July 28, 2021
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Clinical Updates
Elevated erythrocyte sedimentation rates and higher levels of C-reactive protein and D-dimers were seen among patients who had experienced severe COVID-19, according to a retrospective 12-patient study led by Ira Jacobson, MD, of the New York University Grossman School of Medicine, and published in the American Journal of Gastroenterology, and one of the patients underwent liver transplantation. "COVID-19 cholangiopathy must be considered in patients who have experienced severe COVID-19 illness and are found to have persistently elevated liver tests with a cholestatic pattern," Jacobson said. Read the abstract.
Full Story: Healio (free registration) (7/26) 
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Patients with constipation predominant irritable bowel syndrome who underwent sensory adaptation training reported more improvement in the urge to defecate than patients who took escitalopram, according to a study led by Satish Rao, MD, of Augusta University, and published in Clinical and Translational Gastroenterology. More studies are needed to compare SAT with sham therapies and visceral analgesics, researchers said. Read the abstract.
Full Story: Healio (free registration) (7/27) 
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An analysis of circulating micro-RNA enabled detection of nonalcoholic steatohepatitis in patients with nonalcoholic fatty liver disease, according to a study led by Tae Hyung Kim of the Korea University College of Medicine and published in Nature Scientific Reports. Circulating micro-RNA could serve as a biomarker for NASH, researchers wrote.
Full Story: Healio (free registration) (7/27) 
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Patients who have migraines are at a greater risk for irritable bowel syndrome and peptic ulcers but not Helicobacter pylori infections, celiac disease, Crohn's disease or ulcerative colitis, according to a study led by Nike Zoe Welander of Uppsala University and published in Brain and Behavior. More studies are needed as data were self-reported and the large sample size could have resulted in links that are not clinically relevant, according to researchers.
Full Story: HCPLive Network (7/28) 
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Practice News
Gastroenterologists and fellows at an academic medical center were able to review patient records in an average of 10.5 minutes when using an artificial intelligence tool that extracts EHR data, compared with an average of 12.8 minutes per record without the tool, researchers reported in JAMA Network Open. The study participants had to answer 22 questions about clinically relevant data in the records, and those who used the AI tool had an accuracy of 83.7%, compared with 86.0% in the control group.
Full Story: EHR Intelligence (7/26) 
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Patients' ability to connect to the internet and use digital health tools is a "sixth vital sign" that health professionals should be alert to, as it may affect whether patients can receive needed care, according to a commentary in the Journal of Diabetes Science and Technology. Digital health technologies can make a major difference in patient outcomes across a wide range of medical conditions, write Dr. David Klonoff of the Diabetes Research Institute at Mills-Peninsula Medical Center and colleagues.
Full Story: Healio (free registration)/Endocrine Today (7/23) 
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Business & Market Trends
Artificial intelligence tools might help patients understand clinical notes in their EHRs in the absence of guidance from their health care provider, researchers reported in the Journal of Medical Internet Research. Patients who used the NoteAid tool, which defines medical jargon when the cursor hovers over a word, had significantly higher health literacy scores than patients who didn't use the AI tool.
Full Story: Becker's Hospital Review (7/23),  University of Notre Dame (South Bend, Ind.) (7/20) 
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Patient's Perspective
A survey conducted last summer for the Pew Charitable Trusts found more than two-thirds of Americans want their health care providers to exchange some information not now required by law. By about a 2-to-1 margin, people were comfortable with the idea of having a unique patient identification number or attaching biometric data to ensure they are accurately matched with their records.
Full Story: The Pew Charitable Trusts (7/27) 
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