Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for August 2018. 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.
Ground Chuck Products Recalled by Publix Super Markets
FRIDAY, Aug. 31, 2018 (HealthDay News) — Possible Escherichia coli contamination has triggered the recall of ground beef products made from chuck that were sold at Publix Super Markets in Florida.
Medical Bills in Collections Decrease With Patient Age
FRIDAY, Aug. 31, 2018 (HealthDay News) — Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs.
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Preemptive Analgesia May Cut Post-Op Pain in Anorectal Surgery
FRIDAY, Aug. 31, 2018 (HealthDay News) — Preemptive pain medication is safe and reduces pain in the early postoperative period for patients undergoing anorectal surgery, according to a study published in the July issue of Diseases of the Colon & Rectum.
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Radn Tx Alone May Be Adequate for Stage I Anal Cancer in Elderly
THURSDAY, Aug. 30, 2018 (HealthDay News) — For older patients with stage I squamous cell carcinoma of the anus, radiation alone is associated with outcomes that do not differ significantly from those of chemoradiation, according to research published in the July issue of Diseases of the Colon & Rectum.
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No Meaningful Increase in Physician Compensation Last Year
THURSDAY, Aug. 30, 2018 (HealthDay News) — There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.
Press Release
Survey (subscription or payment may be required)
Marketplace Premiums Increase More With Monopolist Insurers
WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs.
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Medical Practices Should Address Negative Online Reviews
TUESDAY, Aug. 28, 2018 (HealthDay News) — Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice.
Artificial Intelligence Holds Promise in Medicine
TUESDAY, Aug. 28, 2018 (HealthDay News) — Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive.
Alcohol Is Leading Risk Factor for Global Disease Burden
TUESDAY, Aug. 28, 2018 (HealthDay News) — Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet.
Experts Address Loss of the National Guideline Clearinghouse
TUESDAY, Aug. 28, 2018 (HealthDay News) — The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine.
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Computer-Aided Colonoscopy Reliably Identifies Small Polyps
MONDAY, Aug. 27, 2018 (HealthDay News) — Computer-aided colonoscopy can reliably diagnose small polyps that do not need to be removed, according to a study published online Aug. 14 in the Annals of Internal Medicine.
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Most Research Participants Not Concerned About Data Sharing
MONDAY, Aug. 27, 2018 (HealthDay News) — Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine.
AMA Adopts Policy Promoting Health Equity As a Goal
FRIDAY, Aug. 24, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization’s AMA Wire.
Frailty in Middle-Aged With Multimorbidity Tied to Mortality
THURSDAY, Aug. 23, 2018 (HealthDay News) — For middle-aged individuals with multimorbidity, frailty is significantly associated with mortality, according to a study published in the July issue of The Lancet Public Health.
Most Surgical Residents Want Financial Education
THURSDAY, Aug. 23, 2018 (HealthDay News) — Surgical residents feel strongly that personal financial education should be offered during medical training, according to a study published in the August issue of the Journal of the American College of Surgeons.
Time to Stop Cancer Screenings: What Do Patients Want to Hear?
THURSDAY, Aug. 23, 2018 (HealthDay News) — Older adults prefer explanations about stopping cancer screening that emphasize the shift to focus on other health issues, according to a research letter published in the August issue of JAMA Oncology.
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Long-Term PPI Use Linked to Pneumonia Risk in Older Adults
THURSDAY, Aug. 23, 2018 (HealthDay News) — Among older adults in primary care, use of proton pump inhibitors (PPIs) is associated with greater risk of pneumonia in the second year of treatment, according to a study published in the July issue of the Journal of the American Geriatrics Society.
Small Practices Also at Risk for Data Breaches
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics.
Strategy Outlined for Shooter Incident in Health Care Facility
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Adhering to a “secure, preserve, fight” strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine.
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National Provider Identifiers Are Vulnerable to Theft
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice.
Advantages for HDHP Enrollees in Large Versus Small Firms
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs.
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Similar Outcomes for Rural, Urban Cancer Patients in SWOG Trials
WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Rural and urban cancer patients with uniform care access through participation in a SWOG (formerly the Southwest Oncology Group) treatment trial have similar outcomes, according to a study published online Aug. 17 in JAMA Network Open.
Doctors Often Not Discussing Risk Factors With Patients
TUESDAY, Aug. 21, 2018 (HealthDay News) — Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.
Pennsylvania Case Could Affect Evidence for Malpractice Defense
TUESDAY, Aug. 21, 2018 (HealthDay News) — The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association’s AMA Wire.
NYU Becomes First Medical School to Cover All Tuition
MONDAY, Aug. 20, 2018 (HealthDay News) — The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.
Experts Offer Tips for Provider Appeal of Denied Medical Claims
MONDAY, Aug.20, 2018 (HealthDay News) — Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics.
Little Global Development Assistance for Adolescent Health
MONDAY, Aug. 20, 2018 (HealthDay News) — Development assistance for adolescent health (DAAH) makes up a small proportion of total development assistance for health, according to a study published online Aug. 10 in JAMA Network Open.
Psych Screening Beneficial in Pediatric Abdominal Pain
FRIDAY, Aug. 17, 2018 (HealthDay News) — Systematic screening for anxiety, disability, and pain can increase psychological referral rates among pediatric patients with abdominal pain, according to a study published in the August issue of Pediatrics.
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Comments Open on End of NIH Review for Gene Therapy Studies
FRIDAY, Aug. 17, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead, the panel will assume an advisory role, while the U.S. Food and Drug Administration will assess gene therapy experiments and products as it does with other treatments and drugs. The proposed change will take effect after a public comment period which runs through Oct. 16.
AP News Article
NIH Statement
Comment on Regulations
Residents’ Sleep Deteriorates During Training
FRIDAY, Aug. 17, 2018 (HealthDay News) — First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General Internal Medicine.
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CDC: Increase in Tianeptine Exposures From 2014 to 2017
FRIDAY, Aug. 17, 2018 (HealthDay News) — From 2014 to 2017 there was an increase in tianeptine exposure calls reported by poison control centers to the National Poison Data System, and they mainly occurred among those aged 21 to 40 years, according to research published in the Aug. 3 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Practice Names, Logos Should Be Carefully Designed
THURSDAY, Aug. 16, 2018 (HealthDay News) — Practice names and logos should be carefully designed to emphasize what is unique about a practice, according to a blog post published in Physicians Practice.
NIH Panel Will No Longer Review Gene Therapy Experiments
THURSDAY, Aug. 16, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments, according to a perspective piece published online Aug. 15 in the New England Journal of Medicine.
Abstract/Full Text
NIH Statement
Steps Provided for Discharging Patient From Practice
THURSDAY, Aug. 16, 2018 (HealthDay News) — Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations, according to an article published in Physicians Practice.
Patient Portals Don’t Appear to Have Much Traction
THURSDAY, Aug. 16, 2018 (HealthDay News) — Patient portals have not taken off as expected, according to an article published in Medical Economics.
ACA Coverage Gains Include Workers Without Insurance
THURSDAY, Aug. 16, 2018 (HealthDay News) — After the expanded coverage provisions of the Affordable Care Act (ACA) were implemented in 2014, self-employed individuals and wage earners without employer-sponsored health coverage offers had coverage gains equal to or greater than those of people not employed, according to a report published in the August issue of Health Affairs.
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6 Factors Related to Inclusion in Health Care Workplace ID’d
TUESDAY, Aug. 14, 2018 (HealthDay News) — There are six broad factors that can affect inclusion within health care organizations, according to a study published online Aug. 3 in JAMA Network Open.
Physicians With Medicine/Psych Training Can Help Complex Cases
TUESDAY, Aug. 14, 2018 (HealthDay News) — Physicians boarded in both medicine and psychiatry can offer a way to address some of the challenges associated with caring for medical patients with psychiatric comorbidities, according to an article published in Psychiatric Times.
Four Pros to Integrating EHR, Practice Management Software
MONDAY, Aug. 13, 2018 (HealthDay News) — Consolidating electronic health records and practice management software allows practices to save time and money, make fewer mistakes, and reduce the risk of privacy breaches, according to an article published in Physicians Practice.
C. difficile Tied to Increased Graft Loss in Solid Organ Recipients
MONDAY, Aug. 13, 2018 (HealthDay News) — For solid organ transplant (SOT) recipients, Clostridium difficile infection (CDI) is associated with increased graft loss, according to a study published in the July issue of the American Journal of Transplantation.
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AMA Adopts Policy on Augmented Intelligence
FRIDAY, Aug. 10, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy on augmented intelligence, according to a report published in the association’s AMA Wire.
AMA Adopts Policy to Advance Gender Equity in Medicine
THURSDAY, Aug. 9, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a new policy to study, act for, and advocate to advance gender equity in medicine, according to a report published in the association’s AMA Wire.
Cyber Insurance Recommended for All Physician Practices
WEDNESDAY, Aug. 8, 2018 (HealthDay News) — The growing threat of hacking is increasing the number of physicians buying cyber insurance, according to an article published in Medical Economics.
Resource Use Greater for More Severe Pediatric Appendicitis
WEDNESDAY, Aug. 8, 2018 (HealthDay News) — More severe presentations of complicated appendicitis are associated with worse outcomes and greater resource use among pediatric patients, according to a study published online July 25 in JAMA Surgery.
