Evidence map›Paper›PMID 35765719›Full record

ArticleVeterinary surgery : VS2022

Comparison of median sternotomy closure-related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis.

Mariette A Pilot, Aaron Lutchman, Julie Hennet, Davina Anderson, William Robinson, Matteo Rossanese, Angelos Chrysopoulos, Jackie Demetriou, Benito De la Puerta, Ronan A Mullins and 3 more

Open access · hybridAbstract readMulticenter StudyObservational Study, Veterinary
PubMed Full text at PMC Publisher
In one paragraph

Article in Veterinary surgery : VS, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 3 countries.

Mariette A PilotSmall Animal Referral Hospital Langford Vets, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0002-1452-0096
Aaron LutchmanThe Royal Veterinary College, Queen Mother Hospital for Animals, Hatfield, UK.
Julie HennetAnderson Moores Veterinary Specialists, Hursley, UK.
Davina AndersonAnderson Moores Veterinary Specialists, Hursley, UK.
William RobinsonWillows Veterinary Centre and Referral Service, Solihull, UK.
Matteo RossaneseSmall Animal Teaching Hospital of the University of Liverpool, Neston, UK.
Angelos ChrysopoulosDick White Referrals, Six Mile Bottom, UK.
Jackie DemetriouDick White Referrals, Six Mile Bottom, UK.
Benito De la PuertaNorth Downs Specialist Referrals, Bletchingley, UK.
Ronan A MullinsSection of Small Animal Clinical Sciences, University College Dublin, Dublin, Ireland.
Hervé BrissotPride Veterinary Centre, Derby, UK.
Nicholas JefferyDepartment of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas, USA.
Guillaume ChanoitSmall Animal Referral Hospital Langford Vets, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0002-7414-6403
Carolina Veterinary Specialists · USUniversity of Bristol · GBNorth Downs Hospital · GBRoyal Veterinary College · GBTexas A&M University · USUniversity College Dublin · IEUniversity of Derby · GBUniversity of Liverpool · GBWillows Veterinary Centre and Referral Service · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine and compare median sternotomy (MS) closure-related complication rates using orthopedic wire or suture in dogs. STUDY

designMulti-institutional, retrospective observational study with treatment effect analysis. ANIMALS: 331 client-owned dogs, of which 68 were excluded.

methodsMedical records of dogs with MS were examined across nine referral centers (2004-2020). Signalment, weight, clinical presentation, surgical details, complications, and outcomes were recorded. Follow-up was performed using patient records and email/telephone contact. Descriptive statistics, treatment effect analysis and logistic regression were performed.

resultsMedian sternotomy closure was performed with wire in 115 dogs and suture in 148. Thirty-seven dogs experienced closure-related complications (14.1%), 20 in the wire group and 17 in the suture group. Twenty-three were listed as mild, four as moderate and 10 as severe. Treatment effect analysis showed a mean of 2.3% reduction in closure-related complications associated with using suture versus wire (95% CI: -9.1% to +4.5%). In multivariable logistic regression, the only factor associated with increased risk of closure-related complications was dog size (p = .01). This effect was not modified by the type of closure used (interaction term: OR = 0.99 [95% CI: 0.96/1.01]).

conclusionThe incidence of closure-related complication after MS was low compared to previous reports. The likelihood of developing a closure-related complication was equivalent between sutures and wires, independent of dog size, despite a higher proportion of complications seen in larger dogs (≥20 kg). CLINICAL SIGNIFICANCE: Use of either orthopedic wire or suture appear to be an appropriate closure method for sternotomy in dogs of any size.

Indexed as

SternotomySuture TechniquesAnimalsBone WiresDogsRetrospective StudiesSuturesWound Closure Techniques

Identifiers

PMID35765719
PMCPMC9543654
OpenAlexW4283711431

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.