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Demographic, classificatory, and socioeconomic aspects of hernia repair in the United States.

Although demographic and socioeconomic data regarding the natural history of hernia disease are difficult to find, studies from the National Center for Health Statistics show that approximately 700,000 groin herniorrhaphies are completed annually in the United States. More than 60% of these operations are performed on an outpatient basis. Classification schemes relative to hernia repair serve as an important communication tool when retrieving and reporting operative results in a more comprehensive, reliable, and meaningful fashion. Part of the growing movement toward ambulatory surgery includes the construction of office-based operating suites by general surgeons. Because of the increasing number of hernioplasties completed in the outpatient setting, the use of a laparoscopic approach for hernia repair does not appear to provide any cost-saving benefits over existing conventional techniques.

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Group 7SearchHeart failure treatmentPapersTopicsCollectionsEffects of Sodium-Glucose Cotransporter 2 Inhibitors for the Treatment of Patients With Heart Failure Importance: Only 1 class of glucose-lowering agents-sodium-glucose cotransporter 2 (SGLT2) inhibitors-has been reported to decrease the risk of cardiovascular events primarily by reducingSeptember 1, 2017: JAMA CardiologyAssociations of albuminuria in patients with chronic heart failure: findings in the ALiskiren Observation of heart Failure Treatment study.CONCLUSIONS: Increased UACR is common in patients with heart failure, including non-diabetics. Urinary albumin creatininineJul, 2011: European Journal of Heart FailureRandomized Controlled TrialEffects of Liraglutide on Clinical Stability Among Patients With Advanced Heart Failure and Reduced Ejection Fraction: A Randomized Clinical Trial.Review

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