Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for June 2016. 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.
Gastric Bypass Helps Achieve Diabetes Treatment Goals
WEDNESDAY, June 29, 2016 (HealthDay News) — The addition of Roux-en-Y gastric bypass to lifestyle-medical management is associated with improved achievement of treatment goals in type 2 diabetes, according to a study published online June 16 in Diabetes Care.
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Electronic Record Demands Are Overwhelming Many Physicians
WEDNESDAY, June 29, 2016 (HealthDay News) — Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.
FDA Approves Epclusa for Chronic Hepatitis C
TUESDAY, June 28, 2016 (HealthDay News) — The combination drug Epclusa has been approved by the U.S. Food and Drug Administration to treat the six major strains of chronic hepatitis C virus.
Ultrasound Findings Can Predict Pancreas Transplant Failure
TUESDAY, June 28, 2016 (HealthDay News) — For pancreas transplant recipients, absent or reversed arterial Doppler flow is associated with subsequent transplant failure, according to a study published in the July issue of Radiology.
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Guidance Updated for Sedation of Pediatric Patients
TUESDAY, June 28, 2016 (HealthDay News) — Guidelines have been updated for monitoring and management of pediatric patients before, during, and after sedation, according to a clinical report published online June 27 in Pediatrics.
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Gastric Bypass Cuts Hormonal Responses to Hypoglycemia
TUESDAY, June 28, 2016 (HealthDay News) — Gastric bypass (GBP) surgery is associated with reduced symptoms and neurohormonal responses to hypoglycemia, according to a study published online June 16 in Diabetes.
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Patients Face High Hospital Bills Despite Having Insurance
MONDAY, June 27, 2016 (HealthDay News) — Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.
Genetic Picture of Colorectal Cancer Clarified
FRIDAY, June 24, 2016 (HealthDay News) — Scientists have identified new gene mutations that may be tied to colorectal cancer (CRC). The study was published online June 22 in Nature Communications.
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2017 Will Bring Premium Rate Increases Under ACA
FRIDAY, June 24, 2016 (HealthDay News) — Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.
Hep C Core Antigen Assays Show High Sensitivity, Specificity
THURSDAY, June 23, 2016 (HealthDay News) — Testing for hepatitis C virus core antigen (HCVcAg) could be a good alternative for nucleic acid testing (NAT) for diagnosis of chronic HCV, according to a review and meta-analysis published online June 21 in the Annals of Internal Medicine.
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Use of Patient Navigators Improves Cancer Screening Rates
WEDNESDAY, June 22, 2016 (HealthDay News) — The use of patient navigators improves cancer screening rates among low-income and ethnic minority patients, according to a study published online June 6 in JAMA Internal Medicine.
CDC: Alternative Medicine a Booming Business in U.S.
WEDNESDAY, June 22, 2016 (HealthDay News) — Americans spent more than $30 billion out of pocket in 2012 on chiropractors and other complementary health practitioners, as well as supplements and other forms of alternative medicine, according to research published online June 22 in the U.S. Centers for Disease Control and Prevention’s National Health Statistics Reports.
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25(OH)D Levels Linked to Survival in Pancreatic Cancer
WEDNESDAY, June 22, 2016 (HealthDay News) — Prediagnostic 25-hydroxyvitamin D (25[OH]D) levels are associated with survival in pancreatic cancer, according to a study published online June 20 in the Journal of Clinical Oncology.
Tips Provided for Leveraging Social Media
TUESDAY, June 21, 2016 (HealthDay News) — During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.
Long-Term Pioglitazone Safe, Effective for NASH, T2DM
TUESDAY, June 21, 2016 (HealthDay News) — For patients with prediabetes or type 2 diabetes mellitus (T2DM) and nonalcoholic steatohepatitis (NASH), long-term pioglitazone is safe and effective, according to a study published online June 21 in the Annals of Internal Medicine.
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Reset Room Can Help Address Physician Burnout
MONDAY, June 20, 2016 (HealthDay News) — The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.
Bariatric Surgery Improves Adipose Tissue Function
MONDAY, June 20, 2016 (HealthDay News) — Bariatric surgery is associated with improvements in adipose tissue function, some of which are independent of weight loss, according to research published online June 8 in Obesity Reviews.
Strategy Needed to Address Impending Physician Shortage
FRIDAY, June 17, 2016 (HealthDay News) — Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.
Review IDs Gut Microbiota Changes in Irritable Bowel
FRIDAY, June 17, 2016 (HealthDay News) — Patients with irritable bowel syndrome (IBS) have alterations in their gut microbiota, with distinct alterations for Chinese patients, according to a review and meta-analysis published online June 14 in the Journal of Gastroenterology and Hepatology.
Obesity in Older Male Teens Ups Risk for Liver Disease Later
FRIDAY, June 17, 2016 (HealthDay News) — Older teen boys who are overweight or obese could be at increased risk for severe liver disease later in life, according to a study published online June 16 in the Journal of Hepatology.
Gluten-Free Diet Beneficial in T1D With Concurrent Celiac Disease
FRIDAY, June 17, 2016 (HealthDay News) — For children with type 1 diabetes (T1D), the negative influence of celiac disease (CD) on high-density lipoprotein cholesterol (HDL-C) can be improved by adherence to a gluten-free diet (GFD), according to a study published online June 6 in Diabetes Care.
Potential Impact of Single-Payer Health Care Discussed
THURSDAY, June 16, 2016 (HealthDay News) — Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.
