HEALTH

ASGE: Electronic diagnosis provided inaccurate results for Barrett’s esophagus patients

BY Michael Johnsen

OAK BROOK, Ill. In a review of more than 2,000 patients coded for Barrett’s esophagus, electronic diagnosis overestimated the prevalence of the disease, according to researchers in California, the American Society for Gastroinestinal Endoscopy announced last week.

According to the review, researchers found that only 61.9% of patients assigned a billing diagnosis code for Barrett’s esophagus actually had Barrett’s esophagus after a manual record review.

The misdiagnosis could potentially undermine or skew future research into patients diagnosed with Barrett’s esophagus, a condition where the lining of the esophagus changes due to chronic inflammation, generally from gastroesophageal reflux disease. Definitive diagnosis requires a biopsy, taken at upper endoscopy, demonstrating replacement of the normal cell lining with one more like the cell lining of the small intestine. This is also known as intestinal metaplasia. Barrett’s esophagus itself has no specific symptoms, but this change can increase the risk of esophageal adenocarcinoma (a type of esophageal cancer).

Researchers concluded that electronic coding alone overestimates the prevalence of Barrett’s esophagus, and most clinical and research uses will require a manual verification of disease status.

The study appears in the May issue of GIE: Gastrointestinal Endoscopy, the monthly peer-reviewed scientific journal of the ASGE.

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Type 2 diabetes on the rise in children, experts say

BY Alaric DeArment

HOUSTON Despite its “adult-onset” designation, Type 2 diabetes has risen at a high rate among children, and this has experts worried.

Physicians gathered in Houston Saturday to discuss strategies for preventing and treating the disease among children and adolescents at the American Association of Clinical Endocrinologists’ 18th Annual Meeting & Clinical Congress.

“Type 2 diabetes is extremely complex,” pediatric endocrinologist and session monitor A. Jay Cohen said. “The rapid rise in obesity, physical inactivity and the consumption of excess calories seems to have led to the epidemic of children with Type 2 diabetes.”

The National Institutes of Health is conducting two clinical trials to identify children at risk for developing Type 2 diabetes and demonstrate the effectiveness of lifestyle intervention. In the first trial, researchers are tracking 6,400 children from sixth to eighth grade to determine if modifications in exercise programs and nutrition in the school environment can reduce the risk of the disease, measuring the children’s body mass indices, fasting glucose levels and fasting insulin levels. In the second trial, the researchers will explore the best treatment options.

“It is imperative to expose the social, behavioral and environmental factors which have led to this epidemic,” pediatric endocrinologist and study chairwoman Francine Kaufman said.

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FMI postpones, reschedules annual events due to flu outbreak

BY Michael Johnsen

ARLINGTON, Va. The Food Marketing Institute last week rescheduled its date for Future Connect in Dallas, which will now be held Oct. 12 to 14, and postponed its Marketechnics to the FMI 2010 event in Las Vegas.

“FMI appreciates the support and positive reinforcement we have received from the industry as we addressed the myriad issues resulting from the postponement of two events due to the influenza outbreak,” stated Leslie Sarasin, president, CEO of FMI. “We are thrilled to announce new plans to provide the industry with the essential education and insight provided by these events.”

Future Connect will now occur Oct.12 to 14 at the Hyatt Regency hotel in Dallas. All attendee registrations from the previously scheduled May dates for this event are automatically transferred to the October event. Companies may make substitutions on existing attendee registrations as needed.

Attendees should make new hotel reservations at www.fmifutureconnect.com. Registration for the event will re-open and new attendees may register online at the same Web site.

Marketechnics is postponed and will be included in the FMI 2010 event in Las Vegas. Attendees of the postponed May 2009 event will receive a credit for attendance at FMI 2010 or any other FMI event valid through May 31, 2010. FMI 2010 is scheduled for May 10 to 13, 2010 at the Mandalay Bay Convention Center.

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