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Rising IBD Rates in Minorities Heighten Need for Awareness

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Rising IBD Rates in Minorities Heighten Need for Awareness mdedge.com/gihepnews December 2020 Volume 14 / Number 12 Start CRC screening INSIDE GI ONCOLOGY at age 45, USPSTF Task force report Best practices noted for managing malignant now suggests colorectal polyps. • 16 LIVER DISEASE BY ROXANNE NELSON, that all adults aged 45-75 RN, BSN years be screened for CRC. Semaglutide shows ARNES This is an “A” recom- promise in NASH study B creening for colo- mendation for adults aged Phase 2 data show rectal cancer (CRC) 50-75 and a “B” recom- resolution TEPHANIE S Sshould begin at age mendation for adults aged in 60%. • 27 45 years instead of 50 45-49. Dr. Barry explained OURTESY IBD AND INTESTINAL C years, as recommended that the reason for this Dr. Edward L. Barnes and his associates noted that disparities in care in the current guideline, difference is that the DISORDERS start with later diagnosis of IBD, followed by issues with continuity. the U.S. Preventive Ser- Tool predicted vices Task Force said in 45- to 49-year age group. vedolizumab a draft recommendation “Butbenefit there’s is smaller not much for the nonresponse that is open for public difference between A and Rising IBD rates in comment. B from a practical stand- Point-based scoring “This is the only change point,” he explained. system uses clinical minorities heighten that was made,” said task For adults aged 76-85, variables. • 30 force member Michael PRACTICE Barry, MD, director of of screening need to be need for awareness the Informed Medical weighedthe benefits against and harmsthe indi- MANAGEMENT Decisions Program in the vidual’s overall health and Delay in Stark reform BY AMY KARON wrote Edward L. Barnes, Health Decision Sciences personal circumstances. stunts value-based care MDedge News MD, MPH, of University of Center at Massachusetts This is a “C” recommenda- CMS dragging North Carolina at Chapel General Hospital, Boston. tion. its feet. • 34 - Hill, with his associates. The recommendation is See USPSTF · page 16 ease (IBD) is rapidly in- However, Blacks with IBD Icreasingnflammatory among bowel racial dis and tend to be diagnosed later ethnic minorities, which than Whites, are less likely makes it important to con- to receive recommended Study IDs microbial signature of sider for patients with com- biologics and immunomod- patible symptoms, experts ulators, and are more likely celiac disease in children wrote in Gastroenterology. to receive care at an emer- Crohn’s disease and ul- gency department, to expe- BY AMY KARON healthy children, accord- regardless of whether cerative colitis are “chronic rience delays in colectomy, MDedge News ing to the findings of a children were newly diag- diseases with intermittent and to miss regular visits to study published in Gastro- nosed or had already mod- - IBD specialists because of leven operational tax- enterology. sion, so access to specialists, Eonomic units (OTUs) This microbial signa- Konstantina Zafeiropoulou appropriateperiods of flare therapies, and remis and barriers, they added. of fecal bacteria were andified Ben their Nichols, diet, reported PhD, of frequent follow-up visits financialThese disparities and transportation are less abundant in children approximately four out of - are vital to good outcomes,” See Minorities · page 28 with celiac disease than in ture correctly identified See Celiac · page 9 the Glasgow Royal Infir five cases of celiac disease, CROHN’S & COLITIS CONGRESS® Connecting Virtually | January 21–24, 2021 Rosemont, IL 60018 IL Rosemont, PERMIT 500 PERMIT Suite 280 Suite HARRISBURG PA HARRISBURG PAID 10255 W Higgins Road, Road, Higgins W 10255 U.S. POSTAGE U.S. REGISTER TODAY. www.crohnscolitiscongress.org GI & Hepatology News Hepatology & GI PRSRT STD PRSRT CHANGE SERVICE REQUESTED SERVICE CHANGE 01_09_to_17_28_31_GIH20_12.indd 1 11/20/2020 3:42:15 PM NEWS LETTER FROM THE EDITOR Top AGA Community Scientific firepower will save us COVID-19 numbers again are increasing patient cases dramatically. Community infection rates have have next month’s editorial in