Home Gastroenterology January 2020 Briefing – Gastroenterology

January 2020 Briefing – Gastroenterology

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for January 2020. 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.

2017 to 2018 Saw Increase in Life Expectancy in the United States

THURSDAY, Jan. 30, 2020 (HealthDay News) — From 2017 to 2018, there was an increase in life expectancy in the United States and a decrease in age-adjusted death rates, according to a January data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

U.S. Spends More on Health Care, but Has Worse Life Expectancy

THURSDAY, Jan. 30, 2020 (HealthDay News) — The United States spends substantially more than any other wealthy nation on health care, yet it has a lower life expectancy and a higher suicide rate than other wealthy nations, according to a January data brief released by the Commonwealth Fund.

Social Support Linked to Mortality in Older Women With CRC

THURSDAY, Jan. 30, 2020 (HealthDay News) — For postmenopausal women with colorectal cancer (CRC), low social support is associated with elevated overall and CRC-specific mortality, according to a study published online Jan. 23 in Cancer.

Fatty Liver Disease Common Among Young Adults in the U.K.

WEDNESDAY, Jan. 29, 2020 (HealthDay News) — One in five young adults in the United Kingdom has steatosis and one in 40 has fibrosis around the age of 24 years, according to a study published online Jan. 15 in The Lancet Gastroenterology & Hepatology.

Patients Have Less Dyspnea After Bariatric Surgery for Obesity

WEDNESDAY, Jan. 29, 2020 (HealthDay News) — Obese individuals undergoing bariatric surgery have improvement in dyspnea, which is associated with less air trapping and end-expiratory tracheal collapse, according to a study published online Jan. 28 in Radiology.

Disability, Quality of Life, Mood May Affect Sleep in IBD Patients

WEDNESDAY, Jan. 29, 2020 (HealthDay News) — Sleep quality is associated with mood state, disability, and quality of life among patients with inflammatory bowel disease (IBD), according to a study published online Jan. 16 in Scientific Reports.

Gender Gap Persists in Starting Salary for Physicians

TUESDAY, Jan. 28, 2020 (HealthDay News) — The gender gap in starting salary for physicians persists, although it is unclear which factors account for this gap, according to a report published online Jan. 22 in Health Affairs.

Wealthy Pay Most to Finance U.S. Health Care

MONDAY, Jan. 27, 2020 (HealthDay News) — Health care payments in the United States are more regressive than previously thought, according to a study published online Jan. 27 in Health Services Research.

Major Insurers Offer $55 Million to Lower Generic Drug Costs

THURSDAY, Jan. 23, 2020 (HealthDay News) — A nonprofit that develops and sells cheaper drugs will receive a $55 million investment from the Blue Cross Blue Shield Association and associated organizations to create cheaper versions of expensive generic drugs.

The New York Times Article

Fewer Than Half of Clinical Trials Comply With Reporting Laws

THURSDAY, Jan. 23, 2020 (HealthDay News) — Compliance with the U.S. Food and Drug Administration Amendments Act of 2007 is low, with only 40.9 percent of trials reporting results within one year, according to a study published online Jan. 17 in The Lancet.

Fast-Track Review of ACA Lawsuit Rejected by U.S. Supreme Court

WEDNESDAY, Jan. 22, 2020 (HealthDay News) — A fast-track review of a lawsuit that threatens the Affordable Care Act was rejected Tuesday by the U.S. Supreme Court.

AP News Article

Mental Health Outcomes No Better for Teens Undergoing RYGB

WEDNESDAY, Jan. 22, 2020 (HealthDay News) — Mental health outcomes do not appear to improve for obese adolescents undergoing Roux-en-Y gastric bypass, according to a study published online Jan. 21 in The Lancet Child & Adolescent Health.

ACP: Medicare for All Needed to Fix ‘Ill’ U.S. Health Care System

TUESDAY, Jan. 21, 2020 (HealthDay News) — The American College of Physicians (ACP) says the U.S. health care system “is ill and needs a bold new prescription” that includes coverage for all Americans and lower costs.

AP News Article
American College of Physicians

New Guidance Issued for Care of Children With Williams Syndrome

TUESDAY, Jan. 21, 2020 (HealthDay News) — In an American Academy of Pediatrics clinical report, published online Jan. 21 in Pediatrics, recommendations are presented for the management of patients with Williams syndrome (WS).

Stomach Virus Strikes 170 Yosemite Visitors, Staff

FRIDAY, Jan. 17, 2020 (HealthDay News) — About 170 visitors and employees at Yosemite National Park have been hit by gastrointestinal illness, park officials say.

CNN Article

2011 to 2017 Saw Increase in Binge Drinks Per Binge Drinker

FRIDAY, Jan. 17, 2020 (HealthDay News) — From 2011 to 2017, there was an increase in the total annual number of binge drinks per adult who reported binge drinking, according to research published in the Jan. 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Colorectal Cancer Risk Still Up in Patients With Ulcerative Colitis

FRIDAY, Jan. 17, 2020 (HealthDay News) — Patients with ulcerative colitis have an increased risk for colorectal cancer and colorectal cancer mortality, according to a study published in the Jan. 11 issue of The Lancet.

Single-Payer System Would Likely Save Money

THURSDAY, Jan. 16, 2020 (HealthDay News) — There is near consensus across 30 years of economic analysis of single-payer plans that a single-payer system would reduce health expenditures in the United States, according to a review published online Jan. 15 in PLOS Medicine.

ACA Tied to Narrowing of Disparities in Access to Care

THURSDAY, Jan. 16, 2020 (HealthDay News) — The Affordable Care Act has reduced disparities in access to health care among black, Hispanic, and white adults, according to a January data brief released by the Commonwealth Fund.

Ageism Predicts Significantly Worse Health Outcomes

THURSDAY, Jan. 16, 2020 (HealthDay News) — Ageism predicts significantly worse health outcomes, according to a review published online Jan. 15 in PLOS ONE.

CDC: Romaine Lettuce E. Coli Outbreak Over

WEDNESDAY, Jan. 15, 2020 (HealthDay News) — It is safe again to buy and eat romaine lettuce grown on farms around Salinas, California, the U.S. Centers for Disease Control and Prevention said Wednesday.

Interventions More Likely After RYGB Versus Sleeve Gastrectomy

WEDNESDAY, Jan. 15, 2020 (HealthDay News) — Among adults undergoing bariatric surgery, interventions, operations, and hospitalizations are more likely after Roux en Y gastric bypass (RYGB) than after sleeve gastrectomy (SG), according to a study published online Jan. 15 in JAMA Surgery.

Online Information About Probiotics Often Unreliable

WEDNESDAY, Jan. 15, 2020 (HealthDay News) — Probiotics information available online is often from commercial sources, and most webpages do not refer to scientific literature, according to a study published online Jan. 15 in Frontiers in Medicine.

Evolution of Approval, Regulation Processes for Drugs Explored

WEDNESDAY, Jan. 15, 2020 (HealthDay News) — The U.S. approval and regulation processes for pharmaceutical agents have evolved during the last four decades, according to a study published in the Jan. 14 issue of the Journal of the American Medical Association.

Nonalcoholic Steatohepatitis Will Pose Clinical, Economic Burden

TUESDAY, Jan. 14, 2020 (HealthDay News) — Nonalcoholic steatohepatitis (NASH) is expected to pose a significant clinical and economic burden during the next 20 years for U.S. patients with type 2 diabetes mellitus (T2DM), according to a study published online Jan. 6 in Diabetes Care.

Doctor Replacement Ratios Higher in Largest, Hospital-Owned Practices

TUESDAY, Jan. 14, 2020 (HealthDay News) — From 2009 to 2016, more physicians entering the Medicare program worked at large group or hospital-owned practices than small group or independent practices, according to a research letter published online Jan. 14 in the Annals of Internal Medicine.

Physicians Spend >16 Minutes Per Encounter on EHR Use

MONDAY, Jan. 13, 2020 (HealthDay News) — Physicians spend a considerable amount of time using electronic health records (EHRs) to support care delivery, with wide variation seen in the distribution of time within specialty, according to a study published online Jan. 14 in the Annals of Internal Medicine.

Guidance Issued for Hepatic, Mesenteric Circulation Disorders

MONDAY, Jan. 13, 2020 (HealthDay News) — In a clinical guideline from the American College of Gastroenterology, published in the January issue of the American Journal of Gastroenterology, recommendations are presented for management of disorders of the hepatic and mesenteric circulation.

Burnout in Med Students Tied to Perceived Stress, Phone Behavior

MONDAY, Jan. 13, 2020 (HealthDay News) — Higher levels of perceived stress, poorer sleep quality, and smartphone addiction contribute to burnout in osteopathic medical students, according to a study published in the January issue of the Journal of the American Osteopathic Association.

