Docs may not consistently be recommending colon cancer screening to minorities | High BMI, inflammation in adolescence may raise midlife colorectal cancer risk | Researchers develop algorithm to ID high-risk hepatitis C patients
 
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May 27, 2015
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Clinical Updates
Docs may not consistently be recommending colon cancer screening to minorities
A study in the American Journal of Gastroenterology found that doctors may be contributing to racial and ethnic disparities in colon cancer screening by failing to recommend patients be checked. Researchers surveyed people ages 50 to 75 who had not been screened, and they found that 25% of African-Americans, 22% of Asian-Americans and 21% of Latinos said they did not obtain screening because it was not recommended by their physicians, compared with 17% of white patients. After adjusting for demographic and other variables, African-American participants were 46% more likely than white respondents to say a lack of recommendation was their primary reason for not being tested. Read the abstract. Reuters (5/26)
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High BMI, inflammation in adolescence may raise midlife colorectal cancer risk
An analysis of data from a cohort study involving 239,658 Swedish men, ages 16 to 20, followed for an average of 35 years found that men who were obese and in the upper portion of those considered overweight were at more than double the risk of developing colorectal cancer compared with normal-weight men. The study also found that men with high rates of erythrocyte sedimentation, an indicator of inflammation, had a 63% increased colorectal cancer risk. Family Practice News (5/25)
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Researchers develop algorithm to ID high-risk hepatitis C patients
A predictive analytics algorithm was developed by University of Michigan researchers to identify patients who have a high risk of hepatitis C complications. The model, which uses EHR data and a data set derived from the HALT-C trial, is more accurate than other models that use fewer lab values. Researchers said the analytics can help identify patients who would benefit from immediate treatment. Health IT Analytics (5/26)
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Legal & Regulatory
New demonstration project would link colorectal cancer screening to discussion of and testing for HCV
A key feature of new legislation introduced in April under the SCREEN Act (S. 1079/H.R. 2035) is an innovative Medicare demonstration project that would enable a Medicare beneficiary to schedule age-appropriate hepatitis C testing at the same time as screening colonoscopy. Learn more.
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Clostridium difficile test receives FDA clearance
A Clostridium difficile test developed by Roche to detect the toxin B gene in patients' stool samples has received 510(k) clearance from the FDA. The company says the test simplifies labs' workflow and requires less handling of samples compared with other tests. GenomeWeb Daily News (free registration) (5/26)
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Practice News
Researchers analyze high-value cancer screening recommendations
Researchers with the American College of Physicians' High Value Care Task Force reviewed cancer screening strategies for five diseases and found all organizations recommend colorectal cancer screening for people ages 50 to 75 using one of four options. The authors urged physicians to adopt a cancer screening strategy aimed at reaching all eligible patients and using high-value testing options. PhysiciansBriefing.com (5/20)
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Research has yet to show if 2nd opinions change outcomes
Study data show getting a second opinion can change a patient's diagnosis but whether it changes outcomes is unknown, said patient safety researcher Dr. Hardeep Singh at the Michael E. DeBakey VA Medical Center and Baylor College of Medicine. Second opinions now are being offered online, giving patients easier access to specialists. Kaiser Health News (5/26)
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Business & Market Trends
EHR incentives exceed $30B as of March
The CMS has released Medicaid and Medicare EHR incentive payments totaling over $30 billion to 447,842 eligible hospitals and professionals as of March. Around $3.6 billion was given to qualified Medicaid professionals, $7.7 billion went to qualified Medicare professionals, eligible hospitals nabbed $18.3 billion and Medicare Advantage groups received $400 million. BeckersHospitalReview.com (5/21)
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Patient's Perspective
Alternative treatment draws more interest from cancer patients who are younger
Researchers looked at 969 individuals with breast, lung and gastrointestinal cancer and found that those younger than 65 were more open to using alternative and complementary treatments, compared with older patients. The study also found patients who are female, 65 years old or younger or who have a college education had a greater likelihood of expecting benefits from using such treatments, compared with other patients. Reuters (5/26)
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ACG News
Experts review quality indicators for Barrett's esophagus, colonoscopy and IBD
A team of experts will present quality indicators in gastroenterology at ACG's Eastern Regional Postgraduate Course on June 13 and 14 at the Seaport Hotel & World Trade Center in Boston. Choose which data to assess and how to utilize in order to improve patient outcomes in Barrett's esophagus, define current quality indicators and discuss technology and techniques to improve them in the performance of colonoscopy, and describe the current and prospective quality indicators and their effect on treatment of IBD. Other topics to be offered include IBS, endoscopy, celiac disease, acute and chronic pancreatitis, and more. Prior to the start of the Regional Course, ACG will offer Hepatitis School on Friday, June 12. Registration is open. Learn more about Hepatitis School and the Eastern Regional Postgraduate Course. Register today.
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Is your research award-winning? Submit an abstract for ACG 2015 today
Submit your research work or clinical vignette/case report in the form of an abstract for ACG 2015, the ACG Annual Scientific Meeting and Postgraduate Course, Oct. 16-21, at the Hawaii Convention Center in Honolulu. All abstracts will be published in a supplement to the October issue of The American Journal of Gastroenterology. More than 30 awards in a variety of areas will be awarded to outstanding abstracts. Abstracts may be submitted online only. No abstracts will be accepted by fax, mail or e-mail. The Endoscopy Video Forum returns again this year. Review the brochure along with the video guidelines when submitting. The Call for Abstracts deadline is Monday, June 8, at 11:59 p.m. EDT. Don't miss out on this opportunity to share your research work with colleagues. Learn more and submit your abstract.
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SmartQuote
We may encounter many defeats, but we must not be defeated."
-- Maya Angelou,
author and poet
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