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February 2013 Briefing - Gastroenterology

Last Updated: March 01, 2013.

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for February 2013. 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.

Glucagonlike Peptide 1-Based Tx Increases Pancreatitis Risk

THURSDAY, Feb. 28 (HealthDay News) -- Use of glucagonlike peptide 1 (GLP-1)-based therapies (GLP-1 mimetic, exenatide, and dipeptidyl peptidase 4 inhibitor, sitagliptin phosphate) correlates with increased likelihood of hospitalization for acute pancreatitis among adults with type 2 diabetes, according to a study published online Feb. 25 in JAMA Internal Medicine.

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CMS Issues Final Rule on Physician Sunshine Act

THURSDAY, Feb. 28 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) have issued a final rule requiring drug and device manufacturers and group purchasing organizations (GPOs) to report payment or gifts of more than $10 to physicians, hospitals, and other providers, and necessitating manufacturers and GPOs to report ownership or investment interests held by physicians or their family members.

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Isotretinoin Not Linked to Increased Risk of IBD

WEDNESDAY, Feb. 27 (HealthDay News) -- Among women of reproductive age, isotretinoin is not associated with an increased risk for inflammatory bowel disease (IBD), including ulcerative colitis (UC) or Crohn's disease (CD), according to research published in the February issue of JAMA Dermatology.

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HIV-HCV Coinfection Speeds HCV-Related Liver Fibrosis

WEDNESDAY, Feb. 27 (HealthDay News) -- Individuals who are coinfected with HIV and hepatitis C virus (HCV) exhibit liver fibrosis similar to that of individuals without HIV who are nearly 10 years older, according to research published online Feb. 26 in the Annals of Internal Medicine.

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Obesity, Physical Activity Linked to Risk in Subset of Colorectal CA

WEDNESDAY, Feb. 27 (HealthDay News) -- Obesity and physical inactivity are associated with a higher risk of WNT/β-catenin (CTNNB1)-negative colorectal cancer, but are not associated with CTNNB1-positive cancer risk, according to a study published online Feb. 26 in Cancer Research.

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Bariatric Surgery Outcomes No Better at Centers of Excellence

TUESDAY, Feb. 26 (HealthDay News) -- The Centers for Medicare and Medicaid Services (CMS) policy restricting coverage of bariatric surgery to hospitals designated as centers of excellence (COEs) has not been associated with an improvement in bariatric surgery outcomes, according to a study published in the Feb. 27 issue of the Journal of the American Medical Association.

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Preparation Underway for Implementation of ACA in 2014

TUESDAY, Feb. 26 (HealthDay News) -- As the implementation of the Affordable Care Act (ACA) nears, states are preparing for some of its provisions, including expanded access to Medicaid and the Children's Health Insurance Program (CHIP) and the use of information technology, according to a report issued by the Kaiser Family Foundation.

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FDA Approves Expanded Use of Stivarga for GI Stromal Tumors

TUESDAY, Feb. 26 (HealthDay News) -- The U.S. Food and Drug Administration has approved the expanded use of the multi-kinase inhibitor Stivarga (regorafenib) to treat patients with advanced gastrointestinal stromal tumors (GIST) that cannot be surgically removed and do not respond to other treatments. The drug was granted orphan product designation because it is intended to treat a rare disease.

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Bariatric Surgery Does Not Appear to Cut Health Care Costs

MONDAY, Feb. 25 (HealthDay News) -- Bariatric surgery does not appear to reduce health care costs over a six-year period, according to an analysis published online Feb. 20 in JAMA Surgery.

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CDC: 1.5 Million New Cancers Diagnosed Annually

FRIDAY, Feb. 22 (HealthDay News) -- In 2009, approximately 1.5 million new cases of cancer were diagnosed in the United States, with an annual incidence rate of 459 cases per 100,000 population, according to research published in the Feb. 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Mental Health and Substance Use Disorder Benefits Expanded

FRIDAY, Feb. 22 (HealthDay News) -- In a final rule, which will make purchasing health coverage easier for consumers, mental health and substance use benefits will be expanded to 62 million Americans, according to a report published Feb. 20 by the U.S. Department of Health and Human Services.

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CMS Proposes Payment and Policy Updates for 2014

THURSDAY, Feb. 21 (HealthDay News) -- Payment and policy updates have been proposed for 2014, according to the Centers for Medicare and Medicaid Services (CMS) Advanced Notice and draft Call Letter published Feb. 15.

