Diana G. Redwood, PhD, Elvin D. Asay, MS, Ian D. Blake, MS, Pamela E

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Stool DNA Testing for Screening Detection of Colorectal Neoplasia in Alaska Native People  Diana G. Redwood, PhD, Elvin D. Asay, MS, Ian D. Blake, MS, Pamela E. Sacco, RN, Claudia M. Christensen, ANP, Frank D. Sacco, MD, James J. Tiesinga, MD, Mary E. Devens, BA, Steven R. Alberts, MD, Douglas W. Mahoney, MS, Tracy C. Yab, BS, Patrick H. Foote, MD, Thomas C. Smyrk, MD, Ellen M. Provost, DO, David A. Ahlquist, MD  Mayo Clinic Proceedings  Volume 91, Issue 1, Pages 61-70 (January 2016) DOI: 10.1016/j.mayocp.2015.10.008 Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Study enrollment flow diagram. FIT = fecal immunochemical test; GI = gastrointestinal; IBD = inflammatory bowel disease; MT-sDNA = multitarget stool DNA test; SRN = screening-relevant colorectal neoplasia. Mayo Clinic Proceedings 2016 91, 61-70DOI: (10.1016/j.mayocp.2015.10.008) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Effects of polyp size and patient age on test performances. A, Comparative detection rates of all advanced adenomas based on polyp size cutoff. Advanced adenomas included both adenomatous and sessile serrated adenoma/polyp types. B, Comparative detection rates of the sessile serrated adenoma/polyp subset based on size cutoff. C, Comparative false-positive rates by patient age. FIT = fecal immunochemical test; MT-sDNA = multitarget stool DNA test. Mayo Clinic Proceedings 2016 91, 61-70DOI: (10.1016/j.mayocp.2015.10.008) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Test comparisons for number of patients who needed to be screened to detect one screening-relevant neoplasm (SRN), advanced adenoma, or colorectal cancer (CRC). FIT = fecal immunochemical test; MT-sDNA = multitarget stool DNA test. Mayo Clinic Proceedings 2016 91, 61-70DOI: (10.1016/j.mayocp.2015.10.008) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Comparison of colorectal neoplasm detection rates by MT-sDNA in Alaska Native people (present study) vs general US population.25 Mayo Clinic Proceedings 2016 91, 61-70DOI: (10.1016/j.mayocp.2015.10.008) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions