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March 2019 Briefing – Gastroenterology

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Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for March 2019. This roundup includes the latest...
Higher body mass index

AACR: High BMI Before 50 Raising Pancreatic Cancer Mortality

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Twenty-eight percent of pancreatic cancer deaths due to higher BMI in those born in 1970 to 1974
Practicing physicians might not understand their legal responsibilities when caring for people with disability

Doctors Unclear on Legal Obligations in Caring for Patients With Disability

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Doctors report having little formal training, have incorrect understanding of care for patients with disability
Starting colorectal cancer screening at age 45 instead of 50 years seems cost-effective

Starting Colorectal Cancer Screening at Age 45 Years Is Cost-Effective

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But increasing participation for unscreened older adults would yield greater benefits at lower costs
Varied study design and methodology make it difficult to assess real-world trends in adherence and persistence in use of biologics among U.S. adults with inflammatory bowel disease

Use of Biologics to Treat IBD in U.S. Adults May Be Suboptimal

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While study design, methodology make comparisons difficult, adherence, continuation appear to be poor
Patients taking phentermine for weight loss for more than three months experience greater weight loss without an increased risk for incident cardiovascular disease or death

Long-Term Phentermine Use Safe, Effective for Weight Loss

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No difference in cardiovascular disease, death seen between those taking the drug for >12 versus ≤3 months
Virtual reality can reduce the time for a catheter to reach target vessels

Virtual Reality Cuts Time to Guide Catheter to Target Blood Vessels

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Compared with fluoroscopic guidance, VR reduces time to select GDA, splenic, right hepatic artery
Tooth loss is associated with an increased risk for incident pancreatic cancer in African-American women

Tooth Loss May Up Pancreatic Cancer Risk in Black Women

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Pancreatic cancer risk increased with tooth loss, especially loss of five or more teeth
Physicians with one or more paid malpractice claims are more likely to leave practice or shift into smaller practice settings

Doctors With Malpractice Claims More Likely to Leave Medicine

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Physicians with five or more malpractice claims more than twice as likely to go into solo practice
Nonadherence to inflammatory bowel disease treatment is more common among wealthier

Tx Adherence for Inflammatory Bowel Dz Lower in the Educated

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Findings based on Indian study that also showed lower adherence overall for topical treatment