Search results for "From ACP Internist"
Tailored thresholds for FIT may increase colorectal cancer detection
Rates of cancer detection and the number of positive test results per cancer case detected varied significantly by age and sex, which suggests that modifying positivity thresholds by subgroups might optimize screening program performance.
https://gastroenterology.acponline.org/archives/2018/09/28/6.htm
28 Sep 2018
Guidance issued on evaluation, treatment of hemorrhoids
Primary first-line therapy for patients with symptomatic hemorrhoid disease should typically include dietary modification to ensure adequate fluid and fiber intake and counseling on defecation habits, the guidelines said.
https://gastroenterology.acponline.org/archives/2018/03/23/8.htm
23 Mar 2018
AGA clinical practice update offers guidance on PPI deprescribing
All patients taking a proton-pump inhibitor (PPI) should have a regular review and documentation of ongoing indications for use, which should be the responsibility of the primary care clinician, the American Gastroenterological Association (AGA) said.
https://gastroenterology.acponline.org/archives/2022/02/25/6.htm
25 Feb 2022
Interval cancer after screening colonoscopy more common in black patients than in white patients
Adjusting for the physicians' detection rate did not alter the differences in risk associated with race/ethnicity, the study noted.
https://gastroenterology.acponline.org/archives/2017/05/26/8.htm
26 May 2017
Use of warfarin down, DOACs up in commercially insured patients with cirrhosis, nonvalvular afib
While more than half of eligible patients with cirrhosis and concurrent nonvalvular atrial fibrillation did not receive anticoagulation between 2012 and 2019, use of direct oral anticoagulants (DOACs) increased substantially during that time, a recent study found.
https://gastroenterology.acponline.org/archives/2023/01/27/7.htm
27 Jan 2023
Anticoagulants compared for associated risk of hospitalization due to upper GI bleeding
Proton-pump inhibitor cotherapy significantly reduced risk among patients on anticoagulation, a cohort study found.
https://gastroenterology.acponline.org/archives/2018/12/28/9.htm
28 Dec 2018
Phentermine-topiramate most effective drug for weight loss, meta-analysis finds
Among glucagon-like peptide-1 receptor agonists, semaglutide appeared to be the most effective for weight loss, with a higher likelihood of weight loss of 5% or more and percentage body weight change and a similar risk of adverse events.
https://gastroenterology.acponline.org/archives/2021/12/17/7.htm
17 Dec 2021
IDSA issues updated guidelines on infectious diarrhea
Among the recommendations, physicians should obtain a detailed clinical exposure history from all people with diarrhea, and patients who have fever or bloody diarrhea should be evaluated for enteropathogens that may respond to antimicrobial agents.
https://gastroenterology.acponline.org/archives/2017/10/27/8.htm
27 Oct 2017
Guideline recommends colorectal cancer screening starting at age 45
Adults should be screened with either a high-sensitivity stool-based test or a structural (visual) examination, depending on patient preference and test availability, the guideline said.
https://gastroenterology.acponline.org/archives/2018/06/22/8.htm
22 Jun 2018
Flexible sigmoidoscopy associated with long-term reduction in colorectal cancer incidence, mortality
Colorectal cancer incidence and mortality were reduced by about 20% in patients who were randomized to receive once-only flexible sigmoidoscopy screening between the ages of 55 to 64 years instead of usual care.
https://gastroenterology.acponline.org/archives/2021/11/19/6.htm
19 Nov 2021