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Report Discusses Impact of ACGME 2011 Requirements

THURSDAY, Feb. 21 (HealthDay News) -- Although many residency program directors approve of individual components within the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements introduced in 2011, less than half express overall approval, according to a perspective piece published in the Feb. 21 issue of the New England Journal of Medicine.

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Magnetic Device Beneficial for Gastroesophageal Reflux

WEDNESDAY, Feb. 20 (HealthDay News) -- In patients with gastroesophageal reflux disease and a partial response to proton-pump inhibitors, a device to augment the lower esophageal sphincter improves reflux symptoms, reduces use of proton-pump inhibitors, and improves quality of life, according to a study published in the Feb. 21 issue of the New England Journal of Medicine.

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Faster Adoption of Electronic Health Records Needed

WEDNESDAY, Feb. 20 (HealthDay News) -- The adoption of electronic health records (EHRs) by health providers for Medicare is increasing, but not quickly enough to avoid penalties in 2015, according to a letter published in the Feb. 21 issue of the New England Journal of Medicine.

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CMS: Unnecessary Medicare Regulations to Be Reformed

TUESDAY, Feb. 19 (HealthDay News) -- Medicare regulations which are unnecessary, obsolete, or excessively burdensome on hospital or health care providers will be reformed, according to a rule proposed by the Centers for Medicare & Medicaid Services (CMS) in response to the President's instructions in Executive Order 13563.

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Multimodality Approach Needed to Reengineer Health Care

TUESDAY, Feb. 19 (HealthDay News) -- A multimodality approach focusing on reengineering the U.S. health care system may provide a way to improve quality and reduce costs, according to a viewpoint published in the Feb. 20 issue of the Journal of the American Medical Association.

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Lynch Syndrome Better ID'd With Universal Screening

TUESDAY, Feb. 19 (HealthDay News) -- A universal screening approach for all newly diagnosed colorectal cancer (CRC) patients improves identification of Lynch syndrome, according to a study published online Feb. 11 in the Journal of Clinical Oncology.

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Artificial Intelligence Can Improve Patient Care

TUESDAY, Feb. 19 (HealthDay News) -- Use of an artificial intelligence (AI) framework can improve patient outcomes at one-third of the costs of the current standard of care, according to a study published online Jan. 2 in Artificial Intelligence in Medicine.

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Celiac Disease Down for Swedish Youth Born in 1997 Versus 1993

MONDAY, Feb. 18 (HealthDay News) -- Swedish 12-year-olds born in 1997 have a significantly reduced prevalence of celiac disease, compared with those born in 1993, according to a study published online Feb. 18 in Pediatrics.

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Video Capsule Accurately Detects Intestinal Blood

FRIDAY, Feb. 15 (HealthDay News) -- Video capsule endoscopy can be safely and accurately used to detect blood in patients with acute upper gastrointestinal hemorrhage seen in emergency departments, according to a study published online Feb. 11 in the Annals of Emergency Medicine.

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Health Care-Associated Infections Decreased in 2011

FRIDAY, Feb. 15 (HealthDay News) -- In 2011, decreases were noted for some health care-associated infections (HAIs), according to a report prepared by the U.S. Centers for Disease Control and Prevention.

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Alcohol Contributes to About 3.5 Percent of Cancer Deaths

FRIDAY, Feb. 15 (HealthDay News) -- Alcohol consumption remains a major contributor to cancer mortality and years of potential life lost (YPLL), according to research published online Feb. 14 in the American Journal of Public Health.

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CDC: Consumers in Five States Sickened by Ground Beef

THURSDAY, Feb. 14 (HealthDay News) -- Ground beef is the likely culprit in a multi-state outbreak of Salmonella Typhimurium, according to a statement issued Feb. 13 by the U.S. Centers for Disease Control and Prevention.

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Psychological, Sexual Impact of Female Breadwinners Explored

THURSDAY, Feb. 14 (HealthDay News) -- For couples in which the wife earns more than the husband, there may be psychological and sexual implications, according to a study published in the March issue of the Personality and Social Psychology Bulletin.

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IOM Urges International Action to Eradicate Fake Drugs

THURSDAY, Feb. 14 (HealthDay News) -- Falsified and substandard medications pose public health problems around the world, and international action should be taken to combat the phenomenon, according to a report published Feb. 13 by the Institute of Medicine (IOM).

