July 2017 Briefing - Gastroenterology

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

More Progress Needed for Hep C Elimination in Country of Georgia

MONDAY, July 31, 2017 (HealthDay News) -- More interventions are needed to meet the target of hepatitis C virus (HCV) elimination, defined as a 90 percent reduction in prevalence by 2020, in the country of Georgia, according to research published in the July 28 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Benefit for Generalist + Specialist Care in Complex Conditions

MONDAY, July 31, 2017 (HealthDay News) -- For patients with diabetes and compensated cirrhosis, those who visit both primary care providers (PCPs) and specialists have lower odds of experiencing decompensation and/or hospitalization compared with those visiting a PCP only, according to research published online July 26 in Diabetes Care.

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Chemo Plus Hyperthermia Active in Advanced Pancreatic Cancer

MONDAY, July 31, 2017 (HealthDay News) -- For patients with locally advanced or metastatic pancreatic carcinoma with malignant ascites, a combined systemic and intraperitoneal chemotherapy approach plus hyperthermia is well tolerated and active, according to a study published online July 25 in the Journal of Global Oncology.

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CRC Screen Up for Older Patients, Those Not in Labor Force

FRIDAY, July 28, 2017 (HealthDay News) -- Factors associated with colorectal cancer (CRC) screening rates at U.S. community health centers include age and insurance status, but not patient-provider communication, according to a study published online July 14 in Cancer.

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Variation in Management for Infants With GERD

FRIDAY, July 28, 2017 (HealthDay News) -- For infants with gastroesophageal reflux disease (GERD), there is considerable variation in diagnostic testing and surgical utilization, according to a study published online July 28 in Pediatrics.

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2016 Saw Increase in Number of Physicians Since 2010 Census

THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.

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Financial Incentives Found to Up Colonoscopy Participation

WEDNESDAY, July 26, 2017 (HealthDay News) -- In a study published recently in Gastroenterology, a cash incentive of $100 was tied to increased colorectal screening rates in eligible adults.

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Many With Cancer Hospitalized, Undergo Imaging at End of Life

WEDNESDAY, July 26, 2017 (HealthDay News) -- About half of cancer patients are hospitalized and undergo at least one imaging scan at the end of life, according to a study published online July 24 in the Journal of Oncology Practice.

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Greater Engagement for Patients Who Read Visit Notes

TUESDAY, July 25, 2017 (HealthDay News) -- Greater engagement is reported by patients who read notes and submit feedback, according to a study published in the July issue of the Journal of Medical Internet Research.

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Obesity in Teens Ups Colon, Rectal Cancer Risk in Adulthood

TUESDAY, July 25, 2017 (HealthDay News) -- Obesity even in adolescence may raise the odds for colon and rectal cancers in adulthood, according to research published online July 24 in Cancer.

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Noninvasive Oral Fluid-Based Immunoassay IDs Hepatitis E

TUESDAY, July 25, 2017 (HealthDay News) -- A noninvasive oral fluid-based immunoassay has high sensitivity and specificity for identifying recent and past hepatitis E virus (HEV) infection, according to a study published in the Journal of Immunological Methods.

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Average Increase in Physician Compensation 2.9% in 2016

MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.

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Immunotherapy Efficacy Up With Gal-1/SIT Co-Administration

MONDAY, July 24, 2017 (HealthDay News) -- Galectin-1 (Gal-1), allergen-specific immunotherapy (SIT) co-administration may suppress allergic responses in the intestine more than use of SIT or Gal-1 alone, according to an experimental study published online July 18 in Allergy.

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AMA Module Offers Help for Adding Pharmacist to Practice

FRIDAY, July 21, 2017 (HealthDay News) -- A new American Medical Association (AMA) education module has been developed to help embed clinical pharmacists within a medical practice.

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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene

FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.

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EHR-Based Prompt Ups Hepatitis C Screening for Baby Boomers

THURSDAY, July 20, 2017 (HealthDay News) -- Implementation of an electronic health record (EHR)-based prompt can improve hepatitis C virus (HCV) screening rates among baby boomers, according to a study published online July 17 in Hepatology.

