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June 2018 Briefing - Gastroenterology

Mon, Jul 2, 2018

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for June 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Practice Management Can Improve Efficiency

FRIDAY, June 29, 2018 (HealthDay News) -- Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.

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AMA Calls for Electronic Health Record Training

FRIDAY, June 29, 2018 (HealthDay News) -- The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.

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Prolonged Leisure-Time Sitting Tied to Increased Mortality Risk

FRIDAY, June 29, 2018 (HealthDay News) -- Prolonged leisure-time sitting is associated with increased risk of mortality, according to a study published online in the American Journal of Epidemiology.

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Penicillin Allergy Linked to MRSA, C. Difficile Risk

THURSDAY, June 28, 2018 (HealthDay News) -- There is a correlation for documented penicillin allergy with increased risk of methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile, which is mediated by increased use of β-lactam alternative antibiotics, according to a study published online June 27 in the BMJ.

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Health Care Technology Impacts Younger Patient Satisfaction

THURSDAY, June 28, 2018 (HealthDay News) -- Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.

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Most Bleeding Events in Non-CVD Patients Are GI-Related

WEDNESDAY, June 27, 2018 (HealthDay News) -- Among a cohort of individuals without cardiovascular disease (CVD) not receiving antiplatelet therapy, most major bleeding events involved gastrointestinal bleeding and 7 percent of bleeding events were fatal, according to a study published online June 26 in the Journal of the American Medical Association.

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Sodium Thiosulfate Post-Cisplatin May Lessen Hearing Loss

WEDNESDAY, June 27, 2018 (HealthDay News) -- Delayed administration of sodium thiosulfate after cisplatin chemotherapy may prevent treatment-related hearing loss in children with standard-risk hepatoblastoma without affecting survival outcomes, according to a study published online June 21 in the New England Journal of Medicine.

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Authors Explore Overdiagnosis in Cancer Screening

TUESDAY, June 26, 2018 (HealthDay News) -- Recommendations for defining, estimating, and communicating overdiagnosis in cancer screening are discussed in a special article published online June 25 in the Annals of Internal Medicine.

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AMA Adopts Ethical Guidance on Medical Tourism

TUESDAY, June 26, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

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AMA: Docs Declare Drug Shortages Public Health Emergency

MONDAY, June 25, 2018 (HealthDay News) -- At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.

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Direct-Acting Antivirals Effective for Hepatitis C in Seniors

MONDAY, June 25, 2018 (HealthDay News) -- For older patients with hepatitis C virus (HCV), direct-acting antiviral (DAA) therapy is effective, according to a study published online May 25 in the Journal of the American Geriatrics Society.

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Post-Endoscopic Infection More Common Than Previously Thought

FRIDAY, June 22, 2018 (HealthDay News) -- The rates of post-endoscopic infection within seven days vary from 1.1 per 1,000 procedures for screening colonoscopy to 3 per 1,000 procedures for osophagogastroduodenoscopies (OGDs), according to a study published online May 31 in Gut.

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Long-Term Risk of Anastomotic Ulceration After RYGB

FRIDAY, June 22, 2018 (HealthDay News) -- There is a significant long-term risk of anastomotic ulceration (AU) after Roux-en-Y gastric bypass (RYGB), which increases over time and with history of tobacco use, according to a research letter published online June 20 in JAMA Surgery.

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More Cash-Pay Patients Means Docs Need Billing Strategies

THURSDAY, June 21, 2018 (HealthDay News) -- More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.

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Valuing Gluten-Free Food Tied to Better Dietary Intake

THURSDAY, June 21, 2018 (HealthDay News) -- Young adults who value gluten-free food usually do so as part of a healthier dietary pattern, though they are also more likely to engage in unhealthy weight control activities, according to a study published online June 18 in the Journal of the Academy of Nutrition and Dietetics.

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AAFP Still Recommends CRC Screening From Age 50 to 75

WEDNESDAY, June 20, 2018 (HealthDay News) -- In accordance with the U.S. Preventive Services Task Force (USPSTF), the American Academy of Family Physicians (AAFP) does not intend to change its recommendations for colorectal cancer screening based on the recent change in the American Cancer Society (ACS) guideline.

AAFP Recommendation
ACS Policy Update

70 Sickened So Far in Salmonella-Tainted Melon Outbreak

WEDNESDAY, June 20, 2018 (HealthDay News) -- A salmonella outbreak linked to melons and fruit salad mixes continues to expand, say officials at the U.S. Centers for Disease Control and Prevention.

FDA Recall Notice
CDC Press Release

Considerable Costs Associated With Switching EHR

TUESDAY, June 19, 2018 (HealthDay News) -- Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.

