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April 2013 Briefing - Gastroenterology

Last Updated: May 01, 2013.

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

Female Smokers More Susceptible to Colon Cancer

TUESDAY, April 30 (HealthDay News) -- Female smokers seem to be more susceptible to colon cancer than male smokers, particularly to proximal colon cancer, according to a study published online April 30 in Cancer, Epidemiology, Biomarkers & Prevention.

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Renewed Efforts From AAFP to Repeal OTC Provision in ACA

TUESDAY, April 30 (HealthDay News) -- Members of the American Academy of Family Physicians (AAFP) and other medical associations are urging further consideration of Section 9003 of the Patient Protection and Affordable Care Act (ACA) that requires holders of tax-preferred health care accounts to obtain a physician's prescription to use funds from those accounts to pay for over-the-counter (OTC) medications. The concerns have been laid out in a letter to the chair and the ranking member of the House Committee on Ways and Means.

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Comprehensive Discussion With Docs Ups Cancer Screening

MONDAY, April 29 (HealthDay News) -- Having more comprehensive discussions about colorectal cancer (CRC) screening with primary care providers (PCPs) is associated with increased odds of screening, according to a study published in the April issue of the American Journal of Managed Care.

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FDA Announces New Network to Focus Exclusively on Patients

MONDAY, April 29 (HealthDay News) -- The U.S. Food and Drug Administration has announced the launch of a new interactive tool for educating patients, their advocates, and consumers about the processes involved in medication development.

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Medical Interns Spending Less Time With Patients

FRIDAY, April 26 (HealthDay News) -- Medical interns are spending less time with patients and more time at a computer since new rules limiting total work hours were instituted in 2011, according to a study published online April 18 in the Journal of General Internal Medicine.

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Saturday Marks Sixth Annual Rx Drug Take-Back Day

FRIDAY, April 26 (HealthDay News) -- United States residents across the nation will have an opportunity to safely and anonymously unload expired, unwanted prescription medications on Saturday, April 27, during the sixth annual National Prescription Drug Take-Back Day.

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Analgesics in Endurance Events Can Have Serious Adverse Effects

THURSDAY, April 25 (HealthDay News) -- Analgesic use before endurance sports can cause serious medical events, according to a study published online April 19 in BMJ Open.

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Physicians Less Empathetic in Talking to Heavy Patients

THURSDAY, April 25 (HealthDay News) -- Primary care physicians (PCPs) are less likely to bond with overweight and obese patients, according to research published online March 20 in Obesity.

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Intestinal Microbiota Tied to Proatherosclerotic Metabolite

WEDNESDAY, April 24 (HealthDay News) -- Production of the proatherosclerotic metabolite trimethylamine-N-oxide (TMAO) is dependent on intestinal microbiota metabolism, and increased TMAO levels correlate with the risk of major adverse cardiovascular events, according to a study published in the April 25 issue of the New England Journal of Medicine.

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Diagnostic Errors Are the Leading Type of Malpractice Claim

WEDNESDAY, April 24 (HealthDay News) -- In the past 25 years, diagnostic errors have been the leading type of malpractice claim and account for the highest proportion of total payments, according to a study published online April 22 in BMJ Quality & Safety.

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Sofosbuvir Shows Promise for Chronic Hepatitis C Infection

TUESDAY, April 23 (HealthDay News) -- Sofosbuvir seems to be a promising treatment option for patients with chronic hepatitis C virus (HCV) infection, according to two studies published online April 23 in the New England Journal of Medicine to coincide with presentation at The International Liver Congress, the annual meeting of the European Association for the Study of the Liver, held from April 24 to 28 in Amsterdam.

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CDC: About 20,000 Cases of Foodborne Infection in 2012

FRIDAY, April 19 (HealthDay News) -- There were about 20,000 cases of foodborne infection in 2012, with the highest incidence among young children and the greatest proportion of hospitalizations and deaths among the elderly, according to research published in the April 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Patient-Centered Decision Making Ups Health Outcomes

FRIDAY, April 19 (HealthDay News) -- Patient-centered decision making (PCDM) is associated with improved health care outcomes, according to a study published in the April 16 issue of the Annals of Internal Medicine.

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Outcomes Vary for Diverticular Disease After Surgery

THURSDAY, April 18 (HealthDay News) -- After elective colectomy, patients with diverticular disease (DD) have worse outcomes and higher costs than patients with colon cancer (CC) but better outcomes and lower costs than patients with inflammatory bowel disease (IBD), according to a study published in the April issue of JAMA Surgery.

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Relative Proportion of MRSA Increasing in S. aureus Isolates

THURSDAY, April 18 (HealthDay News) -- The relative proportion of methicillin-resistant Staphylococcus aureus (MRSA) is increasing in S. aureus isolates, and methicillin-sensitive S. aureus (MSSA) is becoming increasingly resistant to antibiotics, according to a study published in the April issue of JAMA Dermatology.

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Patient Expresses Concern About Lack of Data on Biological Drugs

THURSDAY, April 18 (HealthDay News) -- A patient with Crohn's disease is concerned about the attempt by the makers of adalimumab to prevent disclosure of trial data submitted during the drug's approval process, according to a personal view piece published online April 16 in BMJ.

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Guidelines Issued Relating to Online Medical Professionalism

THURSDAY, April 18 (HealthDay News) -- Physicians should be aware of the benefits on online media and should recognize the implications for patient confidentiality and public perception, according to a position paper published in the April 16 issue of the Annals of Internal Medicine.

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Family-Centered Teaching Rounds Good for Patients, Students

THURSDAY, April 18 (HealthDay News) -- Teaching and conducting rounds in the presence of patients and their families can be beneficial for patients and learners, according to research published online April 15 in Pediatrics.

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Community Benefit Spending Varies for Tax-Exempt Hospitals

WEDNESDAY, April 17 (HealthDay News) -- There is considerable variation in the level of community benefit expenditure by tax-exempt hospitals, according to a study published in the April 18 issue of the New England Journal of Medicine.

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Presenting Fee Data to Docs Cuts Number of Tests Ordered

WEDNESDAY, April 17 (HealthDay News) -- Presenting fee data to providers at the time of laboratory test orders is associated with a small reduction in the number of tests ordered, according to a study published online April 15 in JAMA Internal Medicine.

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Transgastric Appendicectomy Is Feasible for Select Patients

FRIDAY, April 12 (HealthDay News) -- A minimally invasive surgical technique for acute appendicitis that uses one transumbilical 5-mm incision seems feasible for select patients with acute appendicitis, according to a study published online April 11 in the British Journal of Surgery.

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ACS: Room for Improvement in Cancer Prevention, Detection

THURSDAY, April 11 (HealthDay News) -- Despite improvements in aspects of cancer prevention and early detection, more systematic efforts to reduce tobacco use and obesity, and expand the use of screening tests could prevent much of the suffering and death of cancer, according to a report published online April 11 by the American Cancer Society.

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Speech Details Practices to Improve U.S. Health Systems

THURSDAY, April 11 (HealthDay News) -- There are specific steps health care providers and policymakers should take to create high-quality, patient-centered care at lower costs, according to remarks made in an April 9 speech to the National Press Club.

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Clinical Practice Guidelines for Bariatric Surgery Are Updated

WEDNESDAY, April 10 (HealthDay News) -- Based on a review of relevant evidence, 74 recommendations have been issued in updated clinical practice guidelines for bariatric surgery, according to a study published in the March issue of Surgery for Obesity and Related Diseases.

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Diabetes-Linked Autoantibodies May Alter Children's Gut Microbes

FRIDAY, April 5 (HealthDay News) -- Children with diabetes-associated autoantibodies have alterations in the gut microbiome, according to a study published in the April issue of Diabetes.

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Most Partners of U.S. Docs Satisfied in Their Relationships

MONDAY, April 1 (HealthDay News) -- Most spouses/partners of U.S. physicians report being satisfied with their relationships, with satisfaction linked to time spent together each day, according to research published in the March issue of the Mayo Clinic Proceedings.

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Study Assesses Work Force Burden of Ulcerative Colitis

MONDAY, April 1 (HealthDay News) -- Compared to the general population, patients with ulcerative colitis (UC) miss more work days, and patients who undergo colectomy do not fully restore work ability, according to research published in the March issue of Gastroenterology.

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