December 2017 Briefing - Gastroenterology

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

Out-of-Pocket Costs Correlate With Receipt of Cancer Care

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Across cancers, higher out-of-pocket (OOP) costs are associated with higher rates of oral prescription abandonment and delayed initiation, according to a study published online Dec. 20 in the Journal of Clinical Oncology.

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Hepatitis B Vaccination Often Missed Among HIV Patients

TUESDAY, Dec. 26, 2017 (HealthDay News) -- More than one-third of adult U.S. HIV patients miss opportunities to initiate hepatitis B vaccination, according to a study published online Dec. 26 in the Annals of Internal Medicine.

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Preoperative G-Tube Placement Associated With Cost Savings

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Preoperative placement of gastrostomy tubes (G-tubes) in patients with head and neck cancer yields cost savings, according to a study published online Nov. 13 in Head & Neck.

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Good Long-Term Survival After Childhood Liver Transplant

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Liver transplantation in childhood is associated with good long-term survival, according to a study published online Dec. 15 in the American Journal of Transplantation.

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Normalized Post-Op CEA May Help Predict Colon Cancer Prognosis

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Colon cancer patients with elevated preoperative carcinoembryonic antigen (CEA) levels that normalize after resection are not at increased risk for poor prognosis, according to a study published online Dec. 21 in JAMA Oncology.

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GERD Linked to Upper Aerodigestive Tract Cancers

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Gastroesophageal reflux disease (GERD) is associated with a higher risk of cancer in the upper aerodigestive tract (UADT) among the elderly population in the United States, according to a study published online Dec. 21 in JAMA Otolaryngology-Head & Neck Surgery.

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Early-Stage Cancer Diagnoses Up With ACA's Medicaid Expansions

THURSDAY, Dec. 21, 2017 (HealthDay News) -- In their first year, the 2014 Medicaid expansions, facilitated by the Affordable Care Act, were associated with an increase in cancer diagnoses, particularly at the early stage, according to a study published online Dec. 21 in the American Journal of Public Health.

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Financial Strain, Stress High Among Colorectal CA Survivors

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Four in 10 colorectal cancer survivors report cancer-related financial stress or strain, which is significantly associated with low health-related quality of life, according to a study published in the January issue of Diseases of the Colon & Rectum.

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Male U.S. Doctors Receive Higher Values of Industry Payments

MONDAY, Dec. 18, 2017 (HealthDay News) -- Male physicians in the United States received higher values of general payments from industry than females in 2015, according to a research letter published online Dec. 18 in JAMA Internal Medicine.

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High Fatty Liver Index Tied to Colorectal Adenomas

MONDAY, Dec. 18, 2017 (HealthDay News) -- The fatty liver index may be an accurate predictor of colorectal adenomas among an average-risk population, according to a study published in the January issue of Diseases of the Colon & Rectum.

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Year One Results Out for Value-Based Payment Modifier Program

MONDAY, Dec. 18, 2017 (HealthDay News) -- Almost 30 percent of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program, according to a report published in the December issue of Health Affairs.

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Microbiome Intervention With Niacin Aids Insulin Sensitivity

MONDAY, Dec. 18, 2017 (HealthDay News) -- A targeted microbiome intervention, accomplished through microencapsulated delayed-release niacin, beneficially affects insulin sensitivity in humans, according to a study published online Dec. 6 in Diabetes Care.

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Doctors Must Report on at Least 1 Patient, 1 Measure for MACRA

FRIDAY, Dec. 15, 2017 (HealthDay News) -- In order to meet the 2017 Medicare and CHIP Reauthorization Act (MACRA) participation reporting deadline and avoid a Medicare payment penalty in 2019, physicians must report on at least one patient and one measure by Dec. 31, and submit to Medicare no later than Feb. 28, 2018, according to a report from the American Medical Association (AMA).

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H. Pylori Infection Found to Be Related to Gallbladder Diseases

FRIDAY, Dec. 15, 2017 (HealthDay News) -- Gallstones are less common with Helicobacter pylori infection among a Chinese population, according to a study published Nov. 27 in the Journal of Gastroenterology & Hepatology.

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Contrast-Enhanced Ultrasound No Aid for Metastasis Detection

FRIDAY, Dec. 15, 2017 (HealthDay News) -- Contrast-enhanced laparoscopic ultrasonography (CE-LUS) does not appear to increase the detection rate of liver metastasis during robotic-assisted surgery for primary colorectal cancer (CRC), according to a study published online Nov. 13 in the Journal of Clinical Ultrasound.

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Making Insurers Participate in Marketplace Could Cut Volatility

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Requiring insurers that participate in Medicare or Medicaid to also participate in Marketplaces in the same geographic area could improve access to insurance, according to a study published in the December issue of Health Affairs.

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C. Difficile + Kidney Injury Admissions Are Up

WEDNESDAY, Dec. 13, 2017 (HealthDay News) -- Hospital admissions of patients with Clostridium difficile infection (CDI) and accompanying acute kidney injury (AKI) are increasing, according to a study published online Dec. 4 in the Journal of Gastroenterology and Hepatology.

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Omalizumab Ups Efficacy of Multifood Oral Immunotherapy

TUESDAY, Dec. 12, 2017 (HealthDay News) -- Omalizumab improves the efficacy of multifood oral immunotherapy among pediatric patients with multifood allergies, according to a study published online Dec. 12 in The Lancet Gastroenterology & Hepatology.

