Home News Gastrointestinal News August 2020 Briefing – Gastroenterology

August 2020 Briefing – Gastroenterology

Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for August 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

MASCC/ISOO Update Guidelines for Management of Mucositis

MONDAY, Aug. 31, 2020 (HealthDay News) — The Multinational Association of Supportive Care in Cancer and the International Society of Oral Oncology (MASCC/ISOO) have issued updated recommendations for the management of mucositis; a summary of these updates was published online July 28 in Cancer.

Abstract/Full Text

Risk for Cancer Reduced for Patients With Multiple Sclerosis

FRIDAY, Aug. 28, 2020 (HealthDay News) — The risk for cancer is reduced among patients with multiple sclerosis (MS), according to a systematic review and meta-analysis published online Aug. 13 in Autoimmunity Reviews.

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COVID-19 Infection May Initially Present as Acute Pancreatitis

FRIDAY, Aug. 28, 2020 (HealthDay News) — Acute pancreatitis may be a gastrointestinal manifestation of COVID-19, according to research published online Aug. 26 in Gastroenterology.

Abstract/Full Text

Alcoholic Liver Disease Death Rates Up for Non-Hispanic Whites

THURSDAY, Aug. 27, 2020 (HealthDay News) — There is considerable racial and ethnic disparity in alcoholic liver disease mortality, and although men have higher death rates, the male-to-female ratios decreased in the past two decades, according to a study published online Aug. 27 in the American Journal of Preventive Medicine.

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Advisory Panel Rejects Nearly All Proposals for Fetal Tissue Research

THURSDAY, Aug. 20, 2020 (HealthDay News) — A Trump administration advisory board to evaluate scientific research involving fetal tissue says 13 of 14 proposals should be rejected.

The New York Times Article

Antibiotic Exposure Linked to Risk for Inflammatory Bowel Disease

THURSDAY, Aug. 20, 2020 (HealthDay News) — Higher cumulative exposure to antibiotics is associated with an increased risk for new-onset inflammatory bowel disease (IBD), according to a study published online Aug. 17 in The Lancet Gastroenterology & Hepatology.

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Poll: More Older Adults Using Telehealth During Pandemic

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — More older adults have used telehealth to consult with a health care provider during the COVID-19 pandemic compared with that seen in the previous year, according to a report published online Aug. 17 based on the results of the University of Michigan National Poll on Healthy Aging.

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Homelessness Tied to Higher Readmission Rates

WEDNESDAY, Aug. 19, 2020 (HealthDay News) — Homelessness is associated with significantly higher 30- and 90-day readmission rates even when adjusting for other demographic and clinical factors, according to a study recently published in the Journal of General Internal Medicine.

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Recent Diabetes + Weight Loss Tied to Pancreatic Cancer Risk

TUESDAY, Aug. 18, 2020 (HealthDay News) — Recent-onset diabetes accompanied by weight loss is associated with a substantially increased risk for developing pancreatic cancer, according to a study published online Aug. 13 in JAMA Oncology.

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Bariatric Surgery Linked to Reduction in Mortality Rate

TUESDAY, Aug. 18, 2020 (HealthDay News) — Bariatric surgery is associated with a reduction in mortality, and Roux-en-Y gastric bypass (RYGB) is effective for blood pressure (BP) control in patients with hypertension and obesity, according to two studies published online Aug. 18 in the Annals of Internal Medicine.

Abstract/Full Text – Doumouras (subscription or payment may be required)

Abstract/Full Text – Schiavon (subscription or payment may be required)

Editorial (subscription or payment may be required)

FDA: Cyclospora Outbreak Source Still Unknown

MONDAY, Aug. 17, 2020 (HealthDay News) — The source of an outbreak of Cyclospora infections that have affected 690 people in 13 states is still unknown, the U.S. Food and Drug Administration says.

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Smokers Less Likely to Receive Breast, Cervical, CRC Screening

MONDAY, Aug. 17, 2020 (HealthDay News) — Current smokers have lower odds of obtaining cancer screening for breast, cervical, and colorectal cancer, according to a study published online Aug. 13 in BMJ Open.

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Return-to-School Recommendations Issued for Organ Transplant Recipients

FRIDAY, Aug. 14, 2020 (HealthDay News) — For solid organ transplant (SOT) recipients, the decision of whether to return to school should be a shared decision between families, transplant professionals, and educators, according to an expert opinion article published online Aug. 4 in the Journal of the Pediatric Infectious Diseases Society.

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Abnormal Liver Tests Common in Hospitalized COVID-19 Patients

THURSDAY, Aug. 13, 2020 (HealthDay News) — Hospitalized patients with COVID-19 frequently have abnormal liver tests, which may be associated with poorer clinical outcomes, according to research published online July 29 in Hepatology.

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Outcomes Worse With No Surgery for Cholecystitis in Pregnancy

THURSDAY, Aug. 13, 2020 (HealthDay News) — Contrary to current guidelines, most pregnant women admitted to U.S. hospitals for acute cholecystitis are managed nonoperatively, according to a study published online July 14 in the Annals of Surgery.

