Against colorectal cancer in our neighborhoods (ACCION): A comprehensive community-wide colorectal cancer screening intervention for the uninsured in a predominantly Hispanic community

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

“…The majority of these studies tested the impact of PN on screening rates for colorectal (n = 32 [67%]), breast (n = 13 [27%]), or cervical cancer (n = 4 [8%]) . Thirty‐nine articles reported a significant favorable increase in cancer screening rates for PN intervention groups versus controls . Thirteen studies (27%) targeted African American, Latino, Korean American, Asian/Pacific Islander, and non–US‐born urban minority populations .…”

“…Thirteen studies (27%) targeted African American, Latino, Korean American, Asian/Pacific Islander, and non–US‐born urban minority populations . Eight studies (17%) focused on low‐income, uninsured, medically underserved populations, patients from safety‐net health systems, or women residing in shelters . Overall, the efficacy of PN interventions for increasing uptake of and adherence to cancer screenings was consistently positive across populations.…”

“…42,47,49,50,52,57,58,65,71,72,[76][77][78] Eight studies (17%) focused on low-income, uninsured, medically underserved populations, patients from safety-net health systems, or women residing in shelters. 43,45,55,62,67,70,73,77 Overall, the efficacy of PN interventions for increasing uptake of and adherence to cancer screenings was consistently positive across populations.…”

“…10, Thirty-nine articles reported a significant favorable increase in cancer screening rates for PN intervention groups versus controls. 10,[32][33][34][35][37][38][39][41][42][43][44][45][47][48][49][50][51][52][53][54][55][56][58][59][60][61][62][64][65][66]69,[71][72][73][74][75][76]78 Thirteen studies (27%) targeted African American, Latino, Korean American, Asian/Pacific Islander, and non-US-born urban minority populations. 42,47,49,50,52,57,58,65,71,72,…”

A statewide program providing colorectal cancer screening to the uninsured of South Carolina

“…Others have reported increased CRC screening rates in uninsured and underserved populations in similar programs using patient navigation. 33,[42][43][44][45][46][47] In a study of primarily uninsured patients from Suffolk County, New York, Lane et al 46 found that providing 800 FQHC patients with direct access to colonoscopy resulted in a 37% PDR, a 26% ADR, a 3% no-show rate, a 95%-99% cecal intubation rate, and a 92% good-to-excellent bowel preparation rate. Wolf et al 44 implemented a statewide colonoscopy screening program including 13,000 uninsured Colorado residents, and reported a 93% adequate bowel preparation rate, a 97% cecal intubation rate, and a 28% ADR.…”