Mass. close to reaching 80% CRC screening goal | Study links higher CRC risk to sulfidogenic bacteria | acg note: crc screening for blacks
March 22, 2017
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Colorectal Cancer Awareness Month
Mass. close to reaching 80% CRC screening goal
Massachusetts is just 4 percentage points away from reaching a nationwide goal of having 80% of adults ages 50 and older screened for colorectal cancer by 2018. Neil Maniar of the American Cancer Society said the remaining 4% represent population-based disparities and people who feel good and do not get tested, and he adds that increased public awareness and working with community groups on screening strategies can help. (New Bedford, Mass.) (tiered subscription model) (3/21) 
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Clinical Updates
Study links higher CRC risk to sulfidogenic bacteria
A study in the journal Gut found black patients had higher levels of sulfidogenic bacteria in colonic mucosa than white patients, which could be associated with their higher risk of colorectal cancer. Researchers said black patients also had higher intake levels of fat and animal protein, which also correlated with higher levels of sulfidogenic bacteria.
Healio (free registration)/Gastroenterology (3/20) 
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ACG note: The College in its Colorectal Cancer Screening Guideline recommends screening beginning at age 45 for African-American patients. A recent article in ACG's journal Clinical and Translational Gastroenterology by Dr. Renee Williams and the ACG Committee on Minority Affairs & Cultural Diversity provides an updated perspective on this recommendation and explores barriers to screening among African-Americans.
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Diet, exercise program yields weight loss for NAFLD patients
An intervention that included diet, exercise and health education helped patients with and without fatty liver disease lose weight and reduce levels of alanine aminotransferase, researchers reported at the Emerging Trends in Non-Alcoholic Fatty Liver Disease conference. The study, which assessed the University of Michigan Metabolic Fitness Program, found 22.5% of patients overall and 27.3% of the NAFLD group lost 5% of their baseline weight.
Healio (free registration) (3/20) 
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New hepatitis C medications eradicate disease for many, study finds
A Johns Hopkins University School of Medicine study found that 95% of patients with hepatitis C who were treated with one of six interferon-free treatment regimens using two or more drugs attained remission, according to findings published in the Annals of Internal Medicine. However, researchers noted that patients with chronic kidney disease did not tolerate the treatments as well and had lower remission rates.
HealthDay News (3/20) 
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Report finds ambiguous guidelines for cancer survivor care
There were ambiguous recommendations in 83% of North American and European guidelines targeted at caring for survivors of colorectal and eight other common cancers, researchers found. The study in JAMA Internal Medicine showed 90% of guidelines called for physical examinations and medical history, 83% recommended imaging, 63% called for endoscopic procedures and 56% included tests for disease biomarkers.
Reuters (3/20) 
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Legal & Regulatory
GOP reworks health care legislation to gain support
Congressional Republicans have made changes to the American Health Care Act in an effort to win more support for the legislation within their own party. The proposed amendments would boost tax credits for older people, end most Affordable Care Act taxes in 2017 rather than 2018, and give states more flexibility on Medicaid administration.
Reuters (3/22),  USA Today (3/21) 
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ACG note: Stay up to date on the latest ACA repeal and replace developments with ACG's "This Week in Washington, D.C."
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Practice News
ACG members: Use ACG's MACRA Resources
ACG members are encouraged to use the various MACRA resources, including the detailed overview of MACRA, ACG's "Making $ense of MACRA," the ACG-CMS webinar on the MIPS program, ACG's "quality reporting checklist," a list of each measure in the MIPS Quality, Advancing Care and Improvement Activities categories, as well as each measure's specifications. Check out the comprehensive list of ACG's "MACRA Tidbit for the Week" here as well.
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Business & Market Trends
Report predicts growth for global colonoscopy device market
The worldwide market for colonoscopy devices is expected to reach $2 billion by 2021 with a compound annual growth rate of about 5%, according to a Technavio report. Factors driving market growth include the emergence of minimally invasive surgical procedures and guidelines issued by health care organizations. (3/21) 
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Patient's Perspective
Study: Younger cancer survivors may have problems with social functioning
Research in the journal Cancer showed younger cancer survivors participate in fewer social activities than the general population and may feel isolated from their peers. Data showed that during the first year of a cancer diagnosis, patient social functioning improved, but it then declined over time.
Tech Times (3/20) 
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ACG News
Application deadline for ACG international training grants is Friday, March 31
Advance your skills and learn from experts when you apply for one of ACG's international training grants. Two grants, which provide partial financial support, are available: (1) The International Training Grant for those residing outside of Canada and the U.S. who wish to receive clinical or clinical research training in select medical training centers in North America, and (2) The North American International Training Grant for U.S. or Canadian GI fellows or GI physicians who have completed their training in the last five years who wish to receive additional training outside of North America. Questions about submitting a grant? Contact Maria Susano at
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WCOG at ACG2017. Designed with the busy GI clinician in mind
Think you are too busy to step away from the office? Think again. The WCOG at ACG2017 offers you the option to join colleagues for one day for optional Friday courses, two days for the Postgraduate Course, 2½ days for the Annual Scientific Meeting, or a combination of the three. Special discounted registration packages are offered to help you save when you register! Registration is open. Review the program. Register now. Make your hotel reservations.
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