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Unsheltered Homeless Have High Mortality Rates
WEDNESDAY, Aug. 8, 2018 (HealthDay News) — Mortality rates for unsheltered homeless adults are higher than those for the general adult population and sheltered homeless adults, according to a study published online July 30 in JAMA Internal Medicine.
Steps Taken to Increase Use of Electronic Tools in Medicine
WEDNESDAY, Aug. 8, 2018 (HealthDay News) — Additional codes have been approved by the Current Procedural Terminology (CPT) Editorial Panel for chronic care remote physiologic monitoring and internet consultations, according to a report published by the American Medical Association (AMA).
AMA Proposes Policy Opposing Medicaid ‘Lockout’ Provisions
TUESDAY, Aug. 7, 2018 (HealthDay News) — A new policy opposing lockout provisions that block Medicaid patients from the program for lengthy periods and instead supporting allowing patients to reapply immediately for redetermination was adopted by the American Medical Association (AMA) House of Delegates during the AMA’s annual meeting in Chicago, according to an article published in the association’s AMA Wire.
Disparities Remain in Prevalence of Cancer Screening Tests
TUESDAY, Aug. 7, 2018 (HealthDay News) — There are persistent disparities in recommended cancer screening tests among U.S. adults, particularly among the uninsured, according to a study published online July 26 in the U.S. Centers for Disease Control and Prevention’s Preventing Chronic Disease.
CDC: Half of U.S. Adults Tried to Lose Weight From 2013 to 2016
MONDAY, Aug. 6, 2018 (HealthDay News) — Nearly half of U.S. adults have tried to lose weight from 2013 to 2016, according to a July data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.
Some Bacteria Now More Tolerant of Alcohol-Based Sanitizers
FRIDAY, Aug. 3, 2018 (HealthDay News) — Some types of bacteria are developing tolerance of alcohol-based hand sanitizers used in hospitals, according to a study published in the Aug. 1 issue of Science Translational Medicine.
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Variation in Specialty Drug Coverage Across Health Plans
FRIDAY, Aug. 3, 2018 (HealthDay News) — There is considerable variation in specialty drug coverage across commercial health plans, according to a study published in the July issue of Health Affairs.
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Groups Urge CMS to Reconsider Suspending Risk Adjustment
FRIDAY, Aug. 3, 2018 (HealthDay News) — In a letter sent to Administrator Seema Verma of the Centers for Medicare & Medicaid Services (CMS), medical organizations are urging reconsideration of the decision to suspend payments to insurers as required under the Affordable Care Act’s risk-adjustment program.
Health Affairs Announces Launch of New Three-Year Initiative
THURSDAY, Aug. 2, 2018 (HealthDay News) — A council on health care spending and value has been established by the journal Health Affairs.
NIH Releases Large-Scale Dataset of CT Images
THURSDAY, Aug. 2, 2018 (HealthDay News) — To help improve detection accuracy of lesions, the National Institutes of Health (NIH)’s Clinical Center has made available a large-scale dataset of 32,000 annotated lesions identified on computed tomography (CT) images.
Three Financial Metrics Can Improve Practice Performance
THURSDAY, Aug. 2, 2018 (HealthDay News) — By understanding three indices and metrics, physicians can change the financial outcome of their medical practice, according to a report published in Medical Economics.
New Short-Term Health Plans Have Large Coverage Gaps
THURSDAY, Aug. 2, 2018 (HealthDay News) — There are large coverage gaps in short-term health plans that were approved Wednesday by the Trump administration, and are described by critics as “junk insurance.”
How Doctors Receive Feedback Is Key for Antimicrobial Programs
THURSDAY, Aug. 2, 2018 (HealthDay News) — Anticipation of how providers will receive feedback is important for antimicrobial stewardship programs to consider in informing educational messaging, according to a study published online June 7 in Infection Control & Hospital Epidemiology.
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National Guideline Clearinghouse Offline Due to Funding Cuts
WEDNESDAY, Aug. 1, 2018 (HealthDay News) — The National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC) websites were taken down on July 16 when funding for these federal databases ended, according to an announcement by the Agency for Healthcare Research and Quality (AHRQ).
Steps Can Be Taken by Doctors to Minimize Risk of Lawsuits
WEDNESDAY, Aug. 1, 2018 (HealthDay News) — Targeted steps can be taken to minimize future risks of lawsuits, according to an article published in Physicians Practice.
Telemedicine Cuts Inter-Hospital ICU Transfers of Critically Ill
WEDNESDAY, Aug. 1, 2018 (HealthDay News) — Telemedicine is associated with a decrease in inter-hospital intensive care unit (ICU) transfers, according to a study published in the July issue of CHEST.
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