May 2017 Briefing - Gastroenterology

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

Social Psychology May Help With Physician Error Disclosure

TUESDAY, May 30, 2017 (HealthDay News) -- Lessons from social psychology can be used to improve behavioral changes in terms of error disclosure, according to research published online May 18 in Medical Education.

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High-Risk Pools May Represent Step Back for U.S. Health Care

TUESDAY, May 30, 2017 (HealthDay News) -- Proposed legislation as part of the American Health Care Act, which includes the option of high-risk pools, is not likely to reduce costs, according to an Ideas and Opinions piece published online May 23 in the Annals of Internal Medicine.

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Increased Gut Diversity Seen After Roux-en-Y

TUESDAY, May 30, 2017 (HealthDay News) -- Roux-en-Y gastric bypass surgery triggers major changes in the microbial population of the digestive tract, according to a report published online May 26 in the ISME Journal.

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Progress Made on Genetic Test for Anal Cancer

FRIDAY, May 26, 2017 (HealthDay News) -- DNA methylation testing may be feasible as a molecular triage of high-risk human papillomavirus (HPV)-positive individuals for high-resolution anoscopy screening, according to a study published online May 18 in Oncotarget.

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New Health Care Act Could Result in 23 Million Losing Insurance

FRIDAY, May 26, 2017 (HealthDay News) -- The Republican-led bill to repeal and replace the Affordable Care Act (ACA) that passed the House this month would result in 23 million Americans losing their health insurance coverage, according to a report issued by the Congressional Budget Office (CBO).

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New Bill Intends to Repeal Limits on Physician-Owned Hospitals

FRIDAY, May 26, 2017 (HealthDay News) -- A new bill introduced in the U.S. House of Representatives would repeal the federal law essentially banning construction of physician-owned hospitals and making it difficult for these facilities to grow, according to a report published by the American Medical Association (AMA).

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Technology Can Help Patients Facing Routine Decisions

FRIDAY, May 26, 2017 (HealthDay News) -- Information technology can be harnessed to assist patients facing routine decisions, according to a study published in the May/June issue of the Annals of Family Medicine.

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New Interactive Module Aims to Clarify Professional Boundaries

THURSDAY, May 25, 2017 (HealthDay News) -- A new interactive training module in medical ethics can help physicians to understand professional boundaries, according to a report published by the American Medical Association (AMA).

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Blood Test for Earlier Detection of Pancreatic Cancer Feasible

THURSDAY, May 25, 2017 (HealthDay News) -- A new blood test has been developed for identifying pancreatic ductal adenocarcinoma (PDAC) -- a step that might eventually allow earlier diagnosis, according to a study published in the May 24 issue of Science Translational Medicine.

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Calls, SMS Can Increase Adherence to FIT CRC Screening

THURSDAY, May 25, 2017 (HealthDay News) -- Telephone calls and short message service (SMS) can improve the likelihood of fecal immunochemical test (FIT) pick-up and return, according to a research letter published online May 18 in JAMA Oncology.

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Path to Empathy Deemed As Vital As Being Empathetic

THURSDAY, May 25, 2017 (HealthDay News) -- Different paths to perspective of another's experience are associated with varying effect on helpers' health during helping behavior, according to a study published online April 16 in the Journal of Experimental Social Psychology.

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FDA Approves Keytruda for All Cancers With Genetic Biomarker

WEDNESDAY, May 24, 2017 (HealthDay News) -- Keytruda (pembrolizumab) has been approved by the U.S. Food and Drug Administration to treat any cancer that has a certain genetic biomarker, regardless of where in the body the cancer originated.

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Risk for Interval CRC Higher in Blacks Than Whites

TUESDAY, May 23, 2017 (HealthDay News) -- Older black Americans are more likely than whites to develop interval colorectal cancer (CRC), according to a study published online May 23 in the Annals of Internal Medicine.

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Case of Gnathostomiasis Caused by Roe Ingestion Reported

TUESDAY, May 23, 2017 (HealthDay News) -- In a case report published online May 4 in The Journal of Dermatology, gnathostomiasis caused by ingestion of raw roe from Oncorhynchus masou ishikawae is described.

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Nine of Ten Practices Surveyed Have Dismissed Patients

MONDAY, May 22, 2017 (HealthDay News) -- The majority of medical practices have dismissed patients, according to a research letter published online May 15 in JAMA Internal Medicine.

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One in Five Cancers in the United States Is Considered Rare

FRIDAY, May 19, 2017 (HealthDay News) -- Rare cancers account for one in five cancers diagnosed in the United States, presenting special challenges to doctors and patients, according to research published online May 19 in CA: A Cancer Journal for Clinicians.

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CDC: Crypto Outbreaks Linked to Pools Have Doubled Since 2014

FRIDAY, May 19, 2017 (HealthDay News) -- Outbreaks of cryptosporidiosis have doubled in recent years at swimming pools and water playgrounds in the United States, according to research published in the May 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report (MMWR).

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FDA OKs Kalydeco for Additional Mutations in Cystic Fibrosis

THURSDAY, May 18, 2017 (HealthDay News) -- The U.S. Food and Drug Administration says it has expanded approval for the cystic fibrosis medication Kalydeco (ivacaftor) to include 33 mutations of the disease, up from the previous 10 mutations.

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Tips Provided to Help Physicians Plan for Retirement

THURSDAY, May 18, 2017 (HealthDay News) -- Physicians should consider their retirement and plan ahead at all stages of their career, according to an article published in Medical Economics.

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Treatment in Hospital by Older Doctors Tied to Higher Mortality

WEDNESDAY, May 17, 2017 (HealthDay News) -- Hospitalized patients 65 and older may face a slightly higher risk of dying within a month of their admittance when treated by an older versus younger physician, according to research published online May 16 in The BMJ.

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CDC: Slowing of Decline in Number of Uninsured Adults

WEDNESDAY, May 17, 2017 (HealthDay News) -- The decline in the number of Americans without health insurance stalled in 2016 after five years of progress, according to a U.S. Centers for Disease Control and Prevention report released Tuesday.

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Plan Suggested for Reducing Health Care Costs

TUESDAY, May 16, 2017 (HealthDay News) -- Health care costs can be reduced, with a nine-step plan suggested as a starting place, according to an article published in Medical Economics.

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Cancer Screen Adherence Low for Solid Organ Transplant Recipients

TUESDAY, May 16, 2017 (HealthDay News) -- Most solid organ transplant recipients (SOTR) do not adhere to standard recommendations for cancer screening, according to a study published online May 9 in the American Journal of Transplantation.

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Review: Early Feeding No Harm in Acute Pancreatitis

TUESDAY, May 16, 2017 (HealthDay News) -- For patients with acute pancreatitis, early feeding seems not to increase adverse events, and may reduce length of hospital stay for mild-to-moderate cases, according to a review published online May 15 in the Annals of Internal Medicine.

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FDA Approves New Device to Treat Esophageal Atresia

MONDAY, May 15, 2017 (HealthDay News) -- A new medical device has been approved by the U.S. Food and Drug Administration to treat esophageal atresia.

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CDC: Steep Rise in New HCV Infections Over Last Five Years

FRIDAY, May 12, 2017 (HealthDay News) -- Reports of new hepatitis C virus (HCV) infections in the United States nearly tripled over five years, reaching a 15-year high, according to the U.S. Centers for Disease Control and Prevention.

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Hospitals Need to Be Prepared for Ransomware Attacks

FRIDAY, May 12, 2017 (HealthDay News) -- Hackers are increasingly targeting hospitals, using viruses to lock their computer systems and hold sensitive medical data and other files hostage, according to an observation piece published online May 11 in The BMJ.

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Practice Prices Linked to Some Measures of Care Coordination

THURSDAY, May 11, 2017 (HealthDay News) -- High-price practices have higher scores on certain measures of care coordination and management, but the overall relationship between higher prices and quality and efficiency of care is weak, according to a report published in the May issue of Health Affairs.

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Outpatient Wait Times Are Longer for Medicaid Recipients

THURSDAY, May 11, 2017 (HealthDay News) -- Medicaid patients have slightly longer waits at medical appointments than those with private insurance, according to a report published in the May issue of Health Affairs.

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Increases in Rates of Insured Don't Harm Continuously Insured

WEDNESDAY, May 10, 2017 (HealthDay News) -- Increases in insurance coverage from 2008 to 2014 were not associated with worse access to care for continuously insured adults, according to a study published in the May issue of Health Affairs.

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HCV Infection Increasing in Reproductive-Aged Women

WEDNESDAY, May 10, 2017 (HealthDay News) -- The number of reproductive-aged women with past or present hepatitis C virus (HCV) infection is increasing, according to a study published online May 9 in the Annals of Internal Medicine.

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Postmarket Safety Events for 32 Percent of Novel Therapeutics

WEDNESDAY, May 10, 2017 (HealthDay News) -- From 2001 to 2010, 32 percent of novel therapeutics approved by the U.S. Food and Drug Administration had a postmarket safety event, according to a study published in the May 9 issue of the Journal of the American Medical Association.

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Evidence-Based Medicine Course Beneficial for Critical Thinking

TUESDAY, May 9, 2017 (HealthDay News) -- An evidence-based medicine (EBM) course has some positive effect on medical student critical thinking (CT), according to a study published online April 27 in the Journal of Evidence-Based Medicine.

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Most Physician Mothers Report Perceived Discrimination

TUESDAY, May 9, 2017 (HealthDay News) -- A considerable proportion of physician mothers report perceived discrimination, according to a research letter published online May 8 in JAMA Internal Medicine.

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Traveling to Academic Hospital May Be Best for Pancreatic Cancer

TUESDAY, May 9, 2017 (HealthDay News) -- Patients who travel to an academic medical center to undergo surgery for pancreatic cancer live a few months longer than those who choose to have their operation at a hospital closer to home, according to a study published online May 1 in the Journal of the American College of Surgeons.

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Breastfeeding Plays Key Role in Ensuring Healthy Infant Gut

MONDAY, May 8, 2017 (HealthDay News) -- Breastfeeding can seed good bacteria in an infant's digestive system, according to research published online May 8 in JAMA Pediatrics.

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More Women Than Men Leaving Practice of Medicine

MONDAY, May 8, 2017 (HealthDay News) -- More women than men leave the practice of medicine, according to an article published in Medical Economics.

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Open-Label Placebos Seem to Have Positive Clinical Effect

MONDAY, May 8, 2017 (HealthDay News) -- Compared with no treatment, open-label placebos seem to have a positive clinical effect, according to a review published online April 27 in the Journal of Evidence-Based Medicine.

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Gluten-Rich Foods Up Symptom Onset in Functional Dyspepsia

MONDAY, May 8, 2017 (HealthDay News) -- Gluten consumption impacts symptom onset in patients with functional dyspepsia (FD), according to a study published online April 28 in the Journal of Gastroenterology and Hepatology.

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Poll: Many Americans Concerned About ACA Repeal

THURSDAY, May 4, 2017 (HealthDay News) -- Only one in five Americans support a repeal of the Affordable Care Act (ACA), a new HealthDay/Harris Poll reveals.

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CMS Releases Resources to Help With Payment System

THURSDAY, May 4, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) recently added three new online resources to assist physicians already participating in the Merit-based Incentive Payment System (MIPS) and those exploring the opportunities available.

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Zinc Effective in Pediatric Presymptomatic Wilson Disease

THURSDAY, May 4, 2017 (HealthDay News) -- For young children with presymptomatic Wilson disease, zinc monotherapy is safe and effective, according to a study published online April 28 in the Journal of Gastroenterology and Hepatology.

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Tofacitinib Found to Relieve Symptoms of Ulcerative Colitis

THURSDAY, May 4, 2017 (HealthDay News) -- Patients with moderate-to-severe ulcerative colitis who haven't done well on other treatments may have success with tofacitinib (Xeljanz), according to a study published in the May 4 issue of the New England Journal of Medicine.

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Gluten-Free Diet Not Healthy for Patients Without Celiac Disease

WEDNESDAY, May 3, 2017 (HealthDay News) -- Going gluten-free when there's no medical need to do so won't boost cardiovascular health -- and might even harm it, according to a study published online May 2 in The BMJ.

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Half of U.S. Doctors Receive Payments From Industry

WEDNESDAY, May 3, 2017 (HealthDay News) -- About half of U.S. doctors received payments from the pharmaceutical and medical device industries in 2015, amounting to $2.4 billion, and any form or amount of compensation can influence prescribing behavior, according to research published in the May 2 issue of the Journal of the American Medical Association, a theme issue on conflict of interest.

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Vagus Nerve Stimulation Promising in Crohn's Disease

WEDNESDAY, May 3, 2017 (HealthDay News) -- Vagus nerve stimulation may represent a new therapeutic option for patients with Crohn's disease (CD), according to a report published online April 18 in the Journal of Internal Medicine.

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