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NAFLD Not Independently Tied to Risk of Reflux Esophagitis

MONDAY, Dec. 11, 2017 (HealthDay News) -- Nonalcoholic fatty liver disease (NAFLD) is not associated with increased risk of incident reflux esophagitis after adjustment for variables, including body mass index (BMI), according to a study published online Nov. 12 in the Journal of Gastroenterology and Hepatology.

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Deceleration in Health Care Spending Growth in 2016

MONDAY, Dec. 11, 2017 (HealthDay News) -- Health care spending growth slowed in 2016 following faster growth in 2014 and 2015, according to research published online Dec. 6 in Health Affairs.

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β-Cell Sensitivity to Glucose Impaired After Gastric Bypass

MONDAY, Dec. 11, 2017 (HealthDay News) -- Individuals with prior Roux-en-Y gastric bypass (GB) have blunted β-cell sensitivity to changes in glycemia, according to a study published online Nov. 20 in Diabetes, Obesity and Metabolism.

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Telomere Fusions Predict Dysplasia, Invasive Pancreatic CA

FRIDAY, Dec. 8, 2017 (HealthDay News) -- Telomere fusions predict the presence of high-grade dysplasia (HGD) and/or invasive pancreatic cancer, according to a study published online Dec. 8 in the Journal of Molecular Diagnostics.

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Bariatric Surgery Alters Liver Fatty Acid Metabolism

FRIDAY, Dec. 8, 2017 (HealthDay News) -- Bariatric surgery seems to change fatty acid metabolism in the liver, according to a study published online Nov. 20 in Diabetes Care.

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Metabolic Risk Factors Linked to Severe Liver Disease

THURSDAY, Dec. 7, 2017 (HealthDay News) -- Metabolic risk factors are associated with severe liver disease, according to a study published online Nov. 22 in Hepatology.

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Different Weight Loss Patterns Observed Following Bariatric Sx

WEDNESDAY, Dec. 6, 2017 (HealthDay News) -- Different weight loss patterns are observed following Roux-en-Y gastric bypass (RYGB) and laparoscopic adjustable gastric banding (LAGB), with much of the weight loss maintained over time, according to a study published online Dec. 6 in JAMA Surgery.

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In CAD With GI Bleeding, Higher Mortality With Triple Therapy

WEDNESDAY, Dec. 6, 2017 (HealthDay News) -- For patients with lower gastrointestinal bleeding (LGIB) and coronary artery disease (CAD), triple therapy is associated with increased risk of mortality at 90 days after adjustment for confounding variables, according to a study published online Nov. 20 in the Journal of Gastroenterology and Hepatology.

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Polyethylene Glycol Deemed Less Effective for Colon Prep

WEDNESDAY, Dec. 6, 2017 (HealthDay News) -- Pulsed irrigation evacuation (PIE) and sodium phosphate are superior to polyethylene glycol (PEG) for colon preparations prior to colonoscopy, according to a study published online Nov. 21 in the Journal of Digestive Diseases.

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Acute Intermittent Porphyria Described in Teen Girl

TUESDAY, Dec. 5, 2017 (HealthDay News) -- A case of a 16-year-old presenting to the emergency department with acute intermittent porphyria (AIP) is described in a case report published online Dec. 5 in Pediatrics.

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CVS-Aetna Merger Has Implications for Doctors' Offices

TUESDAY, Dec. 5, 2017 (HealthDay News) -- CVS Health's planned purchase of insurance giant Aetna, a $69 billion deal, was announced Sunday.

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Relevant Health Care Price Info Hard to Find Online

MONDAY, Dec. 4, 2017 (HealthDay News) -- Overall, 17 percent of websites provide geographically relevant health care price estimates relating to specific interventions, according to a research letter published online Dec. 4 in JAMA Internal Medicine.

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Oral Microbiome Composition Linked to Esophageal Cancer Risk

MONDAY, Dec. 4, 2017 (HealthDay News) -- Oral microbiome composition is associated with the risk of esophageal adenocarcinoma (EAC) and esophageal squamous cell carcinoma (ESCC), according to a study published online Dec. 1 in Cancer Research.

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FDA Approves Biosimilar Ogivri for Breast, Stomach Cancers

FRIDAY, Dec. 1, 2017 (HealthDay News) -- Ogivri (trastuzumab-dkst) has been approved by the U.S. Food and Drug Administration as the nation's first biosimilar drug to treat certain breast and stomach cancers, the agency said Friday in a news release.

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ACC Guides Treatment of Bleeding With Oral Anticoagulation

FRIDAY, Dec. 1, 2017 (HealthDay News) -- A decision pathway has been developed to guide management of acute bleeding in patients treated with oral anticoagulants (OACs); the decision pathway was published online Dec. 1 in the Journal of the American College of Cardiology.

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Differences in Cancer Survival by Type of Insurance

FRIDAY, Dec. 1, 2017 (HealthDay News) -- From 1997 to 2014, improvements in cancer survival were mainly limited to patients with private or Medicare insurance, according to a study published online Nov. 30 in JAMA Oncology.

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>40% of Cancers, Cancer Deaths Due to Modifiable Risk Factors

FRIDAY, Dec. 1, 2017 (HealthDay News) -- An estimated 42.0 percent of all incident cancers and 45.1 percent of cancer deaths in the United States are attributed to potentially modifiable risk factors, according to a study published online Nov. 21 in CA: A Cancer Journal for Clinicians.

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Lower Microbial Diversity in the Gut in Anorexia Nervosa

FRIDAY, Dec. 1, 2017 (HealthDay News) -- Females with anorexia nervosa (AN) have lower gut microbial diversity, according to a study published online Nov. 13 in the International Journal of Eating Disorders.

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