{"id":"https://openalex.org/W4417106909","doi":"https://doi.org/10.1177/11297298251399398","title":"Clip versus suture anastomosis for arteriovenous fistula: A systematic review and meta-analysis","display_name":"Clip versus suture anastomosis for arteriovenous fistula: A systematic review and meta-analysis","publication_year":2025,"publication_date":"2025-12-07","ids":{"openalex":"https://openalex.org/W4417106909","doi":"https://doi.org/10.1177/11297298251399398","pmid":"https://pubmed.ncbi.nlm.nih.gov/41355047"},"language":"en","primary_location":{"id":"doi:10.1177/11297298251399398","doi":"https://doi.org/10.1177/11297298251399398","is_oa":false,"landing_page_url":"https://doi.org/10.1177/11297298251399398","pdf_url":null,"source":{"id":"https://openalex.org/S86674104","display_name":"The Journal of Vascular Access","issn_l":"1129-7298","issn":["1129-7298","1724-6032"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Vascular Access","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002173408","display_name":"Morgan Thomas McLoughlin","orcid":"https://orcid.org/0000-0002-6387-7200","observed_orcids":["https://orcid.org/0000-0002-6387-7200"]},"institutions":[{"id":"https://openalex.org/I2799853345","display_name":"University Hospital Waterford","ror":"https://ror.org/007pvy114","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799853345","https://openalex.org/I2800263200","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":true,"raw_author_name":"Morgan McLoughlin","raw_affiliation_strings":["Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland"],"raw_orcid":"https://orcid.org/0000-0002-6387-7200","affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland","institution_ids":["https://openalex.org/I2799853345"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067876760","display_name":"Fred Kenny","orcid":"https://orcid.org/0000-0003-0814-1994","observed_orcids":["https://orcid.org/0000-0003-0814-1994"]},"institutions":[{"id":"https://openalex.org/I2799853345","display_name":"University Hospital Waterford","ror":"https://ror.org/007pvy114","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799853345","https://openalex.org/I2800263200","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Fred Kenny","raw_affiliation_strings":["Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland","institution_ids":["https://openalex.org/I2799853345"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Muhammad Adnan Sadiq","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799853345","display_name":"University Hospital Waterford","ror":"https://ror.org/007pvy114","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799853345","https://openalex.org/I2800263200","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Muhammad Adnan Sadiq","raw_affiliation_strings":["Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland","institution_ids":["https://openalex.org/I2799853345"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Tahir Khan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799853345","display_name":"University Hospital Waterford","ror":"https://ror.org/007pvy114","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799853345","https://openalex.org/I2800263200","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Tahir Khan","raw_affiliation_strings":["Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland","institution_ids":["https://openalex.org/I2799853345"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113481212","display_name":"Gergely G\u0151si","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799853345","display_name":"University Hospital Waterford","ror":"https://ror.org/007pvy114","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799853345","https://openalex.org/I2800263200","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Gergely Gosi","raw_affiliation_strings":["Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland","institution_ids":["https://openalex.org/I2799853345"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120159178","display_name":"Nawar Masarani","orcid":"https://orcid.org/0000-0001-7729-1721","observed_orcids":["https://orcid.org/0000-0001-7729-1721"]},"institutions":[{"id":"https://openalex.org/I2799853345","display_name":"University Hospital Waterford","ror":"https://ror.org/007pvy114","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799853345","https://openalex.org/I2800263200","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Nawar Masarani","raw_affiliation_strings":["Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland","institution_ids":["https://openalex.org/I2799853345"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003969613","display_name":"Morgan Peter McMonagle","orcid":"https://orcid.org/0000-0003-2778-6106","observed_orcids":["https://orcid.org/0000-0003-2778-6106"]},"institutions":[{"id":"https://openalex.org/I2799853345","display_name":"University Hospital