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Gastroenterology

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In their first year

Early-Stage Cancer Diagnoses Up With ACA’s Medicaid Expansions

Both overall and early diagnosis of cancer increased in first year of expansions
A targeted microbiome intervention

Microbiome Intervention With Niacin Aids Insulin Sensitivity

Delayed-release microcapsules of nicotinic acid induce favorable microbiome changes
Almost 30 percent of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program

Year One Results Out for Value-Based Payment Modifier Program

Overall, 29.3 percent of eligible practices failed to register and report data and received a penalty
The fatty liver index may be an accurate predictor of colorectal adenomas among an average-risk population

High Fatty Liver Index Tied to Colorectal Adenomas

Compared with low-index group, those with high index have more frequent, more advanced adenomas
Contrast-enhanced laparoscopic ultrasonography does not appear to increase the detection rate of liver metastasis during robotic-assisted surgery for primary colorectal cancer

Contrast-Enhanced Ultrasound No Aid for Metastasis Detection

Findings based on use of laparoscopic ultrasonography during colorectal cancer surgery
Hospital admissions of patients with Clostridium difficile infection and accompanying acute kidney injury are increasing

C. Difficile + Kidney Injury Admissions Are Up

Despite increase in admissions, inpatient mortality improved from 2003 to 2012
Omalizumab improves the efficacy of multifood oral immunotherapy among pediatric patients with multifood allergies

Omalizumab Ups Efficacy of Multifood Oral Immunotherapy

Findings in multifood allergic pediatric patients
Individuals with prior Roux-en-Y gastric bypass have blunted β-cell sensitivity to changes in glycemia

β-Cell Sensitivity to Glucose Impaired After Gastric Bypass

Individuals with prior Roux-en-Y gastric bypass have reduced β-cell glucose sensitivity
Health care spending growth slowed in 2016 following faster growth in 2014 and 2015

Deceleration in Health Care Spending Growth in 2016

Enrollment trends drove slowdown in Medicaid and private health insurance spending growth in 2016
Nonalcoholic fatty liver disease is not associated with increased risk of incident reflux esophagitis after adjustment for variables

NAFLD Not Independently Tied to Risk of Reflux Esophagitis

After adjustment for BMI and other metabolic factors the association disappeared