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Aspirin Responsiveness Can Change After Bariatric Surgery

THURSDAY, July 20, 2017 (HealthDay News) -- The effects of aspirin on platelet inhibition may be more potent after bariatric surgery, according to a study published online July 14 in Cardiovascular Therapeutics.

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Survival Feasible Post Acute Liver Failure Secondary to Amiodarone

WEDNESDAY, July 19, 2017 (HealthDay News) -- In a report published online July 16 in the Journal of Clinical Pharmacy and Therapeutics, a case of survival after acute liver failure secondary to amiodarone administration is described.

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Guidelines Updated for Diagnosis, Management of NAFLD

TUESDAY, July 18, 2017 (HealthDay News) -- A practice guidance statement, published online July 17 in Hepatology, has been developed to augment the clinical practice guidelines for the diagnosis and management of non-alcoholic fatty liver disease (NAFLD).

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High Court Rules Against Interstate Medical Liability

TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.

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Patient-Centered Communication Could Help Reduce Burnout

MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.

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Organizational Changes Encouraged for Safer Prescribing

MONDAY, July 17, 2017 (HealthDay News) -- Organizational changes are recommended by primary care physicians to support safer prescribing, according to a study published in the July/August issue of the Annals of Family Medicine.

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Bismuth-Based Quad Tx Doesn't Top Levofloxacin Triple Tx

FRIDAY, July 14, 2017 (HealthDay News) -- For patients with Helicobacter pylori infection, the addition of bismuth subcitrate to levofloxacin-based triple therapy is not associated with increased effectiveness, although there are no more side effects, according to a study published online June 23 in the Journal of Digestive Diseases.

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Early Career Burnout Can Be Contagious Via Social Networks

FRIDAY, July 14, 2017 (HealthDay News) -- For early career teachers (ECTs), social network members' burnout levels are associated with increased burnout levels, according to a study published in the August issue of Teaching and Teacher Education.

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Western Diet Associated With Chronic Hepatic Inflammation

THURSDAY, July 13, 2017 (HealthDay News) -- In farnesoid X receptor (FXR) knockout (KO) mice, Proteobacteria and bacteroides persist in those fed a western diet (WD), even after antibiotic (Abx) treatment, according to a study published online July 12 in The American Journal of Pathology.

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Alendronate Cuts Hip Fx Risk in Seniors Taking Prednisolone

THURSDAY, July 13, 2017 (HealthDay News) -- For older patients receiving prednisolone, alendronate is associated with reduced risk of hip fracture, according to a study published in the July 11 issue of the Journal of the American Medical Association.

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Blood Test for Early Detection of Pancreatic Cancer Feasible

THURSDAY, July 13, 2017 (HealthDay News) -- A new, low-cost blood test may be an effective way to detect pancreatic cancer early, according to a study published in the July 12 issue of Science Translational Medicine.

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International Variation in Prevalence of Celiac in T1DM

THURSDAY, July 13, 2017 (HealthDay News) -- Celiac disease (CD) is a common comorbidity in young people with type 1 diabetes, and the prevalence appears to vary internationally, according to a study published online June 29 in Diabetes Care.

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Medicaid Enrollees Are Satisfied With Their Health Care

WEDNESDAY, July 12, 2017 (HealthDay News) -- Medicaid enrollees are largely satisfied with their health care, and most are able to access the care they need when they need it, according to a research letter published online July 10 in JAMA Internal Medicine.

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More Than 1 in 3 With Behçet's Has Bacterial Overgrowth

WEDNESDAY, July 12, 2017 (HealthDay News) -- About one-third of patients with inactive intestinal Behçet's disease (BD) have small intestinal bacterial overgrowth (SIBO), and rifaximin is associated with symptom improvement, according to a study published online June 30 in the Journal of Gastroenterology and Hepatology.

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Screening Up When Insurance Covers CT Colonography

TUESDAY, July 11, 2017 (HealthDay News) -- Patients with insurance that covers computed tomographic (CT) colonography are nearly 50 percent more likely to get screened for colorectal cancer, according to a study published online July 11 in Radiology.

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Health Service Use Unchanged From 1996-1997 to 2011-2012

TUESDAY, July 11, 2017 (HealthDay News) -- Utilization of health services was largely unchanged from 1996-1997 to 2011-2012, but expenditures increased, according to a study published in the July/August issue of the Annals of Family Medicine.