Prices for Care Rise Significantly As Multi-Hospital Systems Emerge
THURSDAY, June 16, 2016 (HealthDay News) — Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.
USPSTF Reaffirms Need for CRC Screen Beginning at Age 50
THURSDAY, June 16, 2016 (HealthDay News) — Reiterating a recommendation last made in 2008, the U.S. Preventive Services Task Force (USPSTF) is advocating that regular colorectal cancer (CRC) screening begin at age 50 and continue until at least age 75. The updated recommendation was published online June 15 in the Journal of the American Medical Association.
Tenofovir Disoproxil Fumarate Can Cut HBV Transmission
THURSDAY, June 16, 2016 (HealthDay News) — Use of tenofovir disoproxil fumarate (TDF) during pregnancy can reduce the rate of mother-to-child transmission of hepatitis B virus (HBV), according to a study published in the June 16 issue of the New England Journal of Medicine.
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Four-Step Strategy Suggested for Boosting Practice Quality of Care
WEDNESDAY, June 15, 2016 (HealthDay News) — Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).
Chronic Kidney Disease Adversely Affects Digestive Function
TUESDAY, June 14, 2016 (HealthDay News) — Chronic kidney disease (CKD) has an adverse effect on digestive function, according to a study published online May 25 in the Journal of Gastroenterology and Hepatology.
FDA Approves Cholera Vaccine for U.S. Travelers
MONDAY, June 13, 2016 (HealthDay News) — The first vaccine to protect American travelers from cholera has been approved by the U.S. Food and Drug Administration.
Review Links H. pylori Infection With Metabolic Syndrome
MONDAY, June 13, 2016 (HealthDay News) — Helicobacter pylori infection is associated with metabolic syndrome, according to a review and meta-analysis published online June 7 in the Journal of Digestive Diseases.
Oral Contraceptive Use Ups Surgery Risk in Crohn’s
FRIDAY, June 10, 2016 (HealthDay News) — For females with Crohn’s disease (CD), long-term use of oral contraceptives (OCs) is associated with increased risk of surgery, according to a study published in the June issue of Gastroenterology.
PPI Use Ups Risk of Osteoporosis, Osteopenia in Femur
WEDNESDAY, June 8, 2016 (HealthDay News) — Proton pump inhibitor (PPI) use is associated with increased risk of developing osteoporosis and osteopenia in femur bones, according to a study published online May 31 in the International Journal of Rheumatic Diseases.
FDA Warns of Overdoses of Anti-Diarrhea Drug
WEDNESDAY, June 8, 2016 (HealthDay News) — Overdoses from common anti-diarrhea drugs are being investigated by the U.S. Food and Drug Administration, which warned the drugs can cause potentially fatal heart problems when taken in higher-than-recommended amounts.
Review Links Tonsillectomy to Risk of Crohn’s Disease
TUESDAY, June 7, 2016 (HealthDay News) — Tonsillectomy is associated with increased risk of developing Crohn’s disease (CD), but not ulcerative colitis (UC), according to a review and meta-analysis published in the June issue of the Journal of Gastroenterology and Hepatology.
Serious Bleeding Risks Linked to OTC Antacids Containing Aspirin
MONDAY, June 6, 2016 (HealthDay News) — Antacids that contain aspirin may cause stomach or intestinal bleeding in rare cases, U.S. Food and Drug Administration officials said Monday.
125I Brachytherapy Ups Anastomotic Leakage in Rectal CA
MONDAY, June 6, 2016 (HealthDay News) — For patients with rectal carcinoma, intraoperative iodine-125 seed implantation brachytherapy is associated with increased risk of anastomotic leakage (AL) and pelvic autonomic nerve dysfunction, according to a study published in the June issue of the Journal of Gastroenterology and Hepatology.
More Evidence That Low-Dose Aspirin Ups Survival in CRC
FRIDAY, June 3, 2016 (HealthDay News) — Colorectal cancer (CRC) patients who take low-dose aspirin may have better survival odds, according to a study published online May 31 the Journal of Clinical Oncology.
AMA Module Promotes Training of Medical Assistants
THURSDAY, June 2, 2016 (HealthDay News) — A new training module can improve training for medical assistants (MAs), according to a report from the American Medical Association (AMA).
Triclosan Exposure Affects Microbiome Structure, Diversity
THURSDAY, June 2, 2016 (HealthDay News) — Triclosan exposure affects the structure and diversity of the microbiome in adult zebrafish, according to research published online May 18 in PLOS ONE.
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Patients Like to See Physicians Wearing White Coats
THURSDAY, June 2, 2016 (HealthDay News) — Most patients prefer that physicians wear white coats, according to research published online June 1 in JAMA Dermatology.
Patients With IBS Often Have Negative Health Care Encounters
WEDNESDAY, June 1, 2016 (HealthDay News) — Patients suffering from severe irritable bowel syndrome (IBS) often have negative experiences of health care encounters, and actively negotiate such professional discourse by presenting a counternarrative describing their own suffering and strengths, according to a study published online May 24 in the Journal of Clinical Nursing.
Gut Microbiome Tied to Metabolic Hormones in Early Pregnancy
WEDNESDAY, June 1, 2016 (HealthDay News) — In overweight and obese women, gut microbiome composition is associated with the metabolic hormonal environment at 16 weeks of gestation, according to a study published in the May issue of Diabetes.
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