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March 2017 Briefing - Gastroenterology

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for March 2017. 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.

Vertical Integration Insurance Products of Higher Quality

FRIDAY, March 31, 2017 (HealthDay News) -- Insurance products offered by hospitals and health systems, known as vertical integration, are generally of higher quality than other contracts, according to a study published in the March issue of Health Affairs.

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90 Percent of U.S. Physicians Satisfied With Career Choice

FRIDAY, March 31, 2017 (HealthDay News) -- Nine out of 10 American doctors are happy with their choice of profession, even though they have some challenges, according to an American Medical Association (AMA) survey of 1,200 doctors, residents, and medical students, conducted in February.

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Hep B, C Could Be Eliminated As Public Health Threats by 2030

THURSDAY, March 30, 2017 (HealthDay News) -- Hepatitis B and C could be eliminated as serious public health problems in the United States by 2030, according to a report from the National Academies of Sciences, Engineering, and Medicine.

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Childhood Adiposity Linked to Later Risk of Fatty Liver Disease

WEDNESDAY, March 29, 2017 (HealthDay News) -- Childhood adiposity is associated with increased odds of nonalcoholic fatty liver disease (NAFLD), according to a study published online March 29 in Pediatrics.

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USPSTF: Evidence Lacking for Celiac Dz Screen in Asymptomatic

TUESDAY, March 28, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that there is currently insufficient evidence to weigh the benefits and harms of screening for celiac disease in asymptomatic adults, adolescents, and children. These findings form the basis of a recommendation statement published in the March 28 issue of the Journal of the American Medical Association.

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TV Ads for ACA Enrollment Linked to Decline in Uninsured Rates

TUESDAY, March 28, 2017 (HealthDay News) -- The volume of insurance advertisements during the first Affordable Care Act enrollment period correlated with change in uninsurance rates, with a higher volume of television advertisements linked to declines in uninsurance, according to a study published online March 15 in Health Affairs.

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Novel Oral Budesonide Prep Treats Eosinophilic Esophagitis

TUESDAY, March 28, 2017 (HealthDay News) -- Budesonide oral suspension (BOS) is associated with improvement in symptomatic, endoscopic, and histologic parameters in adolescent and young adult patients with eosinophilic esophagitis (EoE), according to a study published in the March issue of Gastroenterology.

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ACP Issues Challenge to Cut Task Burden and Put Patients First

TUESDAY, March 28, 2017 (HealthDay News) -- In a position paper published online March 28 in the Annals of Internal Medicine, recommendations are presented to address the impact of administrative tasks and reduce the administrative burden on clinicians.

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Paid Malpractice Claims Cut in Half From 1992 to 2014 in U.S.

MONDAY, March 27, 2017 (HealthDay News) -- From 1992 to 2014 there was a decrease in the rate of malpractice claims paid on behalf of physicians in the United States, but mean compensation amounts increased, according to a study published online March 27 in JAMA Internal Medicine.

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Gastric Acid Suppressants May Up Risk of Recurrent C. difficile

MONDAY, March 27, 2017 (HealthDay News) -- Use of gastric acid suppressants may increase the risk of recurrent Clostridium difficile infection (CDI), according to a meta-analysis published online March 27 in JAMA Internal Medicine.

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Surgical Glue Reinforcement OK for Lap Sleeve Gastrectomy

MONDAY, March 27, 2017 (HealthDay News) -- Surgical glue is safe and cost-effective, compared to standard stapling, during laparoscopic sleeve gastrectomy, according to a study published online March 21 in the Journal of Evaluation in Clinical Practice.

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Mortality Risk Impacts Colon CA Screening in Dialysis Patients

FRIDAY, March 24, 2017 (HealthDay News) -- For patients on dialysis, colon cancer screening is more likely among those with the lowest risk of mortality, according to a study published online March 23 in the Journal of the American Society of Nephrology.

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Five Factors Predict High Costs in Inflammatory Bowel Disease

FRIDAY, March 24, 2017 (HealthDay News) -- For patients with inflammatory bowel disease (IBD), five factors can predict high health care utilization and costs, according to a study published in the March issue of Clinical Gastroenterology and Hepatology.

