{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T07:53:38Z","timestamp":1778745218637,"version":"3.51.4"},"reference-count":61,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Transcult Nurs"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>This study aimed to determine the burden of suspected nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) in a predominantly Hispanic patient population and explore the utility of the American Gastroenterological Association\u2019s NAFLD Clinical Care Pathway (CCP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>Electronic medical records ( n = 223) were used to divide patients into risk groups based on the amount of metabolic risk factors they presented, diabetic status, or if they presented other liver diseases. Fribosis-4 (FIB-4) scores were used to determine the risk for advanced fibrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most patients (83.8%) were considered at risk for NAFLD based on CCP criteria, and about a third of patients (33.2%) were found to be at indeterminate ( n = 60; 26.9%) or high risk ( n = 14; 6.3%) for advanced fibrosis. Most indeterminate-risk patients (78.3%) were not referred for liver imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>This study demonstrates the potential of the CCP as a corrective tool that could help to better identify and screen patients at risk for NAFLD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10436596241271265","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T05:52:52Z","timestamp":1724737972000},"page":"92-102","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Characterization of an At-Risk Population for Nonalcoholic Fatty Liver Disease (NAFLD) in a Primary Care Setting Along the U.S.\u2013Mexico Border"],"prefix":"10.1177","volume":"36","author":[{"given":"Lindsay","family":"Spitz","sequence":"first","affiliation":[{"name":"Texas Tech University Health Sciences Center, El Paso, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Saadiq","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center, El Paso, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navkiran K.","family":"Shokar","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc J.","family":"Zuckerman","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center, El Paso, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy A.","family":"Casner","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center, El Paso, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9364-2122","authenticated-orcid":false,"given":"Roy","family":"Valenzuela","sequence":"additional","affiliation":[{"name":"The University of Texas at EL Paso, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer J.","family":"Salinas","sequence":"additional","affiliation":[{"name":"The University of Texas at EL Paso, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"bibr1-10436596241271265","unstructured":"Adams C. 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