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Gastroenterology

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Online consumer ratings of specialist physicians do not predict objective measures of quality of care or peer assessment of clinical performance

Online Ratings Not Aligned With Objective Quality Measures

In addition, consumer ratings are consistent across platforms for specialist physicians
Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016

Health Care Spending Up, Mainly Due to Rising Prices

Spending increasing despite no change or decline in utilization of most health care services
Causes of primary liver cancer differ widely among populations globally

Liver Cancer Remains a Major Public Health Burden Globally

Findings can be used to guide liver cancer prevention efforts
Almost half of gastroenterologists report burnout

ACG: Burnout Reported by About Half of Gastroenterologists

Factors associated with burnout include female sex, spending more hours on domestic chores, child care
A 30-minute preoperative physical therapy session focused on breathing exercises is associated with a reduced incidence of postoperative pulmonary complications among patients undergoing upper abdominal surgery

Pre-Op Physical Therapy May Cut Pulmonary Complications

Patients undergoing elective upper abdominal surgery may benefit from breathing exercise training
Most cancer drugs that enter the market in Europe have no evidence of benefit for survival or quality of life

Most Cancer Drugs Approved in Europe Show No Survival Benefit

Even in the postmarketing period, half of cancers have no evidence of significant survival gain
Based on data from mouse models and humans

Gastric Acid Suppression May Promote Liver Injury

Expansion of intestinal Enterococcus faecalis in mice exacerbates ethanol-induced liver disease
Both hospitalizations and deaths are increasing among Medicare recipients with liver cancer

Burden of Liver Cancer Rising in Medicare Patients

Coexistence of other liver conditions tied to even higher risk for death, health care costs
Both paper-based and electronic health records have shortcomings in terms of quality of content

Quality Issues for Both Paper-, Electronic-Based Health Records

Study affirms poor quality of nursing documentation, as well as lack of knowledge and skills
Female physicians are more burned out than their male colleagues

Female Physicians May Be Especially at Risk of Burnout

They tend to deal with psychosocial care more than male colleagues but can take steps to reduce stress