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American Adults Without Health Insurance Rises by Two Million

TUESDAY, July 11, 2017 (HealthDay News) -- The number of American adults without health insurance has increased by about two million so far this year, according to a new Gallup-Sharecare Well-Being Index poll.

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Patients Are Often Recording Doctor's Visits

TUESDAY, July 11, 2017 (HealthDay News) -- Patients may be recording office visits, with or without permission, according to an opinion piece published online July 10 in the Journal of the American Medical Association.

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Enhanced Recovery Protocol Ups Outcomes in Colon, Rectal Sx

MONDAY, July 10, 2017 (HealthDay News) -- For patients undergoing colon and rectal surgery, an enhanced recovery protocol (ERP) is associated with improved outcomes, according to clinical practice guidelines published in the August issue of Diseases of the Colon & Rectum.

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No Signs of Abuse Potential for Eluxadoline in IBS With Diarrhea

MONDAY, July 10, 2017 (HealthDay News) -- For patients with irritable bowel syndrome with diarrhea (IBS-D), there are no signs of abuse potential for eluxadoline, according to a study published in the July issue of Clinical Gastroenterology and Hepatology.

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Subcirrhotic Liver Stiffness Cuts HCC Risk in Hepatitis B

MONDAY, July 10, 2017 (HealthDay News) -- For patients with chronic hepatitis B (CHB), achievement of subcirrhotic range of liver stiffness (sc-LS) with antiviral therapy (AVT) is associated with reduced risk of hepatocellular carcinoma (HCC), according to a study published online June 30 in the Journal of Gastroenterology and Hepatology.

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C. difficile Present in Many Public Sandboxes

FRIDAY, July 7, 2017 (HealthDay News) -- Clostridium difficile was present in nearly 53 percent of sandboxes tested in Spain, according to a report published online July 7 in Zoonoses and Public Health.

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Improved Glycemic Control With Eradication of Hepatitis C

FRIDAY, July 7, 2017 (HealthDay News) -- For patients with type 2 diabetes, direct-acting antiviral (DAA) treatment of hepatitis C virus (HCV) is associated with improved glycemic control and reduced antidiabetic medication use, according to a study published online June 28 in Diabetes Care.

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4-Food Elimination Diet Induces EoE Remission in Children

FRIDAY, July 7, 2017 (HealthDay News) -- For children with eosinophilic esophagitis (EoE), eight weeks of a four-food elimination diet can induce remission, according to a study published online June 8 in Clinical Gastroenterology and Hepatology.

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Market Competition Linked to Change in Generic Drug Prices

THURSDAY, July 6, 2017 (HealthDay News) -- Market competition levels are associated with changes in the price of generic drugs, according to a study published online July 4 in the Annals of Internal Medicine.

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AMA: Doctors Should Make Sure Their Online Info Is Accurate

THURSDAY, July 6, 2017 (HealthDay News) -- In a technologically advanced society, physicians need to take advantage of the internet to reach patients and exercise caution in their online presence, according to a report published by the American Medical Association.

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From 2001 to 2012, Incidence of CDI, Multiply Recurrent CDI Up

THURSDAY, July 6, 2017 (HealthDay News) -- The annual incidence of Clostridium difficile infection (CDI) and multiply recurrent CDI (mrCDI) increased from 2001 to 2012, according to a study published online July 4 in the Annals of Internal Medicine.

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No Evidence Probiotics Protect Infants Against Infections

WEDNESDAY, July 5, 2017 (HealthDay News) -- Probiotic supplements do not appear to lower infants' risk of infection in day care, according to research published online July 3 in Pediatrics.

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Proton Pump Inhibitors Linked to Higher Mortality Risk

WEDNESDAY, July 5, 2017 (HealthDay News) -- Proton pump inhibitors (PPIs) may increase risk of premature mortality when taken for extended periods, according to research published online July 4 in BMJ Open.

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Use of Palliative Care Up for End-Stage Liver Disease

WEDNESDAY, July 5, 2017 (HealthDay News) -- For patients with end-stage liver disease (ESLD), the use of palliative care (PC) increased from 2006 to 2012, according to research published online June 29 in Hepatology.

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