Study ties opioid use to worse outcomes in C. difficile | Developing countries experience rise in IBD rates | Primary sclerosing cholangitis may respond to fecal transplant
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October 18, 2017
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Clinical Updates
Study ties opioid use to worse outcomes in C. difficile
A study presented at the World Congress of Gastroenterology found patients with Clostridium difficile who received opioids during their hospital stay had higher rates of complicated infection and in-hospital mortality and longer length of average hospital stay, compared with patients in the control group. The findings were based on medical records of 302 patients hospitalized for at least three days.
Medscape (free registration) (10/17) 
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Developing countries experience rise in IBD rates
Inflammatory bowel disease rates are stable or declining in North America, Europe and Oceania but increasing in developing nations in Asia, Africa and South America, Dr. Gilaad Kaplan of the University of Calgary told the World Congress of Gastroenterology at ACG2017. Kaplan linked increases in IBD to the westernization of developing countries and said the countries will have to prepare resources, personnel and infrastructure to manage the diseases.
Healio (free registration) (10/18) 
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Primary sclerosing cholangitis may respond to fecal transplant
A study presented at the World Congress of Gastroenterology at ACG2017 found fecal transplantation may be safe and effective for treating patients with primary sclerosing cholangitis. Patients who had a fecal transplant experienced reductions in alkaline phosphatase and increased microbiome diversity.
Physician's Briefing/HealthDay News (10/16) 
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Legal & Regulatory
Senate bipartisan agreement to stabilize ACA markets stalls
Senate health committee Chairman Lamar Alexander, R-Tenn., and ranking member Sen. Patty Murray, D-Wash., announced a deal to stabilize the individual insurance market by funding cost-sharing reduction payments through 2019, giving states more flexibility to skirt certain Affordable Care Act requirements and allowing consumers over age 30 to purchase catastrophic insurance plans. However, the proposal has stalled as some Republicans say they oppose it, Senate Republican leaders have not endorsed it and President Donald Trump has sent mixed messages.
The Washington Post (tiered subscription model) (10/17) 
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Agencies consider updates to HCV screening recommendations
The CDC and US Preventive Services Task Force may update recommendations for hepatitis C screening in response to a significant increase in HCV incidence, especially among indigenous American and non-Hispanic whites. Higher HCV incidence is seen among younger adults and is driven by the opioid crisis, the CDC's Dr. John Ward told the International Conference on Viral Hepatitis 2017.
Medscape (free registration) (10/16) 
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Practice News
Pike begins duties as ACG president
Dr. Irving Pike, founding director of the GI Quality Improvement Consortium, assumed his position as the new president of the American College of Gastroenterology during the World Congress of Gastroenterology at ACG2017. Pike, who is the chief medical officer for John Muir Health, said his priorities will include finding a reasonable methodology for maintenance of certification, improving quality and the Merit-based Incentives Payment System.
Healio (free registration)/Gastroenterology (10/16),  Healio (free registration)/Gastroenterology (10/17) 
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Survey: 49% of gastroenterologists report burnout
Survey responses from 754 ACG members showed 49% had experienced burnout and 45% reported having emotional exhaustion, researchers told the World Congress of Gastroenterology at ACG2017. The survey found gastroenterologists spend an average of eight hours daily on direct patient care, three hours on administrative duties and two hours on work at home.
Healio (free registration) (10/17) 
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Business & Market Trends
Physicians can take steps to manage their online profiles
Gastroenterology disorders make up the top five health term searches on Google, so it is important for physicians to have accurate practice information online, Dr. Kenneth Brown of Digestive Health Associates of Texas said during a practice management session held before the World Congress of Gastroenterology at ACG2017. Brown said maintaining a good online reputation requires being on the top review sites, such as Healthgrades, Vitals and RateMDs, soliciting positive reviews and viewing negative evaluations as an opportunity for change.
Healio (free registration) (10/15) 
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Patient's Perspective
Survey identifies hurdles to treatment of hepatitis C
Health Union's third annual Hepatitis C in America survey found that factors such as treatment cost, lack of insurance and anxiety about side effects were among the main obstacles to treatment. Of 609 respondents, 62% knew what hepatitis C was before their diagnosis and 33% did not.
Healio (free registration)/HCVnext (10/13) 
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ACG News
Need to fill a position? Find a qualified candidate via the WCOG at ACG2017 Job Forum
Looking for a GI fellow who is ready to graduate or a seasoned professional to serve as a leader and mentor? Reach your key audience by posting your position on the Job Forum for the WCOG at ACG2017. For only $500 per posting, employers can gain visibility for their job openings before the meeting, connect with potential employees on site in Orlando, and continue to market their position 30 days after the meeting. ACG will promote the Job Forum via print and digital channels. Post a job. Candidates seeking a new position may also post their resume and search jobs for free. Search jobs.
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Make Plans to be in Nashville on Dec. 1-3 for ACG's IBD School and Southern Regional Postgraduate Course
Learn from first-rate faculty and engage in hands-on learning opportunities at the ACG Southern Regional Postgraduate Course, Dec. 2-3, in Nashville, TN. Featured topics include upper and lower GI, pancreas, endoscopy, FMT, small bowel bleeding, liver, and payment models. Even better, come one day early for a daylong immersion in IBD management, combined with a clinical update on new therapeutic and monitoring approaches, during ACG's IBD School, Dec. 1, which is co-directed by ACG Vice President Dr. Sunanda V. Kane and Trustee Dr. David T. Rubin. Learn more. Register today.
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