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Oregon Experiment Will Provide Insight Into ACO-Based Reform

WEDNESDAY, Feb. 13 (HealthDay News) -- The outcome of the Oregon experiment, an ambitious program centered on a model of an accountable care organization (ACO), will offer important lessons for the wider implementation of ACOs as cost-saving mechanisms, according to a perspective piece published online Feb. 13 in the New England Journal of Medicine.

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Health Insurance Exchanges Are Top Priority on U.S. Agenda

WEDNESDAY, Feb. 13 (HealthDay News) -- The public's health care agenda places creation of a health insurance exchange or marketplace as a top priority, according to a report published by the Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health.

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Study IDs Factors Associated With H. Pylori Eradication

TUESDAY, Feb. 12 (HealthDay News) -- Geographic site, demographic factors, adherence to initial therapy, and infection recurrence may be as important as the choice of antibiotic regimen in Helicobacter pylori (H. pylori) infection eradication interventions, according to a study published in the Feb. 13 issue of the Journal of the American Medical Association.

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Delivery Mode, Infant Diet Affect Gut Microbiota

MONDAY, Feb. 11 (HealthDay News) -- Mode of delivery and infant diet affect the gut microbiota early in life, according to a study published online Feb. 11 in CMAJ, the journal of the Canadian Medical Association.

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Statin Use Linked to Reduced Risk of Hepatocellular Cancer

MONDAY, Feb. 11 (HealthDay News) -- Statin use is associated with a reduced risk of hepatocellular carcinoma (HCC), most strongly in Asian populations, according to a meta-analysis published in the February issue of Gastroenterology.

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Increasing Patient Activation Tied to Lower Health Care Costs

MONDAY, Feb. 11 (HealthDay News) -- Patient activation is associated with improved outcomes and lower health care costs, according to a review published in the February issue of Health Affairs.

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Electroacupuncture Reduces Duration of Post-Op Ileus

FRIDAY, Feb. 8 (HealthDay News) -- Electroacupuncture reduces the duration of postoperative ileus and shortens hospital stay for patients treated with laparoscopic surgery for colorectal cancer, according to research published in the February issue of Gastroenterology.

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Final HIPAA Omnibus Rule Goes Into Effect March 26

FRIDAY, Feb. 8 (HealthDay News) -- The final omnibus rule, which makes changes to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, goes into effect March 26, and physicians must be in compliance by Sept. 23.

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Anesthesia Assistance Used in 8.7 Percent of Colonoscopies

FRIDAY, Feb. 8 (HealthDay News) -- Anesthesia assistance is used in 8.7 percent of outpatient colonoscopies, with wide regional variation, but its use does not affect patient risk or outcomes, according to research published in the February issue of Gastroenterology.

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Albumin Improves Bacterial Peritonitis Outcomes

THURSDAY, Feb. 7 (HealthDay News) -- For patients with spontaneous bacterial peritonitis (SBP), albumin infusion is associated with reduced renal impairment and decreased mortality, according to research published in the February issue of Clinical Gastroenterology and Hepatology.

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Physicians' Pay for Existing Patients Dropped in 2012

TUESDAY, Feb. 5 (HealthDay News) -- Physicians' pay for existing patients dropped considerably in 2012, according to the results of the Fee Schedule Survey published Jan. 31 in Physicians Practice.

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Cancer Mortality Decreasing for African-American Men, Women

TUESDAY, Feb. 5 (HealthDay News) -- Although African-Americans experienced decreases in cancer death rates from 2000 to 2009, the five-year survival rates are still lower than for whites, according to research published online Feb. 5 in CA: A Cancer Journal for Clinicians.

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Stopping Aspirin Therapy After GI Bleed Ups Cardiovascular Risk

MONDAY, Feb. 4 (HealthDay News) -- Patients with cardiovascular disease who discontinue low-dose aspirin therapy after peptic ulcer bleeding have a seven-fold higher risk of death or acute cardiovascular event, according to research published in the January issue of Clinical Gastroenterology and Hepatology.

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FSMB: Approaches Explored for Expediting Multi-State Licenses

MONDAY, Feb. 4 (HealthDay News) -- New approaches are being explored for streamlining physician multi-state licensure to accommodate the use of telemedicine in the delivery of health care, according to a report from a meeting held from Jan. 16 to 17 by the Federation of State Medical Boards (FSMB).

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Knowing Cost of Imaging Tests Doesn't Cut Utilization

FRIDAY, Feb. 1 (HealthDay News) -- Physicians do not order fewer imaging tests if they are aware of the costs, according to a study published online Jan. 2 in the Journal of the American College of Radiology.

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