Study evaluates cognitive impairment in cirrhosis patients | Analysis: Weight loss surgery may reduce CRC risk | Study finds certain HPV-linked cancers increasing
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July 28, 2014
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Clinical Updates
Study evaluates cognitive impairment in cirrhosis patients
A study in The American Journal of Gastroenterology linked having an overt hepatic encephalopathy episode with cognitive impairment in patients treated for cirrhosis. Researchers wrote that these patients might be given priority for a liver transplant because of persistent cognitive impairment and a higher rate of post-transplant neurological complications. Read the abstract. Healio (free registration) (7/25)
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Analysis: Weight loss surgery may reduce CRC risk
A data review showed bariatric surgery to treat obesity may reduce the risk of colorectal cancer by 27% compared with patients who did not have the procedure. U.K. researchers reported that the studies, which included 24,321 bariatric surgery patients and 80,866 obese controls, followed patients for an average of five to 12 years. Healio (free registration) (7/24)
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Study finds certain HPV-linked cancers increasing
A study found that anal and throat cancers related to the human papillomavirus became more common over the past 35 years, according to an analysis of data from the Alberta Cancer Registry. "Both oropharyngeal and anal cancers are associated with substantial side effects when treated; therefore, education and prevention programs, including the HPV vaccination program, are urgently required," said oncologist Harold Lau, a co-author of the study. HealthDay News (7/25)
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Diet can cause fluctuations in gut bacteria, study finds
Changes in diet can have a major effect on gut bacteria on a daily basis but fluctuations tend to return to normal, Massachusetts Institute of Technology researchers reported in the journal Genome Biology. Their study tracked two patients' daily stool samples and food diaries for one year. HealthDay News (7/25)
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Legal & Regulatory
FTC commissioner calls for mobile-health data regulation
Federal Trade Commission member Julie Brill said that applications that collect health data should be regulated to protect consumer privacy. Speaking in Washington, D.C., Brill said health data collection could pose a threat for consumers unaware of who will gain access to their sensitive information. Reuters (7/24), VentureBeat (7/23)
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Practice News
World Hepatitis Day puts emphasis on prevention, treatment
The World Health Organization used World Hepatitis Day today to call for more testing, prevention and treatment of a disease that leads to almost 1.5 million deaths each year. Stanford University transplant surgeon Samuel So said hepatitis can be eradicated if countries increase prevention and treatment efforts. Voice of America (7/27)
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New pay models create challenges, gastroenterologist says
University of Pittsburgh Medical Center gastroenterology division chief David Whitcomb says academic hospitals face challenges adapting to new incentive-based payment models, such as accountable care organizations. He said it may be less expensive to send a patient with a complex pancreas problem to a less-expensive facility, but that could mean fewer patients are seen at research hospitals that depend on such patients to continue studying diseases and treatments. Pittsburgh Post-Gazette (7/22)
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Cost estimates boost perceived quality, but many report bill confusion
A survey by TransUnion Healthcare revealed 25% of patients obtained pretreatment cost estimates and 12% said it was easy to gain the information, while nearly half said the cost data was difficult to obtain. Researchers also found cost transparency and upfront cost estimates appeared to affect consumer perception on health care professionals and care quality. Houston Chronicle (tiered subscription model) (7/23)
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Business & Market Trends
Spending on health care begins to accelerate, analysis finds
Research from the National Center for Policy Analysis suggests U.S. health care spending is beginning to grow again after several years of slowdown. Spending as a percentage of gross domestic product dropped from 17.4% in 2009 to 17.2% in 2012, but the figure inched back up to 17.4% in the first quarter of this year, and real per capita health care spending grew by 2.2% while real per capita GDP growth was 0.8%. (7/23)
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Patient's Perspective
Teen researcher has impact on colon cancer vaccine development
University of Wisconsin sophomore Keven Stonewall is just 19, but he is already researching colon cancer vaccines and was responsible for discovering a flaw in one being developed at Rush University in Chicago. He was inspired to research colon cancer after a friend's uncle was diagnosed with the disease and Stonewall saw how strongly it affected the family. (7/23)
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ACG News
New colonoscopy patient education materials help support members' in their practice
New customizable patient education materials on colonoscopy are available to support your GI practice. The ACG Patient Care Committee and Public Relations Committee collaborated on clear, easy-to-read materials for patients that review colonoscopy and what to expect. Three formats are offered: a quick reference tri-fold pamphlet; a longer, more detailed booklet; and an online "eBooklet." Personalize these brochures with your practice information, website, map or logo. In partnership with Customized Communications, Inc., the College's new colonoscopy materials are available at a special discounted rate for ACG members. These peer-reviewed brochures are not only an excellent resource for patient education, but can also help raise visibility for your practice among your referring physicians, at community health fairs and more. For more information or to place an order visit or call Customized Communications, Inc. at 1-800-476-2253.
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Experts outline how to apply current guidelines to practice at ACG 2014
Join colleagues at the ACG 2014 Annual Scientific Meeting and Postgraduate Course in Philadelphia to hear leading experts review current guidelines and provide diagnosis and management strategies to implement guidelines into practice. ACG 2014 begins on Friday, Oct. 17, with optional Friday courses, including What's New in GI Pharmacology, Practice Management, and Pathology & Imaging, and an ASGE endoscopy course. Saturday and Sunday, Oct. 18 and 19, the Annual Postgraduate Course takes place and provides a broad clinical review with focused sessions on the Esophagus, Colon, Biliary Disease, Pancreas, and Genetic Disorders, plus optional Learning Luncheons and Simultaneous Symposia offered each day. Poster presentations begin on Sunday at 3:30 p.m. and will be held in the Exhibit Hall. Monday through Wednesday, Oct. 20 to 22, the Annual Scientific Meeting will take place. Free to members, it will feature dozens of oral presentations, simultaneous symposia, featured lectures, and optional breakfast sessions. Additional poster sessions will be offered on Monday and Tuesday in the Exhibit Hall. Register for ACG 2014 today.  Learn more about ACG 2014.
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The important thing in life is not to have a good hand but to play it well."
-- Louis Fortin,
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