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Cited by 153Cancer survivorship and careGlobal Cancer Incidence and ScreeningEconomic and Financial Impacts of Cancer

Patient Navigation in Cancer Treatment: A Systematic Review

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Chen, Matthew, Wu, Victoria S., Falk, Derek, Cheatham, Chesley, Cullen, Jennifer, Hoehn, Richard·2024·Current Oncology Reports
DOI 10.1007/s11912-024-01514-9PMC PMC11063100
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Abstract

Purpose of Review: Patient navigation promotes access to timely treatment of chronic diseases by eliminating barriers to care. Patient navigation programs have been well-established in improving screening rates and diagnostic resolution. This systematic review aimed to characterize the multifaceted role of patient navigators within the realm of cancer treatment. Recent Findings: A comprehensive electronic literature review of PubMed and Embase databases was conducted to identify relevant studies investigating the role of patient navigators in cancer treatment from August 1, 2009 to March 27, 2023. Summary: Fifty-nine articles were included in this review. Amongst studies focused on cancer treatment initiation, 70% found a significant improvement in treatment initiation amongst patients who were enrolled in patient navigation programs, 71% of studies focused on treatment adherence demonstrated significant improvements in treatment adherence, 87% of studies investigating patient satisfaction showed significant benefits, and 81% of studies reported a positive impact of patient navigators on quality care indicators. Three palliative care studies found beneficial effects of patient navigation. Thirty-seven studies investigated disadvantaged populations, with 76% of them concluded that patient navigators made a positive impact during treatment. This systematic review provides compelling evidence supporting the value of patient navigation programs in cancer treatment. The findings suggest that patient navigation plays a crucial role in improving access to care and optimizing treatment outcomes, especially for disadvantaged cancer patients. Incorporating patient navigation into standard oncology practice can reduce disparities and improve the overall quality of cancer care.

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  • Caregivers and patient navigators can play pivotal roles in access, treatment timeliness, and continuity of cancer care, while clinician engagement at each iterative stage of UCD/HCD is critical for integration into workflows and sustained adoption.

    “Caregivers and patient navigators can play pivotal roles in access, treatment timeliness, and continuity of cancer care, while clinician engagement at each iterative stage of UCD/HCD is critical for integration into workflows and sustained adoption [2,30].”

    From User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review (2026) · cites this paper as [2]

    Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured

  • These implementation barriers directly influence whether genomic information is translated into a treatment decision, a referral, or a surveillance strategy.

    “These are not minor operational challenges; they directly influence whether genomic information is translated into a treatment decision, a referral, or a surveillance strategy [23].”

    From A decision-oriented framework for genomic testing across the prostate cancer continuum (2026) · cites this paper as [23]

    The Results > Treatment Initiation section (page unavailable) reports that nurse navigation shortened both the time to an EGFR molecular-test result and the time to referral for systemic treatment. The review does not establish that implementation barriers determine whether genomic information is used for a treatment decision, referral, or surveillance strategy. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

  • Implementation barriers include clinician uncertainty about assay interpretation, inconsistent reimbursement, insufficient decision support, and poorly defined handoffs between oncology, pathology, genetics, and supportive care teams.

    “Implementation barriers also include clinician uncertainty about assay interpretation, inconsistent reimbursement, insufficient decision support, and poorly defined handoffs between oncology, pathology, genetics, and supportive care teams [23, 24].”

    From A decision-oriented framework for genomic testing across the prostate cancer continuum (2026) · cites this paper as [23]

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Cited by

Sorted by citations

Authors
Chen, M., Wu, V. S., Falk, D., Cheatham, C., Cullen, J., & Hoehn, R.
Affiliations
  • Case Western Reserve University (US)
  • University Hospitals of Cleveland (US)
Corresponding author
Hoehn, Richard
ORCID
Venue
Current Oncology Reports
Publisher
Springer Science and Business Media LLC
Published
2024-04-06
Volume
26
Issue
5
Pages
504-537
ISSN
  • 1523-3790 (ISSN-L)
  • 1534-6269
DOI
10.1007/s11912-024-01514-9
PMC
PMC11063100
OpenAlex
W4394012744
Cited by
153
References
2
Citations by year
2026: 88 · 2025: 57 · 2024: 8
FWCI
8.18
Type
journal article
Language
en
Open access
Licence
Locations
  • Current Oncology Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Scholarly Commons @ Case Western Reserve University (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
Keywords
patient navigation, cancer therapy, barriers to care, health care access, treatment initiation, medication adherence, patient satisfaction, quality of cancer care, palliative care, disadvantaged groups, health disparities, oncology practice
MeSH terms
Health Services Accessibility, Humans, Neoplasms, Patient Satisfaction, Patient Navigation

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