The last frontier: innovative efforts to reduce colorectal cancer disparities among the remote Alaska Native population.

Gastrointestinal Endoscopy
Diana RedwoodDavid Espey

Abstract

The Alaska Native (AN) population experiences twice the incidence and mortality of colorectal cancer (CRC) as does the U.S. white population. CRC screening allows early detection and prevention of cancer. We describe pilot projects conducted from 2005 to 2010 to increase CRC screening rates among AN populations living in rural and remote Alaska. Projects included training rural mid-level providers in flexible sigmoidoscopy, provision of itinerant endoscopy services at rural tribal health facilities, the creation and use of a CRC first-degree relative database to identify and screen individuals at increased risk, and support and implementation of screening navigator services. Alaska Tribal Health System. AN population. Itinerant endoscopy, patient navigation. AN patients screened for CRC, colonoscopy quality measures. As a result of these ongoing efforts, statewide AN CRC screening rates increased from 29% in 2000 to 41% in 2005 before the initiation of these projects and increased to 55% in 2010. The provision of itinerant CRC screening clinics increased rural screening rates, as did outreach to average-risk and increased-risk (family history) ANs by patient navigators. However, health care system barriers were identified as ma...Continue Reading

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Citations

Dec 18, 2012·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Victoria Warren-MearsRongwei Fu
Oct 12, 2012·International Journal for Equity in Health·Christina M BernardesPatricia C Valery
Nov 20, 2013·Digestive Diseases and Sciences·Andrew J Gawron, Rena Yadlapati
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Dec 12, 2012·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Allison E AndersonAnita Y Kinney
Feb 22, 2012·Gastrointestinal Endoscopy·Tonya Adams
Nov 2, 2015·Mayo Clinic Proceedings·Diana G RedwoodDavid A Ahlquist
Mar 7, 2020·CA: a Cancer Journal for Clinicians·Rebecca L SiegelAhmedin Jemal
Feb 3, 2015·Journal of the American Geriatrics Society·Kathryn L BraunJoAnn U Tsark
Jul 28, 2019·Journal of Public Health Management and Practice : JPHMP·Kaitlin M McGrewJanis E Campbell
Oct 3, 2019·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Stephanie C MelkonianDavid K Espey
Jan 12, 2022·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Aric RankinPat Mandy

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