Gastroenterology

The economic cost and health burden of liver diseases in Australia – Deloitte Access Economics for GESA – Gastroenterological Society of Australia and ALA – Australian Liver Association – 27 March 2013

Posted on March 27, 2013. Filed under: Gastroenterology, Health Economics | Tags: , , , , |

The economic cost and health burden of liver diseases in Australia – Deloitte Access Economics for GESA – Gastroenterological Society of Australia and ALA – Australian Liver Association – 27 March 2013

“Rising burden of chronic liver disease – a high price to pay

Experts call for liver disease to become a national priority

According to a new expert report* launched today, liver disease now affects more than six million Australians (over a quarter of the population) and equates to a staggering annual cost burden of $50.7 billion. While this burden exceeds diabetes and chronic kidney disease combined – unlike other countries (including the UK) – Australia is yet to formally recognise liver disease as a chronic condition and a national health priority in line with diabetes.”

… continues

full text of the report

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The Human Microbiome, Diet, and Health – Workshop Summary – Institute of Medicine – 24 October 2012

Posted on October 25, 2012. Filed under: Dietetics, Gastroenterology | Tags: , , |

The Human Microbiome, Diet, and Health – Workshop Summary – Institute of Medicine – 24 October 2012

full text

“One of the most intimate relationships that our body has with the outside world is through our gut. Our gastrointestinal tracts harbor a vast and still largely unexplored microbial world known as the human microbiome that scientists are only just beginning to understand. Researchers are recognizing the integral role of the microbiome in human physiology, health, and disease — with microbes playing critical roles in many host metabolic pathways — and the intimate nature of the relationships between the microbiome and both host physiology and host diet. While there is still a great deal to learn, the newfound knowledge already is being used to develop dietary interventions aimed at preventing and modifying disease risk by leveraging the microbiome.

The IOM’s Food Forum held a public workshop on February 22-23, 2012, to explore current and emerging knowledge on the human microbiome, its role in human health, its interaction with the diet, and the translation of new research findings into tools and products that improve the healthfulness of the food supply. This document summarizes the workshop.”

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Quarter of bowel cancer patients diagnosed after emergency admission to hospital – NHS – 2012

Posted on October 23, 2012. Filed under: Gastroenterology, Oncology | Tags: |

Quarter of bowel cancer patients diagnosed after emergency admission to hospital – NHS – 2012

“Bowel cancer care set to benefit from new advances in national audit data

About a quarter of bowel cancer patients in England are only diagnosed with the disease after an emergency admission to hospital, new advanced research from a national audit has found.

This equates to about 8,000 out of 31,000 patients admitted in a 12 month period, whose records were analysed by the National Bowel Cancer Audit and linked for the first time with hospital data (Hospital Episode Statistics).

These patients are less likely to have surgery than those whose first admission was not an emergency case according to today’s supplementary report, which was commissioned by the Healthcare Quality Improvement Partnership and developed by the Association of Coloproctology of Great Britain and Ireland, the Royal College of Surgeons of England and the Health and Social Care Information Centre.

Today’s finding about diagnosis upon emergency admission is in keeping with research6 by the National Cancer Intelligence Network about bowel cancer, which is diagnosed in about 31,000 people each year in England and Wales and is the second most common cause of cancer death.

The report suggests that between August 2009 and July 2010, diagnosis upon emergency admission was most common among:”

… continues on the site

Reports
http://www.ic.nhs.uk/bowelreports

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National Bowel Cancer Screening Program monitoring report: phase 2, July 2008- June 2011 – AIHW – 2 March 2012

Posted on March 2, 2012. Filed under: Gastroenterology, Oncology, Preventive Healthcare | Tags: , |

National Bowel Cancer Screening Program monitoring report: phase 2, July 2008- June 2011 – AIHW – 2 March 2012

“This report presents statistics on the National Bowel Cancer Screening Program for Australians invited to take part between July 2008 and June 2011. Just over 800,000 people were screened in that time, with about 60,000 found to require further assessment. One out of every 11 colonoscopies performed for further assessment detected and removed an advanced adenoma (pre-cancerous lesion), and a cancer was detected in 1 out of every 33 colonoscopies. However, this represents only a partial picture of outcomes due to incomplete reporting.”

ISBN 978-1-74249-280-3; Cat. no. CAN 61; 120pp

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Management of Early Colorectal Cancer – NZ Ministry of Health – June 2011

Posted on July 7, 2011. Filed under: Gastroenterology, Oncology |

Management of Early Colorectal Cancer – NZ Ministry of Health – June 2011

“Summary of publication

Colorectal cancer is one of the most common cancers registered and the second most common cause of death from cancer in New Zealand. The new evidence-based guideline Management of Early Colorectal Cancer funded by the Ministry of Health and developed by the New Zealand Guidelines Group, provides guidance for secondary and tertiary care practitioners on delivering best practice care.

