{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:03:24Z","timestamp":1787018604062,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","issue":"2_suppl","license":[{"start":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T00:00:00Z","timestamp":1674432000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000030","name":"centers for disease control and prevention","doi-asserted-by":"publisher","award":["NU58DP006379"],"award-info":[{"award-number":["NU58DP006379"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Colorectal cancer (CRC) incidence and mortality are twice as high among Alaska Native people as among non-Hispanic White people in the United States; as such, colonoscopy is a recommended screening test for Alaska Native people. Adenoma detection rate (ADR) is measured in patients at average risk of CRC undergoing initial screening colonoscopy and reflects the prevalence of precancerous polyps in a screened population. We evaluated the ADR among Alaska Native people living in Interior Alaska.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This project evaluated the ADR among Alaska Native and American Indian adults aged \u226540 years (N = 460) living in Interior Alaska, using a retrospective medical record review of patients referred for screening colonoscopy from February 1, 2018, through March 31, 2022. The main outcome measure was ADR, stratified by age and sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The ADR was 45.0% overall: 43.0% among women and 47.1% among men. Among patients aged \u226550 years, the ADR was 67.1%: 62.7% among women and 70.7% among men. Among patients aged 40-49 years, the ADR was 34.4%: 35.3% among women and 33.3% among men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Measured ADR was high among Alaska Native men and women aged \u226550 years in Interior Alaska and in all age groups that were screened. These findings have implications for which CRC screening methods, intervals, and age to begin screening are most appropriate for Alaska Native people, as well as the need for future research on the pathology, etiology, and natural history of CRC in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549221143204","type":"journal-article","created":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T03:13:42Z","timestamp":1674443622000},"page":"56S-60S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Elevated Adenomatous Polyp Detection Rate Among Alaska Native and American Indian People in Interior Alaska, 2018-2022"],"prefix":"10.1177","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0360-5729","authenticated-orcid":false,"given":"Diana G.","family":"Redwood","sequence":"first","affiliation":[{"name":"Alaska Native Tribal Health Consortium, Anchorage, AK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Prewitt","sequence":"additional","affiliation":[{"name":"Tanana Chiefs Conference, Fairbanks, AK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikaila C.","family":"Holt","sequence":"additional","affiliation":[{"name":"Tanana Chiefs Conference, Fairbanks, AK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4453-494X","authenticated-orcid":false,"given":"Stephen S.","family":"Gerrish","sequence":"additional","affiliation":[{"name":"Tanana Chiefs Conference, Fairbanks, AK, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,1,23]]},"reference":[{"key":"bibr1-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2008.12.030"},{"key":"bibr2-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-11-1020"},{"key":"bibr3-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1100370"},{"key":"bibr4-00333549221143204","unstructured":"American Cancer Society. Colorectal cancer facts and figures 2020-2022. 2020. Accessed August 24, 2022. https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/colorectal-cancer-facts-and-figures\/colorectal-cancer-facts-and-figures-2020-2022.pdf"},{"issue":"5","key":"bibr5-00333549221143204","first-page":"149","volume":"5","author":"Kelly JJ","year":"2012","journal-title":"Gastrointest Cancer Res"},{"key":"bibr6-00333549221143204","volume-title":"Cancer in Alaska Native People: 1969-2018: The 50-Year Report","author":"Zimpelman GL","year":"2021"},{"key":"bibr7-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.07.004"},{"key":"bibr8-00333549221143204","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21601"},{"key":"bibr9-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcpo.2021.100293"},{"key":"bibr10-00333549221143204","first-page":"1","volume":"15","author":"O\u2019Brien D","year":"2022","journal-title":"State of Alaska Epidemiol Bull"},{"key":"bibr11-00333549221143204","unstructured":"Health Resources and Services Administration. Health Center Program Uniform Data System (UDS) data overview. 2021. Accessed September 9, 2022. https:\/\/data.hrsa.gov\/tools\/data-reporting\/program-data?grantNum=H80CS08220"},{"key":"bibr12-00333549221143204","unstructured":"Alaska Department of Health and Social Services. Alaska Behavioral Risk Factor Surveillance System. Accessed September 12, 2022. https:\/\/health.alaska.gov\/dph\/Chronic\/Pages\/brfss\/default.aspx"},{"key":"bibr13-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1097\/JXX.0000000000000465"},{"key":"bibr14-00333549221143204","unstructured":"US Department of Health and Human Services. Healthy People 2030: increase the proportion of adults who get screened for colorectal cancer\u2014C-07. Accessed September 7, 2022. https:\/\/health.gov\/healthypeople\/objectives-and-data\/browse-objectives\/cancer\/increase-proportion-adults-who-get-screened-colorectal-cancer-c-07"},{"key":"bibr15-00333549221143204","unstructured":"Alaska Native Medical Center. Colorectal cancer screening guidelines. 2021. Accessed September 7, 2022. https:\/\/anmc.org\/files\/CRCScreening.pdf"},{"key":"bibr16-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2014.385"},{"key":"bibr17-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2017.174"},{"key":"bibr18-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9315-3"},{"key":"bibr19-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.03.111"},{"key":"bibr20-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2012.09.010"},{"key":"bibr21-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2004.01.023"},{"key":"bibr22-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1309086"},{"key":"bibr23-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0907667"},{"key":"bibr24-00333549221143204","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.09.028"},{"key":"bibr25-00333549221143204","doi-asserted-by":"publisher","DOI":"10.21037\/tgh.2018.03.04"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549221143204","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00333549221143204","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549221143204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:38:43Z","timestamp":1777628323000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00333549221143204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,23]]},"references-count":25,"journal-issue":{"issue":"2_suppl","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/00333549221143204"],"URL":"https:\/\/doi.org\/10.1177\/00333549221143204","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,23]]}}}