 95% CI, p-value &lt;0.05 and visualisation in a forest plot. The strength of evidence was determined based on Egger\u2019s test p-value, sample size, and I\u00b2 statistic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The following significant risk factors of early postoperative complications in CD  were identified assuming Level I strength of evidence: hypoalbuminemia (OR= 1.82; 95%CI 1.62-2.06), anemia (OR= 1.77; 95% CI 1.47-2.15), age\u226540 years (OR= 1.44; 95%CI 1.18-1.77), diabetes (OR=1.28; 95%CI 1.04-1.57), hypertension (OR=1.27; 95% CI 1.06-1.51), smoking (OR=1.23; 95% CI 1.14-1.33). At Level II, included CRP levels (R= 1.58; 95% CI 1.32-1.89), male sex (OR=1.23; 95% CI 1.11-1.37), blood leukocyte levels (R=1.11; 95% CI 1.07-1.15).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings suggest that nutritional status, age, comorbidities, and parameters of blood morphology and biochemistry should be carefully considered when assessing the risk of postoperative complications in patients with CD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5114\/aoms\/218059","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:59:11Z","timestamp":1777895951000},"source":"Crossref","is-referenced-by-count":0,"title":["Patients at high risk of postoperative complications in Crohn\u2019s disease \u2013 A meta-analysis and systematic review."],"prefix":"10.5114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2468-0410","authenticated-orcid":true,"given":"Joanna","family":"\u0141osi\u0144ska","sequence":"first","affiliation":[{"name":"Department of General Surgery, Chojnice Specialist Hospital, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7409-1855","authenticated-orcid":true,"given":"Mi\u0142osz","family":"Lewandowski","sequence":"additional","affiliation":[{"name":"Department of General and Colorectal Surgery, Medical University of Lodz, Military Medical Academy Memorial Teaching Hospital \u2013 Central Veterans\u2019 Hospital, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5439-6237","authenticated-orcid":true,"given":"Adam Janusz","family":"Dziki","sequence":"additional","affiliation":[{"name":"Department of General and Colorectal Surgery, Medical University of Lodz, Military Medical Academy Memorial Teaching Hospital \u2013 Central Veterans\u2019 Hospital, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6290-1806","authenticated-orcid":true,"given":"Micha\u0142","family":"Mik","sequence":"additional","affiliation":[{"name":"Department of General and Colorectal Surgery, Medical University of Lodz, Military Medical Academy Memorial Teaching Hospital \u2013 Central Veterans\u2019 Hospital, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2026,5,4]]},"container-title":["Archives of Medical Science"],"original-title":[],"link":[{"URL":"https:\/\/www.archivesofmedicalscience.com\/pdf-218059-139567","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.archivesofmedicalscience.com\/pdf-218059-139567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:59:11Z","timestamp":1777895951000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.archivesofmedicalscience.com\/Patients-at-high-risk-of-postoperative-complications-in-Crohn-s-disease-A-meta-analysis,218059,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,4]]},"references-count":0,"alternative-id":["218059"],"URL":"https:\/\/doi.org\/10.5114\/aoms\/218059","relation":{},"ISSN":["1734-1922","1896-9151"],"issn-type":[{"value":"1734-1922","type":"print"},{"value":"1896-9151","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,4]]}}}