It was commissioned by the Ministry as part of its commitment to the implementation of the Cancer Control Strategy. It follows the publication of evidence-based guidelines for the management of melanoma, early breast cancer and suspected cancer in primary care.

This new guideline fits within a broader suite of guidelines and programmes developed to support health professionals to care for people with colorectal cancer in New Zealand.

Management of Early Colorectal Cancer specifically addresses the management of people with invasive adenocarcinoma of the colon or rectum and has been prepared to meet the evidence needs of secondary and tertiary providers of colorectal care. It assumes the patient has already been referred because of suspicious bowel symptoms or has undergone initial testing in primary care. It covers the clinical pathway from preoperative assessment to appropriate intervention and includes recommendations for follow-up. Content includes guidance on elective surgery for colon and rectal cancer, emergency surgery for bowel obstruction, adjuvant therapy, as well as general guidance to facilitate coordinated and patient-centred care.

It should be noted that the management of people with more advanced colorectal cancer (including metastatic disease) at diagnosis or later and people with high-risk familial colorectal cancer syndromes are beyond the scope of this guideline, so these cancers have been excluded. Squamous cell carcinomas have also been excluded. Colorectal cancerscreening in asymptomatic people or the prevention of colorectal cancer in the general population is also beyond the scope of this guideline.”

ISBN numbers: 978-1-877509-41-4 (print), 978-1-877509-40-7(online)

HP number: 5296

Citation: New Zealand Guidelines Group. 2011. Management of Early Colorectal Cancer – Evidence-based Best Practice Guidelines. Wellington: New Zealand Guidelines Group.

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Red meat link to bowel cancer warning – Department of Health [UK] – 25 February 2011

Posted on February 28, 2011. Filed under: Dietetics, Gastroenterology, Oncology |

Red meat link to bowel cancer warning – Department of Health [UK] – 25 February 2011

“People who eat a lot of red and processed meat are being advised for the first time to consider cutting down to help reduce the risk of bowel cancer, the Department of Health announced today.

The advice follows the publication of a new report, from the independent expert Scientific Advisory Committee on Nutrition (SACN), which reviewed the evidence on the links between red and processed meat and bowel cancer. It concludes that red and processed meat probably increases the risk of bowel cancer and people who eat around 90g or more should consider cutting down to reduce their risk.”  [The Iron and Health Report]

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NICE guideline to improve the recognition and assessment of coeliac disease – 27 May 2009

Posted on May 27, 2009. Filed under: Gastroenterology | Tags: , |

2009/032 NICE guideline to improve the recognition and assessment of coeliac disease

“The National Institute for Health and Clinical Excellence (NICE) has today (27 May 2009) issued a guideline to improve the recognition and diagnosis of coeliac disease. Coeliac disease is a condition in which the immune system in a person’s intestine (gut) reacts to a protein called gluten. The immune reaction makes part of the gut inflamed, which can make it difficult for the person to absorb nutrients from their food. Coeliac disease can cause a wide range of symptoms in the digestive system (such as indigestion, diarrhoea or constipation) and in the rest of the body (such as tiredness, weight loss and bone thinning).”  … continues on the website

Full text of the guideline (36.83 Kb 10 sec @ 28.8Kbps)

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Quality care: service standards for the healthcare of people who have inflammatory bowel disease (IBD) – UK

Posted on April 29, 2009. Filed under: Gastroenterology |

Quality care: service standards for the healthcare of people who have inflammatory bowel disease (IBD) – UK

The second national audit of patients with IBD has found that many services have improved.  However, there still appears to be wide variation in the provision of care and many services have not improved at all. The IBD service standards aim to ensure that patients with IBD receive healthcare that is safe, effective and of consistently high quality. (Royal College of Physicians – news)

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Guidelines for the Management of Norovirus Outbreaks in Hospitals and Elderly Care Institutions – NZ Guideline January 2009

Posted on April 8, 2009. Filed under: Gastroenterology, Infectious Diseases | Tags: |

Guidelines for the Management of Norovirus Outbreaks in Hospitals and Elderly Care Institutions
Date of publication: January 2009  NZ Ministry of Health

Summary of publication

These guidelines have been developed to standardise the approach of public health services, managers and health care workers of hospitals and elderly care facilities in New Zealand to both the investigation and control of institutional norovirus outbreaks.

Outbreaks of norovirus gastroenteritis are being increasingly recognised in the community and within hospitals and elderly care facilities in New Zealand. The outbreak of norovirus gastroenteritis continues to be a significant test of infection control practices in residential and health care facilities. Outbreak management has been defined as the process of anticipating, preventing, preparing for, detecting, responding [to] and controlling outbreaks in order that health and economic impact is minimised.

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