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Recent-Onset Diabetes Tied to Increased Pancreatic Cancer Risk

TUESDAY, June 19, 2018 (HealthDay News) -- Recent-onset diabetes is associated with more than a two-fold greater increase in risk of pancreatic cancer (PC) than long-standing diabetes in African-Americans and Latinos, according to a study published online June 18 in the Journal of the National Cancer Institute.

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Pharmacologic Tx Should Be Used Sparingly for Reflux in Preemies

TUESDAY, June 19, 2018 (HealthDay News) -- Conservative measures to control reflux have limited effect on signs of gastroesophageal reflux (GER) in preterm infants, and pharmacologic treatments should be used sparingly, according to a clinical report published online June 18 in Pediatrics.

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AMA Vows to Improve Access for Docs Seeking Mental Health Care

MONDAY, June 18, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.

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Higher Vitamin D Levels Tied to Lower Risk of Colorectal Cancer

FRIDAY, June 15, 2018 (HealthDay News) -- Higher circulating levels of vitamin D are tied to significantly lower colorectal cancer risk, particularly in women, according to a study published online June 14 in the Journal of the National Cancer Institute.

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60 Sickened So Far in Salmonella-Tainted Melon Outbreak

WEDNESDAY, June 13, 2018 (HealthDay News) -- Federal, state, and local health officials are investigating a Salmonella outbreak linked to fruit salad mixes that has sickened 60 people in five U.S. states. The fruit salad mixes included precut watermelon, honeydew melon, cantaloupe, and cut fruit medley products from the Caito Foods facility in Indianapolis. The company has recalled the products.

FDA Recall Notice
CDC Press Release

Pre-Op Psychiatric Dx Not Tied to Bariatric Sx Outcomes in Teens

WEDNESDAY, June 13, 2018 (HealthDay News) -- Preoperative psychiatric diagnoses are not associated with weight loss outcomes in severely obese adolescents receiving bariatric surgery, according to a study published online June 1 in Pediatrics.

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Sun Defenses Up in Transplant Patients After Skin Cancer Study

WEDNESDAY, June 13, 2018 (HealthDay News) -- For organ transplant recipients, participation in a skin cancer research study is associated with increased use of multiple sun protection behaviors, according to a research letter published online June 6 in JAMA Dermatology.

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Addition of Bezafibrate Beneficial in Primary Biliary Cholangitis

WEDNESDAY, June 13, 2018 (HealthDay News) -- Nearly one-third of patients with primary biliary cholangitis who had had an inadequate response to ursodeoxycholic acid alone achieved a complete biochemical response with the addition of bezafibrate to treatment, according to a study published online June 7 in the New England Journal of Medicine.

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How Do Business Partner Data Breaches Affect Your Practice?

TUESDAY, June 12, 2018 (HealthDay News) -- Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.

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High Costs for Diagnosis, Care of Nonalcoholic Fatty Liver Disease

MONDAY, June 11, 2018 (HealthDay News) -- The health care costs associated with nonalcoholic fatty liver disease (NAFLD) are considerable, especially at first diagnosis, according to a study published online May 18 in Hepatology.

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Prostate Cancer Treatment Side Effects Linked to Distress

FRIDAY, June 8, 2018 (HealthDay News) -- For prostate cancer survivors, dysfunction due to treatment side effects has a bidirectional association with emotional distress, according to a study published in the June issue of The Journal of Urology.

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Online Consumer Ratings of Physicians Tend to Be Skewed

WEDNESDAY, June 6, 2018 (HealthDay News) -- Online physician reviews tend to be skewed positively, according to a study published in the May issue of the Journal of Medical Internet Research.

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Microbiota in Breastfed Infants May Help Prevent Overweight

WEDNESDAY, June 6, 2018 (HealthDay News) -- Gut microbiota at ages 3 to 4 months may contribute to the protective effect of breastfeeding against overweight, according to a study published online June 4 in JAMA Pediatrics.

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CDC: Prevalence of No Insurance Varies by Occupational Groups

WEDNESDAY, June 6, 2018 (HealthDay News) -- The prevalence of being uninsured varies by occupational groups, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

TUESDAY, June 5, 2018 (HealthDay News) -- There is considerable variation in office-based physician visit rates by patient age and sex, according to a June data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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CDC Says E. Coli Outbreak Tied to Romaine Lettuce Is Over

FRIDAY, June 1, 2018 (HealthDay News) -- This spring's outbreak of Escherichia coli illness tied to tainted Arizona romaine lettuce is likely over, U.S. health officials say, but not before claiming five lives.

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