Waterford","ror":"https://ror.org/007pvy114","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799853345","https://openalex.org/I2800263200","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Morgan McMonagle","raw_affiliation_strings":["Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland","institution_ids":["https://openalex.org/I2799853345"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045965435","display_name":"Mohammed Elkassaby","orcid":"https://orcid.org/0000-0002-7263-426X","observed_orcids":["https://orcid.org/0000-0002-7263-426X"]},"institutions":[{"id":"https://openalex.org/I159247623","display_name":"Mansoura University","ror":"https://ror.org/01k8vtd75","country_code":"EG","type":"education","lineage":["https://openalex.org/I159247623"]},{"id":"https://openalex.org/I2799853345","display_name":"University Hospital Waterford","ror":"https://ror.org/007pvy114","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2799853345","https://openalex.org/I2800263200","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["EG","IE"],"is_corresponding":false,"raw_author_name":"Mohammed Elkassaby","raw_affiliation_strings":["Department of Vascular Surgery, Mansoura University, Mansoura, Egypt","Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery, Mansoura University, Mansoura, Egypt","institution_ids":["https://openalex.org/I159247623"]},{"raw_affiliation_string":"Department of Vascular Surgery, University Hospital Waterford, Waterford, Ireland","institution_ids":["https://openalex.org/I2799853345"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5002173408"],"corresponding_institution_ids":["https://openalex.org/I2799853345"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.17410714,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"27","issue":"3","first_page":"923","last_page":"931"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12634","display_name":"Ureteral procedures and complications","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/arteriovenous-fistula","display_name":"arteriovenous fistula","score":0.9980000257492065},{"id":"https://openalex.org/keywords/vascular-access","display_name":"vascular access","score":0.6190000176429749},{"id":"https://openalex.org/keywords/suture-anastomosis","display_name":"suture anastomosis","score":0.996999979019165},{"id":"https://openalex.org/keywords/fistula-patency","display_name":"fistula patency","score":0.7649999856948853},{"id":"https://openalex.org/keywords/fistula-thrombosis","display_name":"fistula thrombosis","score":0.75},{"id":"https://openalex.org/keywords/fistula-maturation","display_name":"fistula maturation","score":0.8849999904632568},{"id":"https://openalex.org/keywords/hemodialysis-vascular-access","display_name":"hemodialysis vascular access","score":0.8040000200271606},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.7350000143051147}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8823999762535095},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7631999850273132},{"id":"https://openalex.org/C8443397","wikidata":"https://www.wikidata.org/wiki/Q15177","display_name":"Anastomosis","level":2,"score":0.6564000248908997},{"id":"https://openalex.org/C2777327002","wikidata":"https://www.wikidata.org/wiki/Q2865760","display_name":"Fibrous joint","level":2,"score":0.5701000094413757},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.36719998717308044},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.3549000024795532},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.3522000014781952},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.31779998540878296},{"id":"https://openalex.org/C2781150406","wikidata":"https://www.wikidata.org/wiki/Q3615100","display_name":"Surgical anastomosis","level":3,"score":0.31290000677108765},{"id":"https://openalex.org/C2779063477","wikidata":"https://www.wikidata.org/wiki/Q707837","display_name":"Arteriovenous fistula","level":2,"score":0.2921999990940094},{"id":"https://openalex.org/C2776016174","wikidata":"https://www.wikidata.org/wiki/Q28502965","display_name":"Vascular access","level":3,"score":0.29089999198913574},{"id":"https://openalex.org/C2908739490","wikidata":"https://www.wikidata.org/wiki/Q17083725","display_name":"Arteriovenous Anastomosis","level":3,"score":0.27959999442100525}],"mesh":[{"descriptor_ui":"D001166","descriptor_name":"Arteriovenous Shunt, Surgical","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D001166","descriptor_name":"Arteriovenous Shunt, Surgical","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006083","descriptor_name":"Graft Occlusion, Vascular","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006083","descriptor_name":"Graft Occlusion, Vascular","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D006435","descriptor_name":"Renal Dialysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013525","descriptor_name":"Surgical Instruments","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013536","descriptor_name":"Suture Techniques","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D013536","descriptor_name":"Suture