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30-Day Mortality Down During Joint Commission Survey Weeks

THURSDAY, March 23, 2017 (HealthDay News) -- Patients admitted to the hospital during The Joint Commission on-site inspections (surveys) have reduced mortality compared to that seen during non-survey weeks, according to research published online March 20 in JAMA Internal Medicine.

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High BMI in Late Teens Tied to Future Severe Liver Dz in Males

WEDNESDAY, March 22, 2017 (HealthDay News) -- High body mass index (BMI) in late adolescence is associated with future severe liver disease in males, with the risk further increased with type 2 diabetes mellitus (T2DM), according to a study published online March 20 in Gut.

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Black, Asian Medical Students Less Likely to Be AΩA Members

TUESDAY, March 21, 2017 (HealthDay News) -- Black and Asian medical students are less likely to be members of the Alpha Omega Alpha (AΩA) honor society than white students, according to a study published online March 6 in JAMA Internal Medicine.

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Review: Multiple DAA Regimens Effective for HCV Genotype 1

TUESDAY, March 21, 2017 (HealthDay News) -- For hepatitis C virus (HCV) genotype 1 infection, multiple direct-acting antiviral (DAA) regimens show high rates of safety, tolerability, and efficacy, according to a review published online March 21 in the Annals of Internal Medicine.

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CAR Activation Averts Cholesterol Gallstone Formation in Mice

MONDAY, March 20, 2017 (HealthDay News) -- Constitutive androstane receptor (CAR) activation decreases the biliary cholesterol concentration and can prevent formation of cholesterol gallstone disease (CGD), according to an experimental study published online March 7 in The American Journal of Pathology.

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Caloric Restriction Normalizes Bile Acid, Cholesterol Deficiency

MONDAY, March 20, 2017 (HealthDay News) -- Acute caloric restriction normalizes hepatic bile acid (BA) and cholesterol deficiency that is seen in morbidly obese women, according to a study published online March 6 in the Journal of Internal Medicine.

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Post-RFA Mortality Up for ESRD Patients Who Receive Dialysis

MONDAY, March 20, 2017 (HealthDay News) -- For patients with end-stage renal disease (ESRD), receipt of hemodialysis (HD) is associated with increased mortality after radiofrequency ablation (RFA) for hepatocellular carcinoma, according to a study published online March 7 in the Journal of Gastroenterology and Hepatology.

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Los Angeles eConsult Program Can Reduce Wait Times

FRIDAY, March 17, 2017 (HealthDay News) -- Implementation of an electronic system for provision of specialty care was rapidly adopted in Los Angeles, and it can reduce wait times to see specialists, according to a study published in the March issue of Health Affairs.

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Foreign Body Ingestion Can Result in Movement Disorder

THURSDAY, March 16, 2017 (HealthDay News) -- Ingestion of a foreign body can result in sudden onset of movement disorder in young children, according to a case report published online March 15 in Pediatrics.

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Esophageal Cancer Risk Rises Alongside Weight

WEDNESDAY, March 15, 2017 (HealthDay News) -- Overweight young adults may have a significantly increased risk of esophageal adenocarcinoma (EA) and gastric cardia adenocarcinoma (GCA) if they become obese later in life, according to a study published online Feb. 14 in the British Journal of Cancer.

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Women Underrepresented Among Grand Rounds Speakers

WEDNESDAY, March 15, 2017 (HealthDay News) -- Women seem to be underrepresented among academic grand rounds (GR) speakers, according to a research letter published online March 6 in JAMA Internal Medicine.

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Support for Health Law Up to 48 Percent in February

TUESDAY, March 14, 2017 (HealthDay News) -- Support for the health law is increasing, with most Americans feeling that Medicaid should continue as it is today, according to a report published by Kaiser Health News.

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Visceral Fat Differentiates Crohn's From Intestinal Tuberculosis

TUESDAY, March 14, 2017 (HealthDay News) -- Visceral fat (VF) quantification can differentiate Crohn's disease (CD) and intestinal tuberculosis (ITB), according to a study published in the February issue of the Journal of Gastroenterology and Hepatology.

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Higher Spending by Physicians Not Tied to Better Outcomes

MONDAY, March 13, 2017 (HealthDay News) -- Medicare patients treated by higher-spending physicians are just as likely to be readmitted or die within 30 days of being admitted to the hospital as patients treated by doctors who order fewer or less-expensive tests and treatments, according to a study published online March 13 in JAMA Internal Medicine.

