CARE Perspectives AASLD 2015

Members of the CARE Liver Disease Faculty recently attended the AASLD conference held in San Francisco, California (November 13-17). The CARE Perspectives Conference Report from AASLD 2015 provides a summary of the most compelling stories and news presented at this event, and is augmented with additional perspectives from the CARE Liver Disease Faculty. While AASLD covers a number of different types of liver diseases, the focus of this report is on hepatitis C (HCV). Advances in HCV research and drug development over the last few years have provided potentially curative therapy options for many patients. Moving forward, the goal will be to continue to improve on the identification of HCV in Canada (45% of population remain undiagnosed) so that patients can receive necessary treatment. In doing so, this could significantly reduce the risk of disease progression and in some cases provide a cure. While data for future combinations is very promising, access to currently available, highly effective regimens warrants attention as there are a subset of patients that need to be treated now.

The CARE Liver Disease Faculty looks forward to pursuing these considerations further and providing continued medical education in this exciting medical field. The content that follows is written in the language in which it was presented. The following content is adapted from the most up-to-date presentations made at the AASLD 2015 meeting, and is augmented with content and perspectives from the CARE Liver Disease Faculty

Please see below for a link to the full report:

CLICK HERE to view the full report

CLICK HERE to view the full report

 

CARE Perspectives ACG/UEGW 2015

Members of the CARE Gastroenterology Faculty recently attended and reviewed the ACG 2015 conference held in Honolulu, Hawaii (October 16th-21st) and UEGW 2015 in Barcelona, Spain (October 24th-28th). 

The annual CARE at ACG education meeting was run on October 17th and was attended by community specialists and residents from across Canada. The CARE Gastroenterology Faculty, led by Dr. John Marshall, presented on a number of key topics in the field.

The CARE Perspectives Conference Report from ACG 2015, augmented with content from UEGW 2015, provides a summary of the most compelling stories and news presented at these events. Additional perspectives from the CARE Gastroenterology Faculty is also included.

CLICK HERE FOR THE FULL REPORT

CLICK HERE FOR THE FULL REPORT

CLICK HERE FOR THE SEBs QUESTIONNAIRE

CLICK HERE FOR THE SEBs QUESTIONNAIRE

 

CARE Perspectives DDW 2015

Click here to view the full CARE Perspectives DDW 2015 Conference Report. 

Click here to view the full CARE Perspectives DDW 2015 Conference Report. 

Members of the CARE Gastroenterology and Liver Disease Faculties recently met at the DDW 2015 conference held in Washington, DC from May 16-19. The annual CARE (Community Academic Research Education) meeting was held on May 15th from 5:00-9:00pm and was led by CARE Faculty member, Dr. John Marshall (McMaster University). CARE at DDW 2015 provided community and trainee gastroenterologists and hepatologists an opportunity to explore news and developments from DDW within a Canadian context. The program also allowed participants to network and engage in lively discussion with other conference attendees.

This program also included a CME accredited portion focused on hepatitis C, led by Dr. Hemant Shah. Topics included screening, assessment, and treatment of hepatitis C, and was aimed towards community liver disease specialists. An overview of this program can be found as a supplement.

The CARE Perspectives Conference Report from DDW 2015 provides a summary of the most compelling stories and news presented at this event, and is augmented with additional perspectives from the CARE Gastroenterology and Liver Disease Faculties. The Liver Disease section of this report is supplemented with abstracts and perspectives from EASL 2015 (Vienna, Austria). 

Below is a link to the full report as well as supplementary publications: 

Click here for the full report.

Click here for the full report.

Click here to read the full CME Accredited interactive training session: Hepatitis C (HCV) Recap. 

Click here to read the full CME Accredited interactive training session: Hepatitis C (HCV) Recap. 

Click here to read the full Ulcerative Colitis Guidelines. 

Click here to read the full Ulcerative Colitis Guidelines. 

Ulcerative Colitis Canadian Clinical Practice Guidelines

Click here to view the Ulcerative Colitis Canadian Clinical Practice Guidelines

Click here to view the Ulcerative Colitis Canadian Clinical Practice Guidelines

This document is based on the clinical practice guidelines for the medical management of non-hospitalized ulcerative colitis published in Gastroenterology in May 2015. CARE Faculty member Dr. Brian Bressler was involved in the development of these guidelines and spoke to the key points during the 'CARE at DDW 2015' education program held on May 15th. The content that follows is drawn from his presentation and augmented with commentary from the CARE Gastroenterology Faculty. 

Below is a link to the guidelines:

Click here for the full guidelines. 

Click here for the full guidelines. 

 

CME Accredited Interactive Training Session: Hepatitis C (HCV)

This event was an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada, and approved by the University of Calgary Office of Continuing Medical Education and Professional Development. Participants claimed 1.0 study credit for their participation. 

