Patient navigation: state of the art or is it science?

Abstract:

:First implemented in 1990, patient navigation interventions are emerging today as an approach to reduce cancer disparities. However, there is lack of consensus about how patient navigation is defined, what patient navigators do, and what their qualifications should be. Little is known about the efficacy and cost-effectiveness of patient navigation. For this review, the authors conducted a qualitative synthesis of published literature on cancer patient navigation. By using the keywords 'navigator' or 'navigation' and 'cancer,' 45 articles were identified in the PubMed database and from reference searches that were published or in press through October 2007. Sixteen studies provided data on the efficacy of navigation in improving timeliness and receipt of cancer screening, diagnostic follow-up care, and treatment. Patient navigation services were defined and differentiated from other outreach services. Overall, there was evidence of some degree of efficacy for patient navigation in increasing participation in cancer screening and adherence to diagnostic follow-up care after the detection of an abnormality. The reported increases in screening ranged from 10.8% to 17.1%, and increases in adherence to diagnostic follow-up care ranged from 21% to 29.2% compared with control patients. There was less evidence regarding the efficacy of patient navigation in reducing either late-stage cancer diagnosis or delays in the initiation of cancer treatment or improving outcomes during cancer survivorship. There were methodological limitations in most studies, such as a lack of control groups, small sample sizes, and contamination with other interventions. Although cancer-related patient navigation interventions are being adopted increasingly across the United States and Canada, further research will be necessary to evaluate their efficacy and cost-effectiveness in improving cancer care.

journal_name

Cancer

journal_title

Cancer

authors

Wells KJ,Battaglia TA,Dudley DJ,Garcia R,Greene A,Calhoun E,Mandelblatt JS,Paskett ED,Raich PC,Patient Navigation Research Program.

doi

10.1002/cncr.23815

subject

Has Abstract

pub_date

2008-10-15 00:00:00

pages

1999-2010

issue

8

eissn

0008-543X

issn

1097-0142

journal_volume

113

pub_type

杂志文章,评审

相关文献

CANCER文献大全
  • Thymoma in a 12-year-old boy.

    abstract::A case of thymoma in a 12-year-old boy is presented. The patient had a history of thymic irradiation in infancy, and a family history of leukemia. The mass was readily resected and the patient is well 10 years later. The tumor contained an unusual admixture of normal thymic tissue with the neoplastic epithelial elemen...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197602)37:2<953::aid-cncr2820370

    authors: Chatten J,Katz SM

    更新日期:1976-02-01 00:00:00

  • Cancer-associated galactosyltransferase acceptor: inhibition of transformed cell and tumor growth.

    abstract::A distinctive glycopeptide, which acts as an acceptor for a cancer-associated galactosyltransferase, has been detected in sera and effusions of patients with extensive carcinoma. Cancer-associated galactosyltransferase acceptor (CAGA) purified from human malignant effusions was tested for its effects on cell growth in...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800315)45:5+<1212::aid-cncr282

    authors: Podolsky DK,Isselbacher KJ

    更新日期:1980-03-15 00:00:00

  • The value of splenectomy in chronic lymphocytic leukemia.

    abstract::Between January 1, 1980, and July 31, 1985, 168 patients were treated at our institution for chronic lymphocytic leukemia (CLL). Splenectomy was performed on 32 (23 men and 9 women). The mean age of these surgical patients was 59.4 years (range, 43-75). Twenty-four patients had received chemotherapy and/or corticother...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870115)59:2<340::aid-cncr28205

    authors: Delpero JR,Gastaut JA,Letreut YP,Caamano A,Mathieu-Tubiana N,Maraninchi D,Simon-Lejeune C,Mascret B,Blanc AP,Sebahoun G

    更新日期:1987-01-15 00:00:00

  • Recovery from aspermia induced by low-dose radiation in seminoma patients.

    abstract::Gonadal dosimetry and spermatogenic activity was monitored in patients given radiation therapy (RT) after unilateral orchiectomy for seminoma. The RT given was, with minor variations, 3200 rad in 16 fractions in four weeks to the para-aortic and ipsilateral pelvic inguinal lymphatics in order to include the orchiectom...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19820715)50:2<337::aid-cncr28205

    authors: Hahn EW,Feingold SM,Simpson L,Batata M

    更新日期:1982-07-15 00:00:00

  • Acinic cell adenocarcinoma of minor salivary glands.

    abstract::Nine cases identified as acinic cell adenocarcinoma of minor salivary glands from the files of the Armed Forces Institute of Pathology and the Department of Pathology, Temple University School of Dentistry were studied to determine the clinical and histomorphologic parameters of this lesion. One case was examined ultr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197808)42:2<678::aid-cncr2820420

    authors: Chen SY,Brannon RB,Miller AS,White DK,Hooker SP

    更新日期:1978-08-01 00:00:00

  • Quality of life and symptoms in a randomized trial of radiotherapy versus deferred treatment of localized prostate carcinoma.

    abstract:BACKGROUND:Treatment of localized prostate carcinoma (LPC) using radiotherapy (RT) can induce disturbances in a patient's quality of life (QOL) and urinary and intestinal function. Late symptoms and QOL were evaluated in a randomized trial between RT and deferred treatment (DT). METHODS:Quality of life was evaluated w...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(20011215)92:12<3111::aid-cncr101

    authors: Fransson P,Damber JE,Tomic R,Modig H,Nyberg G,Widