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ACP and the American Academy of HIV Medicine collaborate on new guide to hepatitis C testing

The guide includes a summary of the latest testing recommendations; diagnostic, billing, and laboratory codes for testing; resources for referrals to HCV-experienced clinicians; and information on patient interactions, education, conversations, and case examples.
https://gastroenterology.acponline.org/archives/2017/05/26/6.htm
26 May 2017

In high-risk patients with acute upper GI bleeding, urgent vs. early endoscopy did not differ for 30-day mortality

While a randomized trial found no better outcomes with endoscopy within six hours of gastroenterology consult, “middle-of-the-night” endoscopy should still be considered for certain higher-risk patients who were excluded from the trial, an ACP Journal Club commentary noted.
https://gastroenterology.acponline.org/archives/2020/08/28/7.htm
28 Aug 2020

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

Rates of HDV co-infection may be higher than previously estimated

Patients with chronic hepatitis B virus (HBV) and hepatitis D virus (HDV) co-infection have the most severe form of viral hepatitis and are at much higher risk for cirrhosis and hepatocellular cancer than patients with HBV infection alone.
https://gastroenterology.acponline.org/archives/2018/09/28/3.htm
28 Sep 2018

In the Clinic: Nonalcoholic fatty liver disease

This feature provides an evidence-based, clinically relevant overview of the diagnosis and treatment of nonalcoholic fatty liver disease.
https://gastroenterology.acponline.org/archives/2018/11/27/8.htm
27 Nov 2018

Spotlight on screening in primary care

Patient-specific reminders for clinicians performed best for increasing colorectal cancer screening in a French study, while an EHR alert appeared to successfully increase hepatitis C virus screening rates for baby boomers in a U.S. health care system.
https://gastroenterology.acponline.org/archives/2017/09/22/5.htm
22 Sep 2017

Lowering colorectal cancer screening age from 50 to 45 years appears cost-effective

Initiating screening at age 45 years would require an additional 10 million colonoscopies, which could potentially provide greater benefit if used instead to increase screening rates in older patients, authors of the modeling study said.
https://gastroenterology.acponline.org/archives/2019/04/26/1.htm
26 Apr 2019

In the Clinic: Acute diverticulitis

A recent In the Clinic article offered a clinically relevant overview of the epidemiology, diagnosis, and treatment of acute diverticulitis.
https://gastroenterology.acponline.org/archives/2018/05/25/9.htm
25 May 2018

In Barrett esophagus, high- vs low-dose esomeprazole improved clinical outcomes; aspirin vs no aspirin did not

The safety of high-dose proton-pump inhibitor therapy is probably acceptable, but the addition of aspirin carries more risk, has less evidence on efficacy, and needs an individualized approach, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2018/12/28/10.htm
28 Dec 2018

Clinical prediction model may help determine management for acute lower GI bleeding

Factors associated with safe discharge in the development and validation cohorts were age, female sex, no previous admission for lower GI bleeding, no blood on digital rectal exam, heart rate, systolic blood pressure, and hemoglobin level.
https://gastroenterology.acponline.org/archives/2017/07/28/3.htm
28 Jul 2017

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