Fibrosis may be marker for NAFLD mortality, morbidity | Study: GPOEM reduces gastroparesis symptoms, improves QOL | Fecal calprotectin shows value in diagnosing children with IBD
August 16, 2017
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Clinical Updates
Fibrosis may be marker for NAFLD mortality, morbidity
Fibrosis stage can be a marker for morbidity and mortality in nonalcoholic fatty liver disease, and patients with later-stage fibrosis should be monitored for liver-related complications, researchers wrote in the Journal of Hepatology. Nonalcoholic steatohepatitis did not raise the risk of liver-related morbidity or overall mortality in NAFLD.
Healio (free registration) (8/15) 
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Study: GPOEM reduces gastroparesis symptoms, improves QOL
Gastric per-oral endoscopic pyloromyotomy led to improved gastroparesis symptoms, gastric emptying and quality of life, according to data published in Gastrointestinal Endoscopy that expands on research presented at the American College of Gastroenterology's 2016 annual meeting. The study found 81% of patients had significant improvements in average Gastroparesis Cardinal Symptom Index scores.
Healio (free registration)/Gastroenterology (8/11) 
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Fecal calprotectin shows value in diagnosing children with IBD
A review in JAMA Pediatrics found that adding fecal calprotectin to pediatric inflammatory bowel disease symptom evaluation improved the area under the curve of symptoms more than any blood marker. The findings also showed that rates of correct low-risk classifications for youths without IBD rose from 33% to 91% after the addition of fecal calprotectin, while incorrect low-risk designations among those with IBD declined from 16% to 9%.
Medscape (free registration)/Reuters (8/15),  Physician's Briefing/HealthDay News (8/15) 
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Elderly with hepatitis C respond to sofosbuvir-based regimens
A study in the Journal of Clinical and Experimental Hepatology found that 96% of 25 elderly patients with hepatitis C virus infections responded to sofosbuvir-based treatments. The patients ranged in age from 70 to 81.
MD Magazine online (8/12) 
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Legal & Regulatory
CBO: Halting CSR payments would raise premiums 20% next year
Discontinuing cost-sharing reduction payments to insurers would increase premiums for silver-tier plans, the most popular plan tier sold on Affordable Care Act exchanges, by 20% next year and by 25% by 2020, and would raise the federal deficit by $194 billion through 2026, according to an analysis by the Congressional Budget Office. The move would prompt insurers in some states to exit the market, leaving about 5% of Americans with no insurance options next year, although insurers are expected to rejoin the market in 2020.
The New York Times (free-article access for SmartBrief readers) (8/15),  The Hill (8/15) 
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ACG note: Stay up-to-date with the latest on health care reform legislation and public policy developments affecting clinical GI with ACG's "This Week in Washington, D.C."
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Practice News
Gut microbiome bounces back quickly after colonoscopy prep
Colonoscopy preparation may affect the gut microbiome, but research suggests it bounces back in a few weeks, and gastroenterologist Dr. Ilseung Cho said it does not appear to have any long-term consequences. One study found it was better for the gut microbiome to have two separate bowel prep doses, and gastroenterology researcher Gail Cresci said a split dose may be better for bowel prep and for the gut microbiome.
The New York Times (free-article access for SmartBrief readers)/Gastroenterology (8/11) 
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Study: Specialist access no higher using state standards
Specialty access standards used by five state Medicaid agencies did not significantly improve access to specialist physicians, according to a study in JAMA Internal Medicine. By next year, the CMS will require state Medicaid programs to implement time and distance standards for managed care organizations to ensure Medicaid patients have adequate access to specialist physicians.
Healio (free registration) (8/15) 
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Business & Market Trends
Many providers can open 3 or more EHR records at once, study finds
A study in the Journal of the American Medical Informatics Association showed that 44.3% of inpatient and outpatient facilities have EHR systems that allow providers to open three or more patient records at a time, while 38.3% allow only one record to be open at a time and 17.4% allow two records to be open. Researchers suggested that hospitals may reduce the risk of documentation errors by limiting the number of patient records that providers can open at once.
Becker's Hospital Review (8/15) 
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Patient's Perspective
Consumer interest in virtual care on the rise, study finds
A Park Associates report said 60% of US broadband households expressed interest in remote care options online or via telephone. In addition, nearly 50% of respondents said they were interested in remote follow-up care as well as virtual care for ongoing chronic health condition treatment, the report said.
Healthcare Informatics online (8/14) 
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ACG News
More sessions offered this year at the WCOG at ACG2017
More sessions offered this year at the WCOG at ACG2017
Join colleagues from around the world at the World Congress of Gastroenterology at ACG2017, Oct. 13-18, in Orlando. Working with the WGO for 2017, we've expanded the program with more sessions that will offer a global perspective while keeping the focus on U.S. GI clinicians. Many sessions will be available in Spanish. Regular attendees of ACG's Annual Scientific Meeting and Postgraduate Course will find that the program they've enjoyed for years will again offer clinical pearls they can take home and incorporate into practice. Registration is open. Review the program. Register now. Make your hotel reservations.
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Pain management in functional bowel disease
Join colleagues Aug. 26 and 27 at the Midwest Regional Postgraduate Course to hear leading expert Darren M. Brenner, MD, describe strategies to manage abdominal pain in patients with functional dyspepsia and IBS. Additional related talks include presentations on IBS-C and pelvic floor dysfunction, and bloating and the role of diet and the microbiome. Attend and you can earn up to 12 hours of CME and MOC. The course will also feature hands-on workshops on Saturday afternoon, or attendees can choose to attend any or all four general session presentations. One day prior to the Postgraduate Course, ACG's new IBD School will be held on Friday, Aug. 25. This day-long educational program combines an immersion in IBD management with a clinical update on new therapeutic and monitoring approaches. The course will be held at the Hilton St. Louis at the Ballpark, St. Louis. Located next to Busch Stadium, catch a Cardinals game during your stay. Review the Course Brochure. Register now.
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