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Category: Gastroenterology | Monthly Briefing

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July 2014 Briefing - Gastroenterology

Last Updated: August 01, 2014.

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

Slow Progress Toward Meaningful Use Stage 2

WEDNESDAY, July 30, 2014 (HealthDay News) -- Providers and hospitals are making slow progress toward achieving meaningful use stage 2, according to an article published July 10 in Medical Economics.

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HCV Genotype 1 Is Most Prevalent Globally

WEDNESDAY, July 30, 2014 (HealthDay News) -- Worldwide, genotype 1 is the most prevalent variant of hepatitis C virus (HCV) infections and accounts for almost half of cases, according to research published online July 28 in Hepatology.

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IOM Recommends Restructuring GME Financing

TUESDAY, July 29, 2014 (HealthDay News) -- Medicare support for graduate medical education (GME) should be restructured and based on its value and contribution to the nation's health needs, according to a report published July 29 by the Institute of Medicine (IOM).

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New Treatment Options Promising for Hepatitis C Virus

MONDAY, July 28, 2014 (HealthDay News) -- For patients with hepatitis C virus genotype 1, promising new treatment options may be available, according to two studies published online July 28 in The Lancet.

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Abstract - Lawitz
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Access for Pharmaceutical Sales Reps Continuing to Decline

MONDAY, July 28, 2014 (HealthDay News) -- Pharmaceutical sales representatives' access to physicians is continuing to decrease, even in previously rep-friendly specialties, according to a report published by ZS Associates.

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Low Yield for Repeat Colonoscopy in Some Patients

MONDAY, July 28, 2014 (HealthDay News) -- Repeat colonoscopies within 10 years are of little benefit to patients who had no polyps found on adequate examination; however, repeat colonoscopies do benefit patients when the baseline examination was compromised, according to research published in the August issue of Gastroenterology.

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Post-Op Recovery Program Aids Community Hospital Outcomes

FRIDAY, July 25, 2014 (HealthDay News) -- Implementation of an enhanced recovery after surgery (ERAS) colorectal program is feasible in a community hospital setting and significantly improves outcomes, according to a study published online July 23 in JAMA Surgery.

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Survey IDs Patients' Views on Health Care Provider Quality

FRIDAY, July 25, 2014 (HealthDay News) -- Most Americans focus on provider quality related to doctor-patient interactions rather than effectiveness of care when defining provider quality, according to a report published by the Associated Press-NORC (AP-NORC) Center for Public Affairs Research.

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Dietary Elimination Effective for Eosinophilic Esophagitis

FRIDAY, July 25, 2014 (HealthDay News) -- Dietary elimination is associated with improvement in symptoms and endoscopic appearance in adults with eosinophilic esophagitis (EoE), according to a study published in the August issue of Clinical Gastroenterology and Hepatology.

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Number of Uninsured Down After ACA Open Enrollment

THURSDAY, July 24, 2014 (HealthDay News) -- There has been a decrease in the number of uninsured following the open enrollment period of the Affordable Care Act (ACA), according to a report published online July 23 in the New England Journal of Medicine.

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American Red Cross Issues Urgent Call for Blood Donations

WEDNESDAY, July 23, 2014 (HealthDay News) -- Blood donations to the American Red Cross are down substantially, and the agency says an "emergency situation" could arise within weeks.

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Online Reviews Show Patients Value Docs' Interpersonal Skills

TUESDAY, July 22, 2014 (HealthDay News) -- Patient reviews indicate that the attributes most valued in physicians include interpersonal skills and bedside manner, according to a report published online July 16 by Vitals.

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Physician Offices Investing in Patient Portals for EHRs

THURSDAY, July 10, 2014 (HealthDay News) -- Practitioners are continuing to invest in electronic health records (EHRs), specifically to improve access for patients, according to an article published June 13 in Medical Economics.

Medical Economics Article
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National Survey Finds Most U.S. Physicians Are Satisfied

MONDAY, July 21, 2014 (HealthDay News) -- Most U.S. physicians are satisfied, with satisfied physicians more likely to report positive trends in medicine, according to a report published by Jackson Healthcare.

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Good Response for Sofosbuvir + Ribavirin in HIV/HCV Coinfection

MONDAY, July 21, 2014 (HealthDay News) -- Patients coinfected with HIV and hepatitis C (HCV; genotype 1, 2, or 3) have high rates of sustained virologic response (SVR) with the oral, interferon-free combination of sofosbuvir and ribavirin, according to a study published in the July 23/30 issue of the Journal of the American Medical Association, a theme issue on HIV/AIDS. This issue has been released early to coincide with AIDS 2014, the International AIDS Conference, held from July 20 to 25 in Melbourne, Australia.

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Lanreotide Improves Survival With Enteropancreatic Tumors

MONDAY, July 21, 2014 (HealthDay News) -- Lanreotide significantly improves survival among patients with metastatic enteropancreatic neuroendocrine tumors (grade 1 or 2), according to a study published in the July 17 issue of the New England Journal of Medicine.

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Seriously Ill Patients Have Limited Facial Expression

FRIDAY, July 18, 2014 (HealthDay News) -- Decreased variability of facial expression may help identify patients with serious cardiopulmonary disease in the emergency care setting, according to research published online July 14 in the Emergency Medicine Journal.

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Legal Risks for Providing Financial Assistance to Patients

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians need to be aware of the ramifications of providing financial assistance to patients, according to an article published July 8 in Medical Economics.

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Doctors More Likely Than Public to Be Registered Organ Donors

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians are more likely to register to be organ donors than the general public, according to a research letter published in the July 16 issue of the Journal of the American Medical Association.

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Increasing Flow of Information Has Impact on Patient Consent

WEDNESDAY, July 16, 2014 (HealthDay News) -- The increasing flow of information as part of health information exchanges raises certain issues for patient consent, according to an article published July 8 in Medical Economics.

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Medical Schools Being Challenged to Find Training Sites

MONDAY, July 14, 2014 (HealthDay News) -- Medical schools are working to find solutions to ensure their students can continue to receive clinical training in spite of the escalating shortage of training sites, according to an article published by the American Academy of Family Physicians (AAFP).

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ACOs Require Overhaul to Health Care Delivery System

WEDNESDAY, July 9, 2014 (HealthDay News) -- The accountable care organization (ACO) model requires an overhaul for health care delivery, according to an article published June 24 in Medical Economics.

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Most Docs Find M.B.A. Training Advantageous to Their Careers

TUESDAY, July 8, 2014 (HealthDay News) -- Graduates with dual training in medicine and business increasingly pursue leadership roles and report greater career acceleration, according to a study published online June 20 in Academic Medicine.

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With CD Stone Risk, Shorter Stays w/Cholecystectomy First

TUESDAY, July 8, 2014 (HealthDay News) -- For patients at intermediate risk of a common duct stone, initial cholecystectomy without preoperative endoscopic investigation reduces length of stay. In addition, lack of postoperative antibiotic treatment is not associated with worse outcomes after cholecystectomy. These findings were published in the July 9 issue of the Journal of the American Medical Association.

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Abstract - Regimbeau
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Drinking Coffee, Smoking May Protect Against Cholangitis

TUESDAY, July 8, 2014 (HealthDay News) -- Coffee consumption and smoking might protect against the development of primary sclerosing cholangitis (PSC), according to a study published in the June issue of Clinical Gastroenterology and Hepatology.

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Don't Forget Patient Privacy When Marketing Your Practice

MONDAY, July 7, 2014 (HealthDay News) -- Use of marketing by health care providers must be in accordance with federal and state regulations relating to patient privacy, according to an article published June 24 in Medical Economics.

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Three Opportunities Presented for Practice Growth

THURSDAY, July 3, 2014 (HealthDay News) -- Maximizing the growth potential of a practice over time requires physicians to consider various opportunities, including increasing the size of medical groups, embracing technology, and use of marketing, according to an article published June 24 in Medical Economics.

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AMA: Tips for Managing Medical School Loans

THURSDAY, July 3, 2014 (HealthDay News) -- Creating a budget and other tips can help medical school graduates to manage their loan repayments, according to an article published by the American Medical Association (AMA).

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Recommendations Made for Partnering Patients in Health Care

THURSDAY, July 3, 2014 (HealthDay News) -- Changes need to be implemented in the education system in order to fully integrate patients and their families as equal partners in health care, according to a report based on recommendations made at a conference convened by the Macy Foundation.

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Risk of Celiac, Autoimmunity High With DR3-DQ2 Haplotype

WEDNESDAY, July 2, 2014 (HealthDay News) -- There is a high risk for celiac disease autoimmunity and celiac disease early in childhood among those with HLA haplotype DR3-DQ2, according to a study published in the July 3 issue of the New England Journal of Medicine.

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Tips Offered for Improving Practice Financial Management

WEDNESDAY, July 2, 2014 (HealthDay News) -- Establishing clear financial policies for practices and making it easy for patients to pay are two suggestions for improving practices' financial management, according to an article published online June 24 in Medical Economics.

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AAFP Urges Changes in Telemedicine Compensation

WEDNESDAY, July 2, 2014 (HealthDay News) -- Significant changes should be made to delivery and payment of telemedicine services, according to an article published by the American Academy of Family Physicians (AAFP).

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Health Care Expenditure Has Slowed in United States

WEDNESDAY, July 2, 2014 (HealthDay News) -- The growth in U.S. health care expenditure has slowed in recent years, coming some way toward closing the gap with other countries of the Organisation for Economic Co-operation and Development (OECD), according to an article in the health of Americans series published online July 1 in The Lancet.

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Genetics May Explain Racial Disparity in Colon CA Outcome

WEDNESDAY, July 2, 2014 (HealthDay News) -- Genetic differences may contribute to the higher mortality associated with colon cancer in African-Americans compared with Caucasians, according to research published online June 23 in PLOS ONE.

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CDC: Antibiotic Resistance in Foodborne Illness a Mixed Bag

WEDNESDAY, July 2, 2014 (HealthDay News) -- Multidrug-resistant salmonella, which causes about 100,000 illnesses a year, decreased during the past 10 years, and resistance to cephalosporins and fluoroquinolones remains low, according to 2012 data from the U.S. Centers for Disease Control and Prevention.

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Everolimus Does Not Improve Survival in Advanced Liver CA

TUESDAY, July 1, 2014 (HealthDay News) -- Everolimus does not improve overall survival in patients with advanced liver cancer, according to a study published in the July 2 issue of the Journal of the American Medical Association.

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ACA Offers Opportunities for Prevention, Public Health

TUESDAY, July 1, 2014 (HealthDay News) -- The Patient Protection and Affordable Care Act is fostering collaboration between the public health and health care systems and can improve quality of care and advance population health, according to an article in the health of Americans series published online July 1 in The Lancet.

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EGD Still Better Than Spleen Stiffness Measurement

TUESDAY, July 1, 2014 (HealthDay News) -- Current techniques of spleen stiffness measurement (SSM) are inadequate to replace esophagogastroduodenoscopy (EGD) as the screening modality of choice for detecting esophageal varices (EV), according to a review published in the June issue of Clinical Gastroenterology and Hepatology.

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