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orthopediatrics.com

La gerencia y el directorio de OrthoPediatrics se toman muy en serio sus responsabilidades ambientales, sociales y de gobierno corporativo ("ESG", por sus siglas en inglés).  Consideramos que estas áreas son fundamentales para nuestra filosofía comercial y, en última instancia, generan un mayor valor para los accionistas.  Nuestro equipo interno de ESG está dirigido por nuestro COO (Director ejecutivo) y CFO (Director financiero) y rinde cuentas directamente ante nuestro Comité de Gobierno Corporativo y Nominaciones.

ijssurgery.com

BackgroundPatients with obesity undergoing spine surgery are at increased risk for postoperative complications. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are widely used for diabetes and weight management, but their perioperative impact in spine procedures is not well defined. This study evaluated whether long-term preoperative GLP-1 RA therapy is associated with improved postoperative outcomes after elective laminectomy in overweight adults.MethodsA retrospective cohort study was performed using the TriNetX research network across 72 US health systems. Overweight or obese adults undergoing elective cervical, thoracic, or lumbar laminectomy were divided into GLP-1 RA users (≥6 months of continuous preoperative therapy) and nonusers. Propensity score matching (1:1) was performed across 33 demographic and clinical variables. Outcomes assessed at 90 days and 1 year included sepsis, acute kidney injury, deep vein thrombosis, myocardial infarction, pneumonia, stroke, wound dehiscence, surgical site infection, postlaminectomy syndrome, and all-cause mortality.ResultsMatched cohorts included 5680 patients per group. GLP-1 RA therapy was associated with significantly lower odds of sepsis (OR 0.38 at 90 days; 0.52 at 1 year), deep vein thrombosis (0.26; 0.41), wound dehiscence (0.38; 0.47), surgical site infection (0.37; 0.43), and mortality (0.30; 0.48; all P < 0.001). Acute kidney injury showed a borderline reduction (OR 0.80; P = 0.046). No significant differences were observed for myocardial infarction, pneumonia, or stroke.ConclusionsLong-term preoperative GLP-1 RA therapy was associated with reduced postoperative infectious, thrombotic, and wound-related complications, as well as lower mortality, following elective laminectomy in overweight adults. These findings support the potential role of GLP-1 RA use in preoperative optimization strategies for high-risk surgical populations.Clinical RelevanceIdentifying modifiable risk factors is essential for improvin

posnacademy.org

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pty.vanderbilt.edu

During each SAVY session, instructors share a brief summary of the activities, learning highlights, and course objectives covered that day.

morthoj.org

this is the malaysian orthopaedic journal, july 2024, volume 18, issue no. 2. the malaysian orthopaedic journal is a peer-reviewed journal that is published twice a year in both print and electronic online version.

ngsp.org

the purpose of the ngsp is to standardize hemoglobin a1c test results to those of the diabetes control and complications trial (dcct) and united kingdom prospective diabetes study (ukpds) which established the direct relationships between hba1c levels and outcome risks in patients with diabetes.