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November 2017 Briefing – Gastroenterology

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Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for November 2017. This roundup includes the latest...
Females with anorexia nervosa have lower gut microbial diversity

Lower Microbial Diversity in the Gut in Anorexia Nervosa

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Alpha diversity lower in anorexia nervosa, obese participants versus other groups; highest for athletes
An estimated 42.0 percent of all incident cancers and 45.1 percent of cancer deaths in the United States are attributed to potentially modifiable risk factors

>40% of Cancers, Cancer Deaths Due to Modifiable Risk Factors

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Cigarette smoking accounts for highest proportion of cancer cases (19.0 percent), deaths (28.8 percent)
From 1997 to 2014

Differences in Cancer Survival by Type of Insurance

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Survival up in patients with private insurance, Medicare; no change or drop with other, no insurance
While both improve gastrointestinal symptoms

FODMAP Diet Beats General Dietary Advice for IBS

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Although both low FODMAP diet and GDA in patients with IBS-D led to improvement
Urban American Indians and Alaskan Natives with cancer have a significantly higher comorbidity burden

Mortality Up for Some Cancers in Urban-Dwelling Native Americans

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Urban American Indians and Alaskan Natives with cancer have significantly higher comorbidity burden
For patients with recurrent Clostridium difficile infection

Fecal Microbial Transplant by Oral Capsule Noninferior for CDI

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FMT by capsule noninferior to FMT by colonoscopy for prevention of recurrent C. difficile infection
The Value-Based Payment Modifier is not associated with performance differences between practices serving higher-risk and lower-risk patients

Value-Based Payment Modifier Not Tied to Practice Performance

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Performance differences between practices narrowed after adjustment for patient characteristics
Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician

Clinician Denial of Patient Requests Impacts Satisfaction

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Worse satisfaction in association with denial of request for referral, pain meds, other meds, lab tests
Higher early childhood intake of alpha-tocopherol is associated with lower odds of elevated mid-childhood alanine aminotransferase levels

Vitamin E in Early Childhood Tied to Lower ALT Levels Later

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Findings persist when early diet considered; strengthened when BMI z-score taken into account