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April 2019 Briefing – Gastroenterology

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Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for April 2019. This roundup includes the latest...
Youth with cognitive impairment or developmental disability have weight-loss trajectories after bariatric surgery similar to those of their peers with typical cognitive function

Cognitive Function Does Not Predict Pediatric Bariatric Surgery Outcome

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Weight loss trajectory did not differ between those with, without cognitive impairment
Electronic health record decision support reduces inappropriate use of an expensive gastrointestinal test for patients hospitalized with diarrhea

EHR Decision Support Can Reduce Inappropriate GI Testing

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Restricting orders cut inappropriate GIPP tests from 21.5 to 4.9 percent for inpatients with diarrhea
The risk for adverse drug reactions may be higher for women

Gender Differences Seen in Adverse Drug Reactions

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Differences found in reaction symptoms and types of drugs tied to adverse reactions
A new app can predict the likelihood that a patient will develop an incisional hernia following abdominal surgery

New App Aids Surgeons in Predicting Hernias After Abdominal Surgery

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Real-time risk score predicts incisional hernias following abdominal surgery
The U.S. Food and Drug Administration this week announced three new efforts to protect patients from malfunctions

FDA Announces New Steps to Reduce Risks Tied to Surgical Staplers

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Agency proposing higher classification of surgical staplers that will require premarket notification clearance
Chemotherapy patients who suck on ice chips during treatment with oxaliplatin infusion have less trouble with eating and drinking cold things

Sucking Ice Chips Cuts Oral Side Effects of Oxaliplatin Chemo

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Benefits include less trouble eating and fewer symptom-related negative effects on quality of life
Both telephone-delivered and web-delivered cognitive behavioral therapy can significantly improve irritable bowel syndrome symptoms

Cognitive Behavioral Therapy Aids Irritable Bowel Symptoms

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Improvements in symptoms, life impact maintained at 12 months
Financial incentives do not increase response rates among patients mailed at-home colorectal cancer screening tests

Financial Incentives Do Not Boost Use of At-Home CRC Screening Tests

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$10 incentives used in the study may have been too small to garner a response
Increased educational debt appears to directly influence physician practice choice

Loan Forgiveness, Educational Debt May Affect Practice Patterns

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Graduates with loan forgiveness/repayment program more likely to enter primary care fields