During the CARE at DDW 2015 Education Program , CARE Liver Disease Faculty member Dr. Hemant Shah (Toronto Western Hospital) ran an interactive training session that provided
a review of the major developments in the Hepatitis C Virus (HCV) in recent years. Topics included in his presentation were epidemiology of HCV, how to screen and assess patients, and most prominently, preferred treatment options available.

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CARE Perspectives EASL & DDW 2015

Members of the CARE Liver Disease Faculty recently attended the European Association for
the Study of the Liver (EASL) 2015 conference held in Vienna, Austria (April 22-26), as well
as the Digestive Disease Week (DDW) conference held in Washington, DC (May 16-19). An
accredited education program focused on HCV was held at DDW on May 17th, and led by Dr.
Hemant Shah (please see insert for more information on this program).


The CARE Perspectives Conference Report from EASL & DDW 2015 provides a summary
of the most compelling stories and news presented at these events, and is augmented with
additional perspectives from members of the CARE Liver Disease Faculty.

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CARE Perspectives CDDW 2015

Members of the CARE Gastroenterology Faculty recently met at the CDDW 2015 (Canadian Digestive Diseases Week).The CARE Liver Disease Faculty also attended the simultaneous CASL 2015 (Canadian Association for the Study of the Liver) conference held in Banff, AB on February 27- March 2, 2014.

CARE Perspectives from CDDW 2015 provides a summary of the most compelling abstracts and stories presented at this event, and is augmented with additional perspective from the CARE Gastroenterology and Liver Disease Faculties. Also included in this report are updates on the various CARE education initiatives currently underway in chronic constipation, Crohn’s disease, hepatocellular carcinoma, and hepatitis C. 

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Prognostic Predictors for the Treatment of Crohn's Disease

The management and treatment of Crohn’s disease (CD) has been an ongoing topic of interest for the CARE Gastroenterology Faculty. The Faculty has met to discuss this, as well as other topical issues in gastroenterology, throughout the year, bringing perspectives from Western, Central and Eastern Canada. There are a number of prognostic factors that need to be considered when deciding on what therapy will be used on a patient-by-patient basis. In current practice, some of these factors may be underappreciated/overlooked. For this reason, the Faculty thought there was a need to develop a tool that helps inform therapy choice, based on these factors. This is important as there are implications for choosing certain therapies in the induction setting that may also impact the future of the disease.      

This publication will not only identify important considerations in terms of disease risk and disease activity for determining disease severity, but also identify the appropriate treatment options based on these prognostic predictors and factors with the use of clinical practice case studies. 

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GASTRO-TIMES: Focus on Chronic Constipation 2015

Commentary and content provided by the CARE Gastroenterology Faculty

A needs assessment questionnaire was recently conducted that focused on chronic constipation. It focused on management approaches and treatment considerations. The objective was to gain more insight and a better understanding of what therapy options are being used for the various types of chronic constipation. 

This needs assessment questionnaire was developed by Dr. Louis Liu (University of Toronto) and was sent to Canadian gastroenterologists (n=350). We achieved a response rate of 16% (n=55), suggesting interest in the topic and a willingness to participate in a national dialogue. 

What follows is a recap of the responder feedback, trends, therapeutic issues and treatment strategies discovered from this needs assessment, along with additional insight from the CARE Gastroenterology Faculty members Dr. Louis Liu and Dr. Christopher Andrews (University of Calgary). 

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CARE Perspectives CASL 2015

Members of the CARE Liver Disease Faculty recently met at the CDDW 2015 (Canadian Digestive Diseases Week)/ CASL 2015 (Canadian Association for the Study of the Liver) conference held in Banff, AB on February 27- March 2, 2015.

The CARE Conference Report from CDDW/CASL 2015 provides a summary of the most compelling abstracts and stories presented at this event, and is augmented with additional perspectives from the CARE Liver Disease Faculty. Also included in this report are updates on the various CARE education initiatives currently underway in hepatocellular carcinoma, and hepatitis C. 

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Needs Assessment on HCC Results

The CARE (Community. Academic. Research. Education.) Oncology Faculty developed a needs assessment focused on the identification and management of hepatocellular carcinoma (HCC), led by medical oncologist Dr. Winson Cheung (BCCA). This questionnaire was distributed to Canadian hepatologists to gain their insights on HCC. The goal was to promote a shared understanding of the range of issues, perspectives, and developments related to these issues, framed from a Canadian perspective. We ultimately want to identify at-risk patients earlier, in order to provide patients with optimal treatment. Commentary on this needs assessment was provided by leading hepatologist, Dr. Hemant Shah (Toronto Western Hospital). 

