Author: Rutali Thakur

When we reflect on the overall impact of colorectal cancer screening over the past two decades, we see the result of a collaboration of physicians and organizations who joined forces to work toward one of our great public health successes. Though physicians have worked with scientists, public health professionals, professional organizations, advocacy groups and cancer survivors to make significant strides in CRC screening, this success story is still a work in progress. As pointed out in the cover story, there exist areas of disparity in screening and outcomes as well as a disturbing trend of rising incidence in younger adults.

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When gastroenterologists learned in March that UnitedHealthcare plans to barricade many colonoscopies behind a controversial and complicated process known as prior authorization, their emotions cycled rapidly between fear, shock, and outrage. The change, which the health insurer will implement on June 1, means that any United member seeking surveillance and diagnostic colonoscopies to detect cancer will first need approval from United — or else have to pay out of pocket.

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Envision Healthcare has reached a restructuring agreement with its stakeholders, including ASC management center AmSurg, after announcing plans to file for bankruptcy. AmSurg plans to purchase the ASCs held by Envision. Here are six things to know about management giant AmSurg, according to its website: 1. AmSurg launched as an ASC management services company in 1992. 2. AmSurg has a network of more than 2,000 physician partners and 255 facilities across 34 states and Washington, D.C. 

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Abstract: The use of combination therapy with a biologic agent and immunosuppressant has well-established efficacy and safety and is common practice in the management of inflammatory bowel disease (IBD). Current research has shifted focus toward the use of advanced combination treatment (ACT). This term was coined to describe combination therapy using 2 or more advanced treatments (biologic agents and/or oral small molecule drugs) with the aim of achieving optimal disease control in selected patients. An ACT approach may be particularly beneficial in patients with documented medically refractory IBD and in patients with a poor prognosis, extraintestinal manifestations, or concomitant immune-mediated inflammatory…

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First-degree relatives of people with advanced adenomas have an increased risk for colorectal cancer, yet this risk often is unrecognized and appropriate screening often ignored. Researchers at the University of California, San Francisco attempted to change this scenario, and their intervention shows signs of paying off. “We saw an untapped opportunity to intervene early and intensively at the time of colonoscopy of the index family member. … Our quality improvement interventions led to a 73% improvement in the rate of appropriate guideline-based CRC screening recommendations for high-risk individuals,” said Alec Faggen, MD, a third-year gastroenterology fellow at the UCSF School…

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More than 70% of U.S. adults feel the health care system is failing to meet their needs in at least one way, according to new data from the Harris Poll, shared exclusively with TIME. Despite spending more money per capita on health care than any other wealthy country in the world, the U.S. struggles to match other nations in life expectancy and other health outcomes. The new Harris Poll survey, which was conducted from February to March 2023 and commissioned by the American Academy of Physician Associates, shows that patient satisfaction is also suffering due to the high costs, inaccessibility, and confusing logistics of U.S. medical…

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ASGE, along with Ambu Inc., the leading provider of single-use flexible endoscopes, announce Ambu’s support in equipping the state-of-the-art Bioskills Laboratory and Simulation Center at ASGE’s Institute for Training & Technology (IT&T) with six of Ambu’s industry-leading GI platforms containing aBox™ processors and associated single-use scopes for ERCP and EGD procedures. Ambu’s sponsorship will make the ASGE IT&T the first and only training facility to offer single-use flexible endoscopy equipment to ASGE members and rising GI fellows, underscoring the GI market’s growing transition to single-use scopes. ASGE IT&T will allow training and experiential access to the aScope™ Duodeno as well…

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An industry-first FDA approval for a nonalcoholic steatohepatitis (NASH) therapy may still be a ways off. After reviewing Intercept Pharmaceuticals’ latest application for obeticholic acid (OCA), the agency appears all but ready to reject the drug in NASH-related pre-cirrhotic liver fibrosis, according to a briefing document released ahead of an expert panel meeting set for Friday. Citing a long list of safety risks and the practical hurdle for patients to undergo a liver biopsy—coupled with “modest” efficacy—the FDA said it “cannot justify OCA use in NASH subjects with stage 2 or 3 fibrosis.”

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AbbVie wants to remind people about the importance of honest discussions in inflammatory bowel disease (IBD) with the kickoff of a new YouTube conversation series. The global “Gutsy IBD Conversations” campaign will include Twitter, Facebook and LinkedIn and channel shorter content posts to help drive viewers to the full series on YouTube. The first episodes officially debut on Friday, which is World IBD Day, and a total of 15 short-form video conversations will be released throughout May and June,

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