Techniques","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014654","descriptor_name":"Vascular Patency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/11297298251399398","doi":"https://doi.org/10.1177/11297298251399398","is_oa":false,"landing_page_url":"https://doi.org/10.1177/11297298251399398","pdf_url":null,"source":{"id":"https://openalex.org/S86674104","display_name":"The Journal of Vascular Access","issn_l":"1129-7298","issn":["1129-7298","1724-6032"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Vascular Access","raw_type":"journal-article"},{"id":"pmid:41355047","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41355047","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The journal of vascular access","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W1537972189","https://openalex.org/W1971747380","https://openalex.org/W1982076819","https://openalex.org/W1992247711","https://openalex.org/W1999850425","https://openalex.org/W2009766326","https://openalex.org/W2014789580","https://openalex.org/W2023054606","https://openalex.org/W2036129276","https://openalex.org/W2046897237","https://openalex.org/W2088570488","https://openalex.org/W2098923148","https://openalex.org/W2144453247","https://openalex.org/W2144874069","https://openalex.org/W2162242302","https://openalex.org/W2219597142","https://openalex.org/W2740327772","https://openalex.org/W2799927634","https://openalex.org/W3026043894","https://openalex.org/W3043628340","https://openalex.org/W4223913622","https://openalex.org/W4243277800","https://openalex.org/W4392908832","https://openalex.org/W4401593560","https://openalex.org/W4402733032","https://openalex.org/W4402741569"],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"Anastomotic":[1],"techniques":[2,65,76,160,296],"play":[3],"a":[4,38,119,128],"crucial":[5],"role":[6],"in":[7,66,176,195,220,282],"arteriovenous":[8],"fistula":[9,68,79,270],"(AVF)":[10],"construction":[11],"and":[12,45,52,74,112,122,255,266,284,294],"influence":[13,46,287],"longevity.":[14],"Whilst":[15],"traditional":[16],"suturing":[17],"has":[18],"been":[19],"the":[20,57,177,196,221,241],"standard":[21,275],"of":[22,60,130,276],"care":[23],"for":[24,77,145,268],"vascular":[25,33],"access":[26,271],"anastomosis":[27,64,148,261],"creation,":[28],"alternative":[29],"methods":[30],"such":[31],"as":[32,37],"clips":[34],"have":[35],"emerged":[36],"potential":[39],"technique":[40],"to":[41,55,107,158,190,211,229,274,299],"improve":[42],"technical":[43],"outcomes":[44,93],"AVF":[47],"patency.":[48],"This":[49,252],"systematic":[50,253],"review":[51,254],"meta-analysis":[53,256],"aims":[54],"evaluate":[56],"comparative":[58],"efficacy":[59],"suture":[61,73,159,197],"versus":[62],"clip-based":[63],"AV":[67,78,269],"creation.":[69],"Methods:":[70],"Studies":[71,278],"comparing":[72,292],"clip":[75,178,222,260,293],"formation":[80],"were":[81,116,137,143,236,279],"included.":[82,138],"The":[83],"primary":[84,87,96,98,155,170],"outcome":[85],"was":[86,125,149,172,192,216],"patency":[88,156,171,265],"at":[89,127],"1":[90],"year.":[91],"Secondary":[92],"include":[94],"2-year":[95],"patency,":[97,100,102],"assisted":[99],"secondary":[101],"overall":[103],"failure,":[104],"mean":[105,109],"time":[106,111,189,215],"thrombosis,":[108],"operating":[110,214],"maturation":[113],"rate.":[114],"Data":[115,139],"pooled":[117],"using":[118],"random-effects":[120],"model":[121],"statistical":[123],"significance":[124],"assessed":[126],"threshold":[129],"p":[131,166,185,204,231,248],"<":[132],"0.05.":[133],"Results:":[134],"Nine":[135],"studies":[136,291],"from":[140],"2964":[141],"patients":[142],"available":[144],"analysis.":[146],"Clip":[147],"associated":[150],"with":[151],"significantly":[152,174,193],"higher":[153],"1-year":[154],"compared":[157,273],"(RR":[161,180,224,243],"1.13,":[162],"95%":[163,182,201,226,245],"CI":[164,183,202,227,246],"1.03\u20131.23,":[165],"=":[167,186,205,232,249],"0.007).":[168],"Two-year":[169],"also":[173],"improved":[175],"group":[179,198,223],"1.23,":[181],"1.13\u20131.34,":[184],"0.00001).":[187],"Mean":[188,213],"thrombosis":[191],"shorter":[194,219],"(MD":[199],"4.36,":[200],"0.60\u20138.12,":[203],"0.02),":[206],"indicating":[207],"earlier":[208],"failure":[209],"relative":[210],"clips.":[212],"not":[217,237],"statistically":[218,238],"\u22126.47,":[225],"\u221216.49":[228],"3.55,":[230],"0.21).":[233],"Maturation":[234],"rates":[235],"significant":[239],"between":[240],"groups":[242],"1.05,":[244],"0.95\u20131.16,":[247],"0.31).":[250],"Conclusion:":[251],"demonstrates":[257],"evidence":[258],"that":[259],"may":[262,286],"offer":[263],"superior":[264],"longevity":[267],"when":[272],"care.":[277],"largely":[280],"retrospective":[281],"nature":[283],"heterogeneity":[285],"results.":[288],"Higher":[289],"quality":[290],"suture-based":[295],"are":[297],"required":[298],"validate":[300],"these":[301],"outcomes.":[302]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2025-12-08T00:00:00"}