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GI Surgical Outcomes Worse With Preop Use of Opioids, Sedatives

THURSDAY, Aug. 13, 2020 (HealthDay News) — Preoperative opioid and sedative use are risk factors for morbidity and mortality following colorectal resections, according to a study published in the July issue of Diseases of the Colon & Rectum.

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Burnout Less Likely for Doctors in Minority Race/Ethnic Groups

WEDNESDAY, Aug. 12, 2020 (HealthDay News) — Compared with non-Hispanic White physicians, physicians in minority racial/ethnic groups are less likely to report burnout, according to a study published online Aug. 7 in JAMA Network Open.

Abstract/Full Text

Editorial

Guidelines Detail How to Manage Aneurysms of Visceral Arteries

WEDNESDAY, Aug. 12, 2020 (HealthDay News) — In evidence-based clinical practice guidelines, issued by the Society for Vascular Surgery and published in a supplement to the July issue of the Journal of Vascular Surgery, recommendations are presented for the care and treatment of aneurysms of the visceral arteries.

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Guidance Helps Doctors Optimize Telemedicine for Seniors

TUESDAY, Aug. 11, 2020 (HealthDay News) — In an Ideas and Opinions article published online Aug. 11 in the Annals of Internal Medicine, guidance is provided for physicians to optimize telemedicine, which can be challenging for older patients.

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Expanding Medicaid in Holdout States Could Insure 3.9 Million

MONDAY, Aug. 10, 2020 (HealthDay News) — Expanding Medicaid to all states could reduce the number of uninsured by 28 percent based on pre-COVID-19 data, according to a report released by the Urban Institute and the Robert Wood Johnson Foundation.

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Life Expectancy 78.60 Years for U.S. Population for 2009-2011

FRIDAY, Aug. 7, 2020 (HealthDay News) — Life expectancy for 2009 to 2011 was 78.60 years for the total U.S. population, with the highest life expectancy for Hispanic women, according to the Aug. 7 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Overscreening for Cancer Common Among Older Adults

FRIDAY, Aug. 7, 2020 (HealthDay News) — Almost half of older U.S. adults report being screened for colorectal, cervical, or breast cancer beyond recommended upper age limits, particularly women living in metropolitan areas, according to a study published online July 27 in JAMA Network Open.

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Gastric Cancer Incidence in Those ≥50 Differs by Race/Ethnicity

THURSDAY, Aug. 6, 2020 (HealthDay News) — Significant differences are seen in gastric adenocarcinoma incidence according to race and ethnicity, according to a study published online Aug. 6 in Gastroenterology.

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CDC: More American Indian, Alaska Natives in Fair, Poor Health

THURSDAY, Aug. 6, 2020 (HealthDay News) — American Indian and Alaska Native (AIAN) adults are more likely to be in fair or poor health than all U.S. adults, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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ASCRS Updates Guidelines on Surgery for Crohn Disease

THURSDAY, Aug. 6, 2020 (HealthDay News) — In clinical practice guidelines from the American Society of Colon and Rectal Surgeons, published in the August issue of Diseases of the Colon & Rectum, recommendations are presented for indications and considerations before, during, and after surgery for Crohn disease (CD).

Abstract/Full Text

Health Plans Not Implementing Prior Authorization Reforms

WEDNESDAY, Aug. 5, 2020 (HealthDay News) — Physicians say prior authorization (PA) continues to interfere with patient care and can lead to adverse clinical consequences, according to the results of a survey released by the American Medical Association.

Press Release

Physician Survey

Number of Newly ID’d U.S. Patients With Cancer Dropped During COVID-19

TUESDAY, Aug. 4, 2020 (HealthDay News) — During the COVID-19 pandemic period, there was a significant decline in newly identified U.S. patients with six common types of cancer, according to a research letter published online Aug. 4 in JAMA Network Open.

Abstract/Full Text

President Says Medicare Should Expand Telehealth Services

TUESDAY, Aug. 4, 2020 (HealthDay News) — President Donald Trump signed an order on Monday that will broaden the role of telehealth for Medicare patients, the Associated Press reported.

AP News Article

Most Studies Still Fail to Analyze Data by Sex

TUESDAY, Aug. 4, 2020 (HealthDay News) — The effect of gender is still largely ignored in scientific studies, according to a study published online June 9 in eLife.

Abstract/Full Text

Probiotics Not Recommended for Most Digestive Conditions

TUESDAY, Aug. 4, 2020 (HealthDay News) — Probiotics are not recommended for most digestive conditions, according to a clinical practice guideline issued by the American Gastroenterological Association and published online June 9 in Gastroenterology.

AGA Clinical Practice Guidelines

Technical Review

Cost-Related Rx Nonadherence Highest in Young U.S. Women

MONDAY, Aug. 3, 2020 (HealthDay News) — Cost-related prescription nonadherence is highest among younger U.S. women compared with individuals living in 10 other high-income countries, according to a report published in the August issue of Health Affairs.

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38 Percent of Older Adults in U.S. Not Ready for Video Doctor Visits

MONDAY, Aug. 3, 2020 (HealthDay News) — An estimated 38 percent of all older adults in the United States are not ready for video visits with physicians, according to a research letter published online Aug. 3 in JAMA Internal Medicine.

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