• May 2013 Briefing - Gastroenterology

    Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for May 2013. 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.
    Patients Who Share in Care Decisions May Up Costs of Care
    THURSDAY, May 30 (HealthDay News) -- Patient preference for participating in shared decision making regarding care may increase length of hospital stays and costs of care, according to research published online May 27 in JAMA Internal Medicine.
    Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1691765#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691765 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691772 )
    Odds of Mortality Up With Elective Surgery on Friday, Weekend
    THURSDAY, May 30 (HealthDay News) -- For patients undergoing elective surgery, the odds of death are significantly increased for those who undergo the procedure on Friday or at the weekend, compared with Monday, according to research published online May 28 in BMJ.
    Full Text (http://www.bmj.com/content/346/bmj.f2424 )Editorial (http://www.bmj.com/content/346/bmj.f3353 )
    2012 AMA Report Highlights Progress Toward Better Future
    THURSDAY, May 30 (HealthDay News) -- Given the changes in America's health care system and challenges facing physicians, in 2012, the American Medical Association (AMA) focused on creating a better future for the nations' patients, physicians, and medical students, according to their annual report.
    More Information (http://www.ama-assn.org/ama/pub/about-ama/ama-annual-report.page )
    One-Third of Medical Students Have Implicit Anti-Fat Bias
    THURSDAY, May 30 (HealthDay News) -- More than one-third of medical students have a significant implicit anti-fat bias that few are aware of, according to a study published in the July issue of Academic Medicine.
    Abstract (http://journals.lww.com/academicmedicine/Abstract/publishahead/Are_Medical_Students_Aware_of_Their_Anti_obesity.99382.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/academicmedicine/Abstract/publishahead/Are_Medical_Students_Aware_of_Their_Anti_obesity.99382.aspx )
    Doc Passengers Assist in Half of In-Flight Medical Emergencies
    WEDNESDAY, May 29 (HealthDay News) -- Physician passengers provide medical assistance in about half of in-flight medical emergencies, which are most commonly related to syncope, respiratory symptoms, or gastrointestinal symptoms, according to a study published in the May 30 issue of the New England Journal of Medicine.
    Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1212052 )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1212052#t=article )
    Modified Genes Present After Maternal Bariatric Surgery
    WEDNESDAY, May 29 (HealthDay News) -- Children born after their mothers had bariatric surgery have gene modifications that are consistent with their reduced cardiometabolic risk, according to a study published online May 28 in the Proceedings of the National Academy of Sciences.
    Abstract (http://www.pnas.org/content/early/2013/05/22/1216959110.abstract )Full Text (subscription or payment may be required) (http://www.pnas.org/content/early/2013/05/22/1216959110.full.pdf+html )
    Transparency Key to Improving Value Care for Patients
    WEDNESDAY, May 29 (HealthDay News) -- In order to ensure the provision of higher quality care and cost control in a post-Affordable Care Act health care system, data on price, utilization, and quality should be made publicly available unless there is a compelling publicly-acceptable justification for keeping it confidential, according to a study published online May 28 in the Annals of Internal Medicine.
    Full Text (http://annals.org/article.aspx?articleid=1691701 )
    Enrollment in U.S. Medical Colleges Is Increasing
    WEDNESDAY, May 29 (HealthDay News) -- Enrollment in U.S. medical colleges is increasing, but there is concern about the adequacy of training opportunities, according to a report published by the Association of American Medical Colleges (AAMC).
    More Information (https://members.aamc.org/eweb/upload/12-237%20EnrollmSurvey2013.pdf )
    Billions Can Be Saved With Pharmacy Benefit Management
    WEDNESDAY, May 29 (HealthDay News) -- Efficient pharmacy benefit management, including increasing use of generic drugs and negotiation of market-based pharmacy dispensing fees, could save Medicaid programs billions of dollars nationwide in the next 10 years, according to a report prepared by the Menges Group and sponsored by the Pharmaceutical Care Management Association.
    More Information (http://www.pcmanet.org/report-upgrading-medicaid-drug-benefits-could-save-federal-state-governments-74-4-billion )
    Intervention to Improve Colon Cancer Screening Ineffective
    TUESDAY, May 28 (HealthDay News) -- An intervention designed to improve colon cancer screening rates in primary care practices has failed to have a significant impact on screening, according to a study published in the May/June issue of the Annals of Family Medicine.
    Abstract (http://www.annfammed.org/content/11/3/220 )Full Text (subscription or payment may be required) (http://www.annfammed.org/content/11/3/220.full )
    HHS: End-of-2013 Targets for EHR Use Already Reached
    TUESDAY, May 28 (HealthDay News) -- The U.S. Department of Health & Human Services (HHS) has already met and exceeded its goal for 50 percent of physician offices and 80 percent of eligible hospitals to have electronic health records (EHRs) by the end of 2013, according to a report published by the department.