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HBV Reactivation Seen With DAA Treatment of Chronic Hep C

MONDAY, March 13, 2017 (HealthDay News) -- For patients with chronic hepatitis C (CHC) treated with direct-acting antivirals (DAAs), hepatitis B virus (HBV) reactivation may occur in those with current HBV infection, according to a study published online Feb. 23 in the Journal of Gastroenterology and Hepatology.

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ACA's Medicaid Expansion May Pose Challenges to Timely Care

THURSDAY, March 9, 2017 (HealthDay News) -- People living in states that expanded Medicaid under the Affordable Care Act (ACA) are less likely to be uninsured or struggling with the strain of unpaid medical bills, but they also seem to have increased difficulty receiving timely care, according to research published in the March 9 issue of the New England Journal of Medicine.

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Rates of Hepatitis C Testing Too Low in Baby Boomers

WEDNESDAY, March 8, 2017 (HealthDay News) -- Despite recommendations, too few American baby boomers are tested for hepatitis C virus, according to a study published online March 8 in the American Journal of Preventive Medicine.

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Gluten Challenge Rarely Confirms Diagnosis of Gluten Sensitivity

WEDNESDAY, March 8, 2017 (HealthDay News) -- For patients diagnosed with nonceliac gluten sensitivity (NCGS), double-blind, placebo-controlled gluten challenge rarely confirms diagnosis, according to research published in the March issue of Clinical Gastroenterology and Hepatology.

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Cancer Screening Remains Below Healthy People 2020 Targets

TUESDAY, March 7, 2017 (HealthDay News) -- From 2000 to 2015 there were increases in colorectal cancer screening use, but not in breast or cervical cancer screening, according to a report published in the March 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Increased Nonvertebral Fracture Risk After Roux-en-Y Bypass

TUESDAY, March 7, 2017 (HealthDay News) -- Roux-en-Y gastric bypass (RYGB) is associated with increased nonvertebral fracture risk compared with adjustable gastric banding (AGB), according to a study published online March 2 in the Journal of Bone and Mineral Research.

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Republicans Introduce Affordable Care Act Replacement

TUESDAY, March 7, 2017 (HealthDay News) -- An initial Republican replacement for the Affordable Care Act was formally introduced in the House of Representatives on Monday.

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Most Health Care Providers Can Offer Cost Estimate

MONDAY, March 6, 2017 (HealthDay News) -- Most provider organizations can offer a cost estimate, although few patients request one, according to a report published by Becker's Hospital CFO.

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Judgement Bias in Medical Device Recall Decisions

FRIDAY, March 3, 2017 (HealthDay News) -- The characteristics of the signal in user feedback of adverse events associated with medical devices and the situated context of decision makers correlate with judgement bias in reacting to these adverse events, according to research published online Jan. 29 in Production and Operations Management.

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Overall, 8.8 Percent of U.S. Population Uninsured in 2016

THURSDAY, March 2, 2017 (HealthDay News) -- Overall, 8.8 percent of individuals of all ages were uninsured in the first nine months of 2016, which marked a nonsignificant reduction from 2015, according to a Feb. 14 report from the National Center for Health Statistics.

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Colorectal Cancer Rates, Mortality Down in Americans Aged ≥50

WEDNESDAY, March 1, 2017 (HealthDay News) -- Colorectal cancer (CRC) rates among those aged 50 and older have fallen 32 percent since 2000, while deaths from the disease fell by 34 percent, according to a report published online March 1 in CA: A Cancer Journal for Clinicians.

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Colorectal Cancer Facts & Figures 2017-2019

FDA Approves Xermelo for Carcinoid Syndrome Diarrhea

WEDNESDAY, March 1, 2017 (HealthDay News) -- Xermelo (telotristat ethyl) tablets have been approved by the U.S. Food and Drug Administration to treat adults with carcinoid syndrome diarrhea.

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Relapse Rate 18.6 Percent for Ulcerative Colitis

WEDNESDAY, March 1, 2017 (HealthDay News) -- For patients with ulcerative colitis (UC) in clinical, endoscopic, and histological remission, the rate of relapse is 18.6 percent over a median follow-up of nine months, according to a study published online Feb. 21 in the Journal of Gastroenterology and Hepatology.

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Physician's Briefing
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