mind, and I - nearly doubled, and hospitals and health care lookwe publish for useful its officialphrases, newspaper. quotes, ideas, I always and ularly bring their questions to the AGA Com- workers are stretched beyond their limits. It opinions. If you are interested in becoming Pmunityhysicians (https://community.gastro.org) with difficult patient scenarios to reg seek EIC, please email [email protected] for advice from colleagues about therapy and disease this pandemic was managed (mismanaged) more information. management options, is difficult not to feel anger about how poorly best practices, and di- charge and by a large agnoses. The upgraded segmentby so many of ourofficials popu- in As EIC, you will choose the next editorial networking platform lation who still refuse now features a news- protective actions to limit board and forge professional friendships spread. While politics and that are gratifying. You will assume scenarios and regularly scheduled Roundtable dis- ideology continue to cost responsibility for the content, where you feed for difficult patient must balance your own views with those In case you missed it, here are some clinical discus- sionscussions and with Roundtables experts in in the the field. newsfeed this month: ourAmerican saving lives, grace. scientific of both the AGA and our readership. • Practice update: Small intestinal bacteria over- firepowerMy editorial will emergeboard and as Dr. Allen growth (SIBO) (https://community.gastro.org/ posts/22838) year at the helm of GI & Hepatology News. I would be remiss not to acknowledge the • Case: Polypectomy with low neutrophils (https:// AGAI are issuedentering a search our final for the next Editor in contribution that Lora T. McGlade, MS, has community.gastro.org/posts/22844) Chief (EIC), who will take over October 2021. made to GI & Hepatology News. She has been • Case: Esophagus adenocarcinoma after sleeve I urge anyone interested to apply (https:// my partner, as the Frontline Medical Commu- gastrectomy (https://community.gastro.org/ gastro.org/news/prestigious-aga-publica- nications Editor in charge of GI & Hepatology posts/22868) tions-seek-new-editors-in-chief/). As EIC, News. Next month, she will move on to assume • Case: you will choose the next editorial board and a new role. I cannot thank her enough for help- when is it safe? (https://community.gastro.org/ forge professional friendships that are grati- ing make this newspaper work. As the months posts/22890) Restarting infliximab after shingles – fying. You will assume responsibility for the go on, I will highlight the contributions of oth- • Case: Flatulence in Colorado (https://community. content, where you must balance your own ers from the AGA, our Board, and Frontline. gastro.org/posts/22901) views with those of both the AGA and our Please stay safe and do not let your guard • Case: Serrated epithelial change (SEC) in IBD readership. down. COVID-19 is merciless and relentless. (https://community.gastro.org/posts/22948) As EIC, each month I am given space for “If you think research is expensive, try dis- • Case: Multiloculated pancreatic cyst (https:// 300 words to communicate interesting ideas ease.” – Mary Lasker. community.gastro.org/posts/22935) and opinions. The AGA gives the newspaper great editorial freedom, and I hope we have John I. Allen, MD, MBA, AGA View all upcoming Roundtables in the community at supported AGA’s mission and values when Editor in Chief https://community.gastro.org/discussions. mdedge.com/gihepnews EDITOR IN CHIEF, GI & HEPATOLOGY NEWS GI & HEPATOLOGY NEWS is the official newspaper of the American FRONTLINE MEDICAL COMMUNICATIONS SOCIETY PARTNERS John I. Allen, MD, MBA, AGAF Gastroenterological Association (AGA) Institute and provides the Executive Editor Kathy Scarbeck, MA EDITOR IN CHIEF, THE NEW GASTROENTEROLOGIST gastroenterologist with timely and relevant news and commentary about Editor Lora T. McGlade, MS Vijaya L. Rao, MD clinical developments and about the impact of health care policy. Content for Creative Director Louise A. Koenig ASSOCIATE EDITORS GI & HEPATOLOGY NEWS is developed through a partnership of the newspaper’s Megan A. 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