The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.
Impact of Patient Navigation on Timely Cancer Care: The Patient Navigation Research Program
Open accessAbstract
BACKGROUND: Patient navigation is a promising intervention to address cancer disparities but requires a multisite controlled trial to assess its effectiveness. METHODS: The Patient Navigation Research Program compared patient navigation with usual care on time to diagnosis or treatment for participants with breast, cervical, colorectal, or prostate screening abnormalities and/or cancers between 2007 and 2010. Patient navigators developed individualized strategies to address barriers to care, with the focus on preventing delays in care. To assess timeliness of diagnostic resolution, we conducted a meta-analysis of center- and cancer-specific adjusted hazard ratios (aHRs) comparing patient navigation vs usual care. To assess initiation of cancer therapy, we calculated a single aHR, pooling data across all centers and cancer types. We conducted a metaregression to evaluate variability across centers. All statistical tests were two-sided. RESULTS: The 10521 participants with abnormal screening tests and 2105 with a cancer or precancer diagnosis were predominantly from racial/ethnic minority groups (73%) and publically insured (40%) or uninsured (31%). There was no benefit during the first 90 days of care, but a benefit of navigation was seen from 91 to 365 days for both diagnostic resolution (aHR = 1.51; 95% confidence interval [CI] = 1.23 to 1.84; P < .001)) and treatment initiation (aHR = 1.43; 95% CI = 1.10 to 1.86; P < .007). Metaregression revealed that navigation had its greatest benefits within centers with the greatest delays in follow-up under usual care. CONCLUSIONS: Patient navigation demonstrated a moderate benefit in improving timely cancer care. These results support adoption of patient navigation in settings that serve populations at risk of being lost to follow-up.
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Cites
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Cited by
Graboyes, E. M., Kompelli, A. R., Neskey, D. M., Brennan, E., Nguyen, S., Sterba, K. R., Warren, G. W., Hughes-Halbert, C., Nussenbaum, B., & Day, T. A. (2019) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2018.2716 · Cited by 312
Chan, R. J., Milch, V. E., Crawford‐Williams, F., Agbejule, O. A., Joseph, R., Johal, J., Dick, N., Wallen, M. P., Ratcliffe, J., Agarwal, A., et al. (2023) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21788 · Cited by 274
“8,23 The history and early conception of patient navigation can be traced back to its development after the American Cancer Society National Hearings on Cancer in the Poor in late 1980s.”
BackgroundResource Use and Medicare Costs During Lay Navigation for Geriatric Patients With Cancer
Rocque, G. B., Pisu, M., Jackson, B. E., Kvale, E. A., Demark-Wahnefried, W., Martin, M. Y., Meneses, K., Li, Y., Taylor, R. A., Acemgil, A., et al. (2017) · JAMA Oncology · doi:10.1001/jamaoncol.2016.6307 · Cited by 166
Patient Navigation in Cancer Treatment: A Systematic Review
Chen, M., Wu, V. S., Falk, D., Cheatham, C., Cullen, J., & Hoehn, R. (2024) · Current Oncology Reports · doi:10.1007/s11912-024-01514-9 · Cited by 153
The Patient Care Connect Program: Transforming Health Care Through Lay Navigation
Rocque, G. B., Partridge, E. E., Pisu, M., Martin, M. Y., Demark-Wahnefried, W., Acemgil, A., Kenzik, K., Kvale, E. A., Meneses, K., Li, X., et al. (2016) · Journal of Oncology Practice · doi:10.1200/jop.2015.008896 · Cited by 93
Metadata
- Authors
- Freund, K. M., Battaglia, T. A., Calhoun, E., Darnell, J. S., Dudley, D. J., Fiscella, K., Hare, M. L., LaVerda, N., Lee, J.-H., Levine, P., Murray, D. M., Patierno, S. R., Raich, P. C., Roetzheim, R. G., Simon, M., Snyder, F. R., Warren-Mears, V., Whitley, E. M., Winters, P., Young, G. S., & Paskett, E. D.
- Venue
- JNCI: Journal of the National Cancer Institute
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-06
- Volume
- 106
- Issue
- 6
- Pages
- dju115-dju115
- ISSN
- 0027-8874 (ISSN-L)
- 1460-2105
- OpenAlex
- W1972937018
- Cited by
- 303
- References
- 47
- FWCI
- 11.63
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Freund, K. M., Battaglia, T. A., Calhoun, E., Darnell, J. S., Dudley, D. J., Fiscella, K., Hare, M. L., LaVerda, N., Lee, J.-H., Levine, P., Murray, D. M., Patierno, S. R., Raich, P. C., Roetzheim, R. G., Simon, M., Snyder, F. R., Warren-Mears, V., Whitley, E. M., Winters, P., . . . Paskett, E. D. (2014). Impact of Patient Navigation on Timely Cancer Care: The Patient Navigation Research Program. JNCI: Journal of the National Cancer Institute. https://doi.org/10.1093/jnci/dju115
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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