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Category: Gastroenterology | Monthly Briefing

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June 2014 Briefing - Gastroenterology

Last Updated: July 01, 2014.

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for June 2014. 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.

New Plan Would Permit Doctors to Treat Patients in Other States

MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.

Health Highlights: June 30, 2014

Complications Only Account for Some Variation in Hospital LOS

MONDAY, June 30, 2014 (HealthDay News) -- For patients undergoing colorectal resection, much of the variation in extended length of stay is not due to patient illness or complications, according to a study published online June 25 in JAMA Surgery.

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Noroviruses Causes One-Fifth of Worldwide Gastroenteritis

MONDAY, June 30, 2014 (HealthDay News) -- Worldwide, across all age groups, noroviruses are responsible for almost one-fifth of acute gastroenteritis cases, according to a study published online June 27 in The Lancet Infectious Diseases.

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Salmonella-Induced Gastroenteritis Ups Risk of IBS

MONDAY, June 30, 2014 (HealthDay News) -- Salmonella-induced gastroenteritis during childhood is associated with increased risk of irritable bowel syndrome (IBS), according to a study published in the July issue of Gastroenterology.

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UnitedHealth Cutting More Docs From Medicare Advantage

FRIDAY, June 27, 2014 (HealthDay News) -- UnitedHealth Group's Medicare Advantage network has begun notifying physicians of a new wave of cuts to its network, according to an article published June 17 in Medical Economics.

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Court: Patients Responsible for Outcomes of Risky Behavior

FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.

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Gluten-Free Diet May Lift the 'Fog' of Celiac Patients

FRIDAY, June 27, 2014 (HealthDay News) -- The "brain fog" experienced by many celiac disease patients seems to improve as their intestines heal after adopting a gluten-free diet, a small new study suggests. The study appears in the July issue of the journal Alimentary Pharmacology and Therapeutics.

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Regular Aspirin Use Linked to Drop in Pancreatic Cancer Risk

FRIDAY, June 27, 2014 (HealthDay News) -- Regular aspirin use may be associated with a reduction in the risk of pancreatic cancer, according to a study published online June 26 in Cancer Epidemiology, Biomarkers & Prevention.

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Tips Offered for Improving Practice Productivity

THURSDAY, June 26, 2014 (HealthDay News) -- Four steps can be utilized to improve practice productivity, according to an article published June 24 in Medical Economics.

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Wikipedia Drug Entries Often Not Up-to-Date

THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.

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Slight Risk of Congenital Defects Tied to Parents' Celiac

WEDNESDAY, June 25, 2014 (HealthDay News) -- There is a slight increased risk for congenital malformation among the offspring of mothers or fathers with celiac disease, according to a study published in the July issue of Clinical Gastroenterology and Hepatology.

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Medicaid Backlog May Have Financial Ramifications

TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.

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CMS Launches Initiative to Assist Newly Insured

MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).

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Complex Electronic Record Safety Issues Surface Long After Launch

MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.

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Guidance Offered for Protection When Firing Employees

FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.

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Reminders Up Colorectal Screening Rates for Vulnerable

THURSDAY, June 19, 2014 (HealthDay News) -- Low-cost interventions relying upon mailings, text messages, and phone calls can increase adherence to colorectal cancer screening with fecal immunochemical tests (FIT) among vulnerable populations, according to a study published June 16 in JAMA Internal Medicine.

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NCHS: Insurance Coverage Expands, Gaps Remain

THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.

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TNF-α Antagonists Exposure Doesn't Up Cancer Risk in IBD

THURSDAY, June 19, 2014 (HealthDay News) -- For patients with inflammatory bowel disease (IBD), exposure to tumor necrosis factor (TNF)-α antagonists is not associated with an increased risk of developing cancer, according to a study published online June 17 in the Journal of the American Medical Association.

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Screening Can Identify Early-Stage HCC But Benefits Unclear

THURSDAY, June 19, 2014 (HealthDay News) -- For patients with chronic liver disease, hepatocellular carcinoma (HCC) screening can identify patients at an earlier stage, but the benefits and harms of screening are unclear, according to a study published online June 16 in the Annals of Internal Medicine.

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Clinical Guidelines Issued for Drug-Induced Liver Injury

WEDNESDAY, June 18, 2014 (HealthDay News) -- Herbal and dietary supplements (HDS) account for an increasing proportion of idiosyncratic drug-induced liver injury (DILI), according to practice guidelines published online June 17 in the American Journal of Gastroenterology.

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ACA May Mean Healthier Young Adults, Study Suggests

WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's health insurance plan up to age 26 may be good for their health and financial security, a new study suggests. The study was published as a research letter in the June 18 issue of the Journal of the American Medical Association.

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Prolonged Sitting Ups Risk of Developing Certain Cancers

TUESDAY, June 17, 2014 (HealthDay News) -- Prolonged television (TV) viewing and other sedentary behaviors are associated with increased risks of some cancers, according to research published online June 16 in the Journal of the National Cancer Institute.

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Tips Offered for Finding Buyer for Medical Practice

TUESDAY, June 17, 2014 (HealthDay News) -- Suggestions are provided for finding a buyer for a medical practice in an article published online June 10 in Medical Economics.

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Recombinant Glutenase Cuts Gluten-Induced Mucosal Injury

TUESDAY, June 17, 2014 (HealthDay News) -- A mixture of two recombinant gluten-specific proteases, ALV003, given orally can reduce gluten-induced small intestinal mucosal injury in patients with celiac disease, according to a study published in the June issue of Gastroenterology.

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Physician Leadership, Ownership Dominates ACOs

MONDAY, June 16, 2014 (HealthDay News) -- Physicians are playing strong leadership and ownership roles in accountable care organizations (ACOs), according to research published in the June issue of Health Affairs.

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U.S. Health Care System Ranked Last Again: Report

MONDAY, June 16, 2014 (HealthDay News) -- The United States' health system once again comes in last when compared to 10 other rich nations, according to the latest Commonwealth Fund report on the issue.

Health Highlights: June 16, 2014
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Clinicians Often Fail to Empathize After Adverse Event

MONDAY, June 16, 2014 (HealthDay News) -- The health care industry is recognizing the benefits of prompt and transparent physician communication with patients and families about bad outcomes, according to an article published June 10 in Medical Economics.

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HHS Inspector General Finds Big Problem With Medicare Coding

FRIDAY, June 13, 2014 (HealthDay News) -- Nearly 42 percent of Medicare claims for evaluation and management (E/M) services are incorrectly coded, according to an article published June 2 in Medical Economics.

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Gut Microbe Composition Differs in Young Diabetes Patients

FRIDAY, June 13, 2014 (HealthDay News) -- Bacteria in the guts of youth with type 1 diabetes appear less balanced than bacteria in children without diabetes, Dutch researchers reported in the June 12 issue of Diabetologia.

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Researchers Hesitant to Use Social Media to Show Findings

FRIDAY, June 13, 2014 (HealthDay News) -- Researchers remain uncertain about the use of social media to communicate their findings to policy makers, according to research published online June 6 in Health Affairs.

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Data From EHRs Should Be Used to Improve Patient Care

THURSDAY, June 12, 2014 (HealthDay News) -- The data from electronic health records (EHRs) should be utilized to improve the quality of patient care, according to an article published online June 10 in Medical Economics.

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Dietary Interventions Effective for Eosinophilic Esophagitis

THURSDAY, June 12, 2014 (HealthDay News) -- For patients with eosinophilic esophagitis (EoE), dietary interventions can be effective for producing histologic remission, according to a review published in the June issue of Gastroenterology.

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Exercise and Protein Intake Affect Gut Microbiota

THURSDAY, June 12, 2014 (HealthDay News) -- Exercise and related dietary factors such as increased intake of protein are positively correlated with gut microbial diversity, according to research published online June 9 in Gut.

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Medicare Will Cover Primary Care-Ordered HCV Testing

WEDNESDAY, June 11, 2014 (HealthDay News) -- Medicare will cover primary care provider-ordered hepatitis C virus testing for adults, according to a statement released by the Centers for Medicare and Medicaid Services (CMS) and discussed in an article published online June 3 in Medical Economics.

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Suboptimal Usage of Proton Pump Inhibitors Common

WEDNESDAY, June 11, 2014 (HealthDay News) -- For patients with gastroesophageal reflux disease (GERD), those who receive a proton pump inhibitor (PPI) prescription from gastroenterologists are more likely to be optimal users and have better symptom control, according to a study published in the June issue of the American Journal of Gastroenterology.

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Bariatric Surgery Benefits Diabetes Over Long Term

TUESDAY, June 10, 2014 (HealthDay News) -- Long-term follow-up shows that, in patients with type 2 diabetes, bariatric surgery is associated with greater diabetes remission and fewer diabetes-related complications than usual care, according to a study published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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Millions Will Not Have to Pay ACA Tax Penalties: Report

TUESDAY, June 10, 2014 (HealthDay News) -- Although an estimated 30 million people will still be uninsured in 2016, only four million are expected to pay penalties, according to the latest report from the nonpartisan Congressional Budget Office (CBO).

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Rotavirus Vaccination Cuts Diarrhea Health Care Utilization

TUESDAY, June 10, 2014 (HealthDay News) -- Since the introduction of the rotavirus vaccine, diarrhea-related health care utilization and costs have declined in children in the United States, according to research published online June 9 in Pediatrics.

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Colorectal Cancer Incidence Down With Higher Screening Rates

TUESDAY, June 10, 2014 (HealthDay News) -- As rates of screening have increased, there has been a significant decline in the incidence of colorectal cancer in the United States, according to research published online June 3 in Cancer.

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Incentives May Lead to Greater Support for Practice Goals

MONDAY, June 9, 2014 (HealthDay News) -- Incentives may aid employees in meeting practice goals, according to an article published May 23 in Medical Economics.

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Veterans Affected by Scandal May Seek Private Care

FRIDAY, June 6, 2014 (HealthDay News) -- The recent scandal at the U.S. Department of Veterans Affairs (VA) may lead to more veteran visits to private physicians and community health centers, according to an article published June 2 in Medical Economics.

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Physician Political Contributions Are Increasing, Shifting

FRIDAY, June 6, 2014 (HealthDay News) -- The political alignment of physicians in the United States has shifted from predominantly Republican to predominantly Democrat, based in part on the larger number of women physicians and smaller percentage of physicians practicing solo or in small practices, according to research published online June 2 in JAMA Internal Medicine.

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Many 'Inconsistencies' in ACA Sign-Ups: Report

THURSDAY, June 5, 2014 (HealthDay News) -- A new government document finds that more than a quarter of the eight million people who signed up for coverage under the Obama Administration's new health care law have "inconsistencies" in the data they supplied.

Health Highlights: June 5, 2014

Naloxegol Found Effective for Opioid-Induced Constipation

THURSDAY, June 5, 2014 (HealthDay News) -- Treatment with the oral, peripherally acting µ-opioid receptor antagonist naloxegol is safe and effective for opioid-induced constipation, according to a study published online June 4 in the New England Journal of Medicine.

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Gastric Bypass Sx May Be Best Strategy for Obese T2DM Patients

THURSDAY, June 5, 2014 (HealthDay News) -- Compared to diet and lifestyle changes, gastric bypass surgery appears to be the clear winner in helping obese people with type 2 diabetes lose weight and even rid themselves of the disease, according to a pair of studies published online June 4 in JAMA Surgery.

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Abstract - Courcoulas
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Abstract - Halperin
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Claim Denials Expected to Increase

WEDNESDAY, June 4, 2014 (HealthDay News) -- Even with good office procedures, most practices are plagued by claim denials, a hassle that is expected to increase in the coming years, according to an article published May 8 in Medical Economics.

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Most Physicians Would Forgo Aggressive Treatment

WEDNESDAY, June 4, 2014 (HealthDay News) -- Although physicians regularly recommend high-intensity, aggressive, life-prolonging care for their terminally ill patients, the vast majority would choose to forgo such care for themselves at the end of life, according to a study published online May 28 in PLOS ONE.

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Number of Cancer Survivors Projected to Grow in the U.S.

WEDNESDAY, June 4, 2014 (HealthDay News) -- Factors such as the aging and growth of the population accompanied by improvements in early detection and treatment are expected to contribute to the growth of the number of cancer survivors in the United States, according to research published online June 1 in CA: A Cancer Journal for Clinicians.

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EHRs Can Be Used to Boost Practice Revenue

TUESDAY, June 3, 2014 (HealthDay News) -- Practices can achieve return on investment (ROI) for implementation of electronic health record (EHR) systems if they participate in alternative delivery models, according to an article published May 8 in Medical Economics.

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Colonoscopy Is Indicated in Unscreened Elderly Patients

MONDAY, June 2, 2014 (HealthDay News) -- Colorectal cancer (CRC) screening should be considered as a cost-effective strategy in unscreened patients older than 75 years, according to research published in the June 3 issue of the Annals of Internal Medicine.

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