    More Information (http://www.hhs.gov/news/press/2013pres/05/20130522a.html )
    Docs Anticipating Changes Ahead As ACA Progresses
    MONDAY, May 27 (HealthDay News) -- Most physicians expect the Affordable Care Act (ACA) to continue as planned and expect further integration in the coming years, according to a report published by Deloitte.
    More Information (http://www.deloitte.com/view/en_US/us/Insights/centers/center-for-health-solutions/a5ee019120e6d310VgnVCM1000003256f70aRCRD.htm?id=us_furl_2013physciansurvey_031813 )
    Data Support Basing Health Decisions on Both Benefit, Cost
    FRIDAY, May 24 (HealthDay News) -- Person-level health care expenditures per month of health status-adjusted life expectancy are much higher for adults aged 85 years and older than for 0- to 14-year-olds, but despite spending much more on health care, the aging population gets substantially less value for that spending in terms of quality and quantity of life expectancy, according to a study published in the Spring issue of the Michigan Journal of Public Affairs.
    Full Text (http://www.mjpa.umich.edu/uploads/2013/davswin.pdf )
    About One in Four Uninsured Could Be Excluded From ACA
    FRIDAY, May 24 (HealthDay News) -- More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.
    More Information (http://jacksonhewittaca.com/wp-content/uploads/2013/05/ACA-Banking-and-Premium-Report.pdf )
    Frequent Heartburn Linked to Cancer of Pharynx and Larynx
    THURSDAY, May 23 (HealthDay News) -- Frequent heartburn is associated with a higher risk of cancers of the pharynx and larynx, which may be reduced by the use of antacids, according to a study published online May 23 in Cancer Epidemiology, Biomarkers & Prevention.
    Abstract (http://cebp.aacrjournals.org/content/early/2013/05/21/1055-9965.EPI-13-0183.abstract )Full Text (subscription or payment may be required) (http://cebp.aacrjournals.org/content/early/2013/05/21/1055-9965.EPI-13-0183.full.pdf+html )
    Fecal Microbiota Tx Feasible for Recurrent C. difficile in HIV
    WEDNESDAY, May 22 (HealthDay News) -- For HIV-infected individuals with recurrent Clostridium difficile infection, fecal microbiota therapy is feasible, according to a letter published in the May 21 issue of the Annals of Internal Medicine.
    Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1686997 )
    Systematic Screening of Med Adherence Will ID Barriers
    WEDNESDAY, May 22 (HealthDay News) -- Implementation of systematic monitoring for medication adherence will allow for identification of barriers to adherence and tailoring of interventions, according to a viewpoint piece published in the May 22/29 issue of the Journal of the American Medical Association.
    Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1690707 )
    Changes in Organ Allocation Helped Kids in Past Decade
    MONDAY, May 20 (HealthDay News) -- Changes to organ allocation have helped increase pediatric transplantation and decrease wait-list deaths, according to research published online May 20 in Pediatrics.
    Abstract (http://pediatrics.aappublications.org/content/early/2013/05/15/peds.2012-3992.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/05/15/peds.2012-3992.full.pdf+html )Editorial (http://pediatrics.aappublications.org/content/early/2013/05/15/peds.2013-1005.full.pdf+html )
    Digital Divide Exists With Physician EHR Adoption
    MONDAY, May 20 (HealthDay News) -- The majority of physicians remain reluctant to adopt health information technology (HIT), according to a report by Deloitte Touche Tohmatsu.
    Report (http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/Health%20Care%20Provider/us_dchs_2013PhysicianSurveyHIT_051313%20(2).pdf )
    FDA Approves Simponi for Ulcerative Colitis
    WEDNESDAY, May 15 (HealthDay News) -- Simponi (golimumab) injection has been approved by the U.S. Food and Drug Administration to treat adults with moderate-to-severe ulcerative colitis.
    More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm352383.htm )
    New FDA Survey to Assess Doc Attitudes on DTC Advertising
    MONDAY, May 13 (HealthDay News) -- The U.S. Food and Drug Administration plans to conduct a new survey involving 2,000 health care professionals to examine their views on direct-to-consumer (DTC) advertising of prescription medications. The survey has been approved by the White House Office of Management and Budget.
    More Information (http://www.pharmalive.com/fda-will-find-docs-still-detest-dtc-advertising-survey )
    Hormones, Amino Acids Altered by Gastric Bypass Surgery
    FRIDAY, May 10 (HealthDay News) -- Gastric bypass surgery alters the hormones and amino acids produced during digestion, possibly elucidating the mechanisms through which the surgery eliminates symptoms of type 2 diabetes, according to a study published in the May issue of the Journal of Clinical Endocrinology and Metabolism.
    Abstract (http://jcem.endojournals.org/content/98/5/E856.abstract?sid=12d44d50-3564-49ac-954f-77dc7904ac5b )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/98/5/E856.full )
    User Satisfaction With Electronic Health Records Down
    FRIDAY, May 10 (HealthDay News) -- Since 2010, there has been a decrease in the satisfaction and usability ratings for certified electronic health records (EHRs), according to survey results presented by the American College of Physicians (ACP) and AmericanEHR Partners.
