Study: IBS patients' health perceptions focus on non-GI issues | Analyzing stool emissions may differentiate IBD from IBS | Study suggests obesity, not diet, may raise colon cancer risk
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April 2, 2014
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Clinical Updates
Study: IBS patients' health perceptions focus on non-GI issues
The self-reported health of patients with irritable bowel syndrome was more likely to be affected by non-GI concerns, such as somatization, depression, fatigue, comorbidities and stress, rather than IBS symptom severity, researchers at the University of Buffalo School of Medicine and Biomedical Sciences reported in The American Journal of Gastroenterology. Researcher Jeffrey Lackner said the results were surprising but noted patient perceptions often are "at odds with medical reality." Read the abstract. Healio (free registration) (3/31)
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Analyzing stool emissions may differentiate IBD from IBS
A U.K. study found volatile organic compounds emitted from stool samples may be able to determine whether patients have inflammatory bowel disease or irritable bowel syndrome. VOCs were used as a proxy for gastrointestinal tract conditions in tests using a gas chromatograph and a metal oxide sensor with pattern recognition software, and yielded an overall accuracy rate of 76%. Healio (free registration) (4/1)
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Study suggests obesity, not diet, may raise colon cancer risk
Obesity, not poor diet, may be linked to an increased risk of colon cancer, according to a study from the National Institute of Environmental Health Sciences. The study, which focused on the NAG-1 gene, found mice that did not have the gene gained weight when fed a high-fat diet and exhibited genetic patterns resembling those found with colorectal cancer. (4/1)
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Legal & Regulatory
Congress passes ICD-10, SGR measure
The Senate on Monday voted 64-35 in favor of a bill that would move the ICD-10 implementation date to Oct. 1, 2015, and delay for another year a 24% cut in Medicare physician reimbursement rates under the sustainable growth rate formula. President Barack Obama is expected to sign the bill. Health Data Management (3/31), Reuters (3/31), ABC News/The Associated Press (3/31)
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Practice News
Study analyzes websites with colon cancer screening information
The CDC's website on colon cancer screening was the only one of 12 reviewed to get a superior rating, according to University of Texas Southwestern Medical Center researchers. The study team found 10 of the websites were written above the sixth-grade reading level that is recommended, and only half provided information about the risks of colon cancer for the general population. Reuters (4/1)
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Researchers: Lower drug costs, copays to cut Rx nonadherence
Researchers said 31.3% of 37,506 initial drug prescriptions were unfilled after nine months, with prescriptions for autonomic drugs, gastrointestinal drugs and skin agents less likely to be filled than anti-infectives. "Primary nonadherence is common and may be reduced by lower drug costs and copayments, as well as increased follow-up care with prescribing physicians for patients with chronic conditions," researchers said. News (4/1)
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Pochapin: Lower colon cancer rates are a public health victory
American Cancer Society data showing a decrease in colon cancer rates among adults over age 50 is a public health victory for health care professionals, survivors, families and advocates who worked to raise awareness of the disease and screening, writes Dr. Mark Pochapin, director of the Division of Gastroenterology at New York University Langone Medical Center. The ACS credited the decrease in colon cancer largely to an increase in colonoscopy screening, and Pochapin says the next goal is to get screening rates up to 80% by 2018. The Huffington Post/The Blog (3/31)
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Business & Market Trends
Federal data show 3.6% increase in EHR incentives
Electronic health record incentives saw a 3.6% increase in February, CMS data showed. More than 88% of eligible physicians and other professionals and more than 94% of eligible U.S. hospitals have already registered for the program, according to the federal data. Modern Healthcare (free registration) (3/31)
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Survey looks at doctor distribution by practice type
Data from the 2012 Physician Practice Benchmark Survey showed 45.5% of responding U.S. physicians worked in a single specialty group, while 22.1% were in multispecialty practices and 18.4% worked in solo practice. The survey found 5.6% of doctors were direct hospital employees and 2.7% were in faculty practice arrangements. (4/1)
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Patient's Perspective
Comedian adds colon cancer screening to his club routine
Comedian and colon cancer survivor Sean Peabody said he talks about the disease as part of his club routines in an effort to raise awareness about the importance of screening. The 38-year-old, who performs in the Reno, Nev., area, said having to get a follow-up colonoscopy every year is a small price to pay for being healthy. KRNV-TV (Reno, Nev.) (3/31)
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ACG News
ACG Awards Committee seeks nominations. Deadline is April 25
ACG's awards provide an opportunity to honor deserving colleagues who have made significant contributions to clinical gastroenterology and to the College. Awards available include: Berk/Fise Clinical Achievement Award, International Leadership Award, Community Service Award, Samuel S. Weiss Award, Minority Digestive Health Care Award and Master of the American College of Gastroenterology. View the eligibility requirements for these and all of ACG's distinguished awards.
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Hear experts summarize the options for managing Barrett’s esophagus
Nicholas J. Shaheen, MD, FACG, will present a case on Barrett's esophagus, while Kevin M. McGrath, MD, and Ikuo Hirano, MD, FACG, debate the advantages/disadvantages to ablation vs. non-ablative therapy, at the ACG Eastern Regional Postgraduate Course, Saturday and Sunday, June 7 and 8, at the new Washington Marriott Marquis in downtown Washington, D.C. Other topics include Hot Topics in Luminal GI, Debates in IBD, Liver, Celiac Sprue and Endoscopy. In addition, breakout sessions and hands-on sessions will be offered on Saturday afternoon. Friday evening, June 6, ACG will offer Self-Assessment Program for Maintenance of Certification (SAPMOC). ACG's new 10-point module will be featured. Learn more about the Regional Postgraduate Course and SAPMOC and register here.
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