California May Start Producing Its Own Medicines

FRIDAY, Jan. 10, 2020 (HealthDay News) — A proposal for California to contract generic drug companies to make medications would make the state the first in the country to produce its own medications.

AP News Article

Two More Heartburn Meds Recalled Due to Possible Carcinogen

FRIDAY, Jan. 10, 2020 (HealthDay News) — The U.S. Food and Drug Administration is adding to a list of recalled lots of popular heartburn medications — including generic forms of Zantac — because the pills might contain small amounts of the suspected carcinogen N-nitrosodimethylamine (NDMA).

CBS News Article
FDA: Appco Announcement
FDA: Northwind Announcement

Bariatric Surgery May Aid T2DM-Related Outcomes at Five Years

FRIDAY, Jan. 10, 2020 (HealthDay News) — Bariatric surgery is associated with weight loss and remission of type 2 diabetes mellitus (T2DM) and dyslipidemia at five years postsurgery, according to a study published online Jan. 7 in Diabetes, Metabolism Research and Reviews.

Recruitment Satisfactory for Foreign-Educated Health Providers

FRIDAY, Jan. 10, 2020 (HealthDay News) — Foreign-educated health professionals (FEHPs) in the United States are overall satisfied with their recruitment experience, according to a study published in the January issue of the American Journal of Nursing.

Neighborhood Disadvantage Impacts Hospital Quality Ratings

FRIDAY, Jan. 10, 2020 (HealthDay News) — Hospitals caring for neighborhoods with high levels of disadvantage may have lower hospital ratings due to social risk factors (SRFs) in the community, according to a study published online Dec. 30 in Medical Care.

Risk for Gluten Exposure High With Specific School Activities

FRIDAY, Jan. 10, 2020 (HealthDay News) — Specific common school activities, such as paper mâché and baking projects, pose a high risk for gluten exposure, according to a study published online Dec. 19 in the Journal of Pediatric Gastroenterology and Nutrition.

Alcohol-Fueled Deaths Doubled in U.S. Over Past 20 Years

THURSDAY, Jan. 9, 2020 (HealthDay News) — Death certificate data suggest that alcohol-related mortality increased in the United States between 1999 and 2017, according to a study published online Jan. 7 in Alcoholism: Clinical & Experimental Research.

IBD May Increase Risk for Adverse Pregnancy Outcomes

THURSDAY, Jan. 9, 2020 (HealthDay News) — Women with inflammatory bowel disease (IBD) more often have gestational diabetes and preterm premature rupture of membranes, according to a review published online Jan. 7 in Alimentary Pharmacology and Therapeutics.

Large Gap Found in Health Administrative Spending for U.S., Canada

WEDNESDAY, Jan. 8, 2020 (HealthDay News) — There is a large and widening gap in health administrative spending between the United States and Canada, according to a study published online Jan. 7 in the Annals of Internal Medicine.

Cancer Mortality Continuing to Drop, With Lung Cancer a Driver

WEDNESDAY, Jan. 8, 2020 (HealthDay News) — Cancer mortality is continuing to decline, driven by progress in lung cancer, although mortality reductions have slowed or stopped for some cancers, according to findings included in Cancer Statistics, 2020, the American Cancer Society’s latest annual report on cancer incidence, mortality, and survival. The report was published online Jan. 8 in CA: A Cancer Journal for Clinicians.

Cancer Statistics, 2020

Price Hikes for Hundreds of Medications

MONDAY, Jan. 6, 2020 (HealthDay News) — U.S. drug companies have started the new year by raising the prices of hundreds of medications.

CBS News Article

Poll: Older Adults Frequently Use Online Physician Ratings

MONDAY, Jan. 6, 2020 (HealthDay News) — Older adults commonly use online ratings to choose a doctor, according to a report published online Jan. 6 based on the results of the University of Michigan National Poll on Healthy Aging.

National Poll on Healthy Aging

Patient Experiences Modestly Worse After Hospital Acquisition

THURSDAY, Jan. 2, 2020 (HealthDay News) — Modestly worse patient experiences are seen following hospital acquisition by another hospital, according to a study published in the Jan. 2 issue of the New England Journal of Medicine.

Leisure-Time Physical Activity Linked to Lower Cancer Risk

THURSDAY, Jan. 2, 2020 (HealthDay News) — Leisure-time physical activity at recommended levels is associated with a significantly lower risk for seven cancer types, according to a study published online Dec. 26 in the Journal of Clinical Oncology.

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