    More Information (http://www.americanehr.com/about/news/13-03-05/Survey-of-Clinicians-User-satisfaction-with-electronic-health-records-has-decreased-since-2010.aspx )
    Poor Service, Bedside Manner Top Patients' Online Complaints
    FRIDAY, May 10 (HealthDay News) -- On "rate-your-doctor" websites, patients complain more about poor bedside manner and unprofessional office staff than inadequate medical skills, according to a recent multi-city study published by Vanguard Communications.
    More Information (http://vanguardcommunications.net/about/survey-results-2013/ )
    HHS Releases Data on Inpatient Charges for Hospital Services
    THURSDAY, May 9 (HealthDay News) -- To promote transparency in the health care system, the first part of a three-part initiative has been released by the U.S. Department of Health and Human Services (HHS). The report provides consumers with information on hospital charges and highlights the considerable variation across the country for common inpatient services.
    More Information (http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4597&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date )
    Smartphones, Smartphone Apps Increasingly Used by Docs
    THURSDAY, May 9 (HealthDay News) -- Smartphones and smartphone applications are increasingly being used in a professional capacity among physicians, according to two reports published in the March issue of Kantar Media Sources & Interactions Study-Medical/Surgical Edition.
    Report 1 (http://www.kantarmedia-healthcare.com/how-are-physicians-using-smartphones-for-professional-purposes )Report 2 (http://www.kantarmedia-healthcare.com/more-physicians-value-and-use-mobile-apps-for-professional-purposes )
    Only Half Newly Reported HCV Cases Receiving Follow-Up Test
    WEDNESDAY, May 8 (HealthDay News) -- The lack of a hepatitis C virus (HCV) RNA test for approximately one-half of persons newly reported as HCV infected suggests that testing and reporting must improve to detect all persons with current infection, according to a study published in the May 7 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
    Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm62e0507a1.htm?s_cid=mm62e0507a1_w )
    Application for Health Coverage Has Been Simplified, Shortened
    WEDNESDAY, May 8 (HealthDay News) -- The application for health insurance coverage has been simplified and shortened, with the application reduced to three pages for individuals, according to a report released April 30 by the Centers for Medicare & Medicaid Services (CMS).
    More Information (https://www.cms.gov/apps/media/press/release.asp?Counter=4590&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&s )
    For Living Donor, Liver Transplant Mortality Rate at 0.2 Percent
    FRIDAY, May 3 (HealthDay News) -- The donor mortality rate during living donor liver transplantation (LDLT) is 0.2 percent, regardless of program experience, according to a study published in the May issue of Liver Transplantation.
    Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lt.23575/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lt.23575/full )Editorial (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lt.23616/abstract )
    Patients Most Annoyed by Long Waits, Unclear Test Results
    FRIDAY, May 3 (HealthDay News) -- Long waiting times and unclear test results are the top patient grievances when it comes to visiting the doctor, according to a report published in the June issue of Consumer Reports.
    More Information (http://www.consumerreports.org/cro/magazine/2013/06/what-bugs-you-most-about-your-doctor/index.htm )
    Bacterial Contamination Rife in Retail Store Ground Turkey
    THURSDAY, May 2 (HealthDay News) -- Ground turkey from retail stores is often contaminated with fecal bacteria, and in many cases the bacteria are resistant to antibiotics, according to a report published in the June issue of Consumer Reports.
    More Information (http://www.consumerreports.org/turkey0613 )
    Medicaid Coverage Doesn't Lead to Better Physical Health
    THURSDAY, May 2 (HealthDay News) -- Medicaid coverage does not seem to produce improvements in measured physical health outcomes within two years, but does have some effects, including increased use of health care services and reduced financial strain, according to research published in the May 2 issue of the New England Journal of Medicine.
    Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMsa1212321 )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1302107 )
    Health Industry Payment Details to Be Publicly Available
    THURSDAY, May 2 (HealthDay News) -- As part of the National Physician Payment Transparency Program and in compliance with a provision in the Affordable Care Act (ACA), the government will make information about financial relationships between doctors, teaching hospitals, and drug and device manufacturers publicly available on a new Centers for Medicare and Medicaid Services website, according to a report published by Kaiser Health News.
    More Information (http://capsules.kaiserhealthnews.org/index.php/2013/04/new-website-will-disclose-health-%20industry-payments-to-doctors/ )
    FDA: Samsca May Cause Liver Damage
    WEDNESDAY, May 1 (HealthDay News) -- After reviewing data from recent large clinical trials, the U.S. Food and Drug Administration has determined that Samsca (tolvaptan) should not be used for longer than 30 days and should not be used at all by patients with underlying liver disease.
    More Information (http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm350185.htm?source=govdelivery )
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