{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:47:30Z","timestamp":1777736850666,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Cable closure has been introduced as a potential alternative to traditional wire cerclage (WC) for closure of median sternotomy. To evaluate whether cable closure improves patient outcomes, we conducted a systematic review and meta-analysis of the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ovid versions of Medline and Embase, and Google Scholar were used for the literature search. This yielded 7 studies ( n = 2,758), which compared traditional WC to cable closure systems. Outcomes included deep sternal wound infection, sternal dehiscence, postoperative pain score, and sternal wound infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We found significantly lower incidence of sternal dehiscence for cable closure compared to WC (risk ratio [RR] 0.14, 95% confidence interval [CI]: 0.03 to 0.59 , P &lt; 0.01 , I\n                      <jats:sup>2<\/jats:sup>\n                      = 0%) but no difference in DSWI (RR 0.97, 95% CI: 0.39 to 2.42, P = 0.95, I\n                      <jats:sup>2<\/jats:sup>\n                      = 33%). Cable closure was also associated with lower pain when compared with the WC group (mean difference \u22121.04 points, 95% CI: \u22121.89 to \u22120.19 , P = 0.02, I\n                      <jats:sup>2<\/jats:sup>\n                      = 87%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study suggests that cable closure results in less incidence of sternal dehiscence and pain compared to WC. Nonetheless, there remains a limited number of studies on this topic and further high-quality studies are required to confirm the results of this meta-analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1556984520938155","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T05:53:27Z","timestamp":1598248407000},"page":"322-328","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Wire Cerclage Versus Cable Closure After Sternotomy for Dehiscence and DSWI: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"15","author":[{"given":"Apurva","family":"Dixit","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Schulich Heart Program, Sunnybrook Health Sciences Center, University of Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derrick Y.","family":"Tam","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Schulich Heart Program, Sunnybrook Health Sciences Center, University of Toronto, ON, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, University of Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bobby","family":"Yanagawa","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, St Michael\u2019s Hospital, University of Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Gaudino","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Weill Cornell Medical College, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany","family":"Lam","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Schulich Heart Program, Sunnybrook Health Sciences Center, University of Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen E.","family":"Fremes","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Schulich Heart Program, Sunnybrook Health Sciences Center, University of Toronto, ON, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, University of Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,24]]},"reference":[{"key":"bibr1-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.11.045"},{"key":"bibr2-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2018.01.010"},{"key":"bibr3-1556984520938155","doi-asserted-by":"publisher","DOI":"10.5090\/kjtcs.2015.48.4.265"},{"key":"bibr4-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.10.093"},{"key":"bibr5-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt183"},{"key":"bibr6-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivw017"},{"key":"bibr7-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.07.017"},{"key":"bibr8-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"bibr9-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.04.025"},{"key":"bibr10-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"bibr11-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-015-0378-7"},{"key":"bibr12-1556984520938155","first-page":"41","volume":"2","author":"Ozen Y.","year":"2014","journal-title":"Cardiovasc Surg Int"},{"key":"bibr13-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.03.056"},{"key":"bibr14-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)01035-1"},{"key":"bibr15-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)02137-8"},{"key":"bibr16-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.05.119"},{"key":"bibr17-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.02.033"},{"key":"bibr18-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.12.011"},{"key":"bibr19-1556984520938155","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2017.07.057"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1556984520938155","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1556984520938155","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1556984520938155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:17:15Z","timestamp":1777461435000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1556984520938155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1177\/1556984520938155"],"URL":"https:\/\/doi.org\/10.1177\/1556984520938155","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}