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CARE Perspectives DDW 2014

Members of the CARE Gastroenterology and Liver Disease Faculties recently met at the annual DDW (Digestive Disease Week) 2014 conference held in Chicago, IL on May 3rd-6th 2014. The CARE Education Program at DDW 2014 was held with trainees and community gastroenterologists/ hepatologists from across Canada and covered various topics in gastroenterology as well as liver disease.

The CARE Conference Report from DDW 2014, augmented with content from EASL 2014, provides compelling abstracts and stories presented at these conferences, as well as an overview of where we have progressed and where research is heading.

The first CARE Interactive Liver Disease Training Session - Focus on HCV, led by CARE Liver Disease Faculty members Drs. Hemant Shah and Rob Myers, took place prior to the CARE Education Program at DDW 2014 on Saturday, May 3rd 2014. This session was well attended by trainees and community gastroenterologists that have an interest/focus in hepatology. The focus of the session was on the assessment and treatment of HCV. More details can be found in the ‘CARE Update: Interactive Liver Disease Training Session - Focus on HCV’ supplement included with this report. 

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CARE Perspectives CDDW/CASL 2014

The CARE Conference Report from CDDW/CASL 2014 covers compelling abstracts and stories, giving an overview of where we have progressed and where research is heading in the future of gastroenterology and hepatology.

The report content that follows is drawn from CDDW/CASL 2014 and is augmented with the CARE Gastroenterology and Liver Disease Faculties’ commentary. 

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CARE Perspectives ACG/UEGW 2014

Members of the CARE Gastroenterology Faculty attended the annual ACG (American College of Gastroenterology) 2014 conference held in Philadelphia, PA, on October 17th-22nd, 2014 as well as the United European Gastroenterology Week held in Vienna, Austria on October 18th-22nd, 2014. The CARE Faculty met after these two conferences to discuss the key content presented, framed from a Canadian perspective. A CARE webinar was held on October 29th, 2014, where the Faculty presented the key takeaways from these meetings. Video footage of the webinar presentations can be found online at careeducation.ca/acgwebinar. 

The CARE Conference Report from ACG 2014, augmented with content from UEGW 2014, provides compelling abstracts and stories presented at these conferences, as well as an overview of how we have progressed and where research is heading.

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CARE Perspectives AASLD/ACG 2014

Members of the CARE Liver Disease Faculty recently attended the annual AASLD (American Association For The Study of Liver Disease) 2014 conference held in Boston, MA, on November 7-11th, 2014 as well as the ACG (American College of Gastroenterology Week) held in Philadelphia, PA on October 17th-22nd, 2014. 

The CARE Conference Report from AASLD 2014, augmented with content from ACG 2014, provides compelling abstracts and stories presented at these conferences, as well as an overview of where we have progressed and where research is heading. 

in addition to these meetings, CARE Faculty members also attended the 7th Annual hepatocellular Carcinoma (hCC) meeting that was held on October 23rd in vancouver BC. This meeting provided an overview of important topics in hCC management and treatment, with presentation content on diagnostic radiology screening and follow up, locoregional therapy, and systemic therapy. Please see the hCC section of this report (pgs 10-13) for more details. 

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CARE Perspectives EASL 2014

The CARE Conference Report from EASL 2014 covers compelling abstracts and stories, giving an overview of where we have progressed and where research is heading in the future of hepatology.

While EASL covers a variety of topics, this CARE EASL Report focuses on Hepatitis C, specifically: Interferon- Containing Regimens, Interferon-Free Regimens, and HCV/ HIV Co-Infection.

EASL content with CARE Faculty Commentary follows, including late breaking abstracts that are identified.

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CARE Perspectives ACG/UEGW 2013

Click here to view the full CARE Perspectives ACG/UEGW 2013 Conference Report. 

Click here to view the full CARE Perspectives ACG/UEGW 2013 Conference Report. 

The CARE Gastroenterology Faculty met at ACG 2013 (American College of Gastroenterology’s annual conference in San Diego, California, October 11–16) to discuss news and developments in a range of gastroenterological disorders.

Conference abstracts, plenary content and visuals that follow are drawn from ACG 2013 and are augmented with abstract and session content from UEGW 2013 (United European Gastroenterology Week, Berlin, Germany, October 12–16). Commentary and perspectives have been provided by the CARE Gastroenterology Faculty. Information and visuals are in the language in which they were presented.

Below is a link to the full report:

Click here for the full report. 

Click here for the full report. 

 

Chronic Constipation Treatment Algorithm 2013

The mission of the CARE Gastroenterology Faculty is to enhance medical education with the explicit goal of improving patient outcomes. Patients with chronic constipation can suffer from extreme discomfort, which affects their quality of life and also their ability to work. The CARE Guidance on Chronic Constipation is intended to help general practitioners measurably improve the evaluation and management of patients with chronic constipation. The CARE Guidance will offer insight into how to determine if initial therapy may not be successful and whether to proceed with more detailed evaluations, as well as how to implement examination modifications.

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