A Multidisciplinary Patient Navigation Program Improves Compliance With Adjuvant Breast Cancer Therapy in a Public Hospital

Castaldi, Maria; Safadjou, Saman; Elrafei, Tarek N.; McNelis, John

doi:10.1177/1062860616656250

Cited by 30 publications

(57 citation statements)

References 28 publications

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“…Seventeen articles focused on the efficacy of PN for the receipt of cancer treatment . The majority of these studies focused on breast cancer (n = 14 [82%]), which was followed by colorectal cancer (n = 3 [18%]).…”

Section: Resultsmentioning

confidence: 99%

“…104,[107][108][109][110][111][112][113][114][115][116][117][118][119][120][121][122] The majority of these studies focused on breast cancer (n = 14 [82%]), which was followed by colorectal cancer (n = 3 [18%]). Thirteen articles reported that PN had a positive impact on cancer treatment, including a shorter time to treatment initiation (n = 9 [53%]), 104,109,110,[112][113][114]117,119,121 higher rates of treatment reception or adherence (n = 6 [35%]), 107,108,112,115,116,118 and increased patient satisfaction with cancer care (n = 1 [6%]). 117 Four Cancer August 15, 2019 studies focused on community-based health care facilities, 109,111,119,120 and 3 studies addressed Latinas and American Indians.…”

Section: Treatmentmentioning

confidence: 99%

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The efficacy and cost‐effectiveness of patient navigation programs across the cancer continuum: A systematic review

Bernardo

Zhang

Hery

et al. 2019

Cancer

135

166

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Published studies regarding patient navigation (PN) and cancer were reviewed to assess quality, determine gaps, and identify avenues for future research. The PubMed and EMBASE databases were searched for studies investigating the efficacy and cost‐effectiveness of PN across the cancer continuum. Each included article was scored independently by 2 separate reviewers with the Quality Assessment Tool for Quantitative Studies. The current review identified 113 published articles that assessed PN and cancer care, between August 1, 2010, and February 1, 2018, 14 of which reported on the cost‐effectiveness of PN programs. Most publications focused on the effectiveness of PN in screening (50%) and diagnosis (27%) along the continuum of cancer care. Many described the effectiveness of PN for breast cancer (52%) or colorectal cancer outcomes (51%). Most studies reported favorable outcomes for PN programs, including increased uptake of and adherence to cancer screenings, timely diagnostic resolution and follow‐up, higher completion rates for cancer therapy, and higher rates of attending medical appointments. Cost‐effectiveness studies showed that PN programs yielded financial benefits. Quality assessment showed that 75 of the 113 included articles (65%) had 2 or more weak components. In conclusion, this review indicates numerous gaps within the PN and cancer literature where improvement is needed. For example, more research is needed at other points along the continuum of cancer care outside of screening and diagnosis. In addition, future research into the effectiveness of PN for understudied cancers outside of breast and colorectal cancer is necessary along with an assessment of cost‐effectiveness and more rigorous reporting of study designs and results in published articles.

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Section: Resultsmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

The efficacy and cost‐effectiveness of patient navigation programs across the cancer continuum: A systematic review

Bernardo

Zhang

Hery

et al. 2019

Cancer

135

166

View full text Add to dashboard Cite

show abstract

“…Ramirez and colleagues [17] in six city study and Lobb [18] in a multisite program in one state both found a benefit in time to initiation of treatment. Studies by both Castaldi and colleagues [19], and Raj and colleagues found a benefit in completion of guideline recommended treatment. The Patient Navigation Research Program, the largest study to date of patient navigation located at nine sites across the US showed benefits in cancer care, with a greater proportion of patients initiating cancer care in a timely fashion [20], with the benefits focused on those who had not initiated cancer care within 90 days of diagnosis.…”

Section: Patient Navigation In Cancer Carementioning

confidence: 94%

Implementation of evidence-based patient navigation programs

Freund

2016

Acta Oncologica

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Background: Patient navigation refers to a direct patient care role that links patients with clinical providers and their support system and provides individualized support during cancer care, ensuring that patients have access to the knowledge and resources necessary to complete recommended treatment. While most reports have studied the role of patient navigators during the cancer screening or diagnostic process, emerging evidence indicates the benefits of patient navigation during active cancer treatment. Discussion: Reports in the literature are conflicting on the impact of patient navigation during cancer care and on the benefits to timely or quality care in all populations. Recent sub-analyses of the Patient Navigation Research Program data demonstrated specifically the benefits of targeting patient navigation to the most vulnerable populations, including those with low educational attainment, low income and unstable housing, less social support, multiple comorbidities, and minority race/ethnicity. Conclusion: The implications of the Patient Navigation Research Program are that this resource is best utilized when directed to support the care of patients at locations with known challenges to timely care and for specific patients with risk factors for delays in care, including comorbidities, low educational attainment and low income. Implementation of patient navigation programs requires the following processes: needs assessment, selection of a navigator to meet the community and care needs, supervision and integration of the navigator into clinical processes, and systems support to facilitate the identification and tracking of those patients requiring patient navigation. There is a need for ongoing research on methods to fund and sustain patient navigation programs.

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“…This approach has been proven to enhance the patient experience, reduce costs, and improve clinical outcomes. [4][5][6] Similar to the role of patient navigators, tumor board or multidisciplinary care discussions also provide a structured opportunity to improve care. Studies have noted that between 27% to 40% of treatment plans could change as a result of a tumor board discussion.…”

mentioning

confidence: 99%

Variation Across the Continuum of Surgical Oncology Care

Wick

Cinar

2018

JAMA Netw Open

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The study by Haneuse et al 1 used the California Cancer Registry and hospital claims data to report the variation in in-hospital mortality, 90-day readmissions, and 90-day mortality for patients receiving potentially curable surgery for stage I through III colorectal, breast, lung, prostate, bladder, thyroid, kidney, endometrium, pancreas, liver, and esophageal cancers. 1 The analysis was limited to 260 +

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A Multidisciplinary Patient Navigation Program Improves Compliance With Adjuvant Breast Cancer Therapy in a Public Hospital

Cited by 30 publications

References 28 publications

The efficacy and cost‐effectiveness of patient navigation programs across the cancer continuum: A systematic review

The efficacy and cost‐effectiveness of patient navigation programs across the cancer continuum: A systematic review

Implementation of evidence-based patient navigation programs

Variation Across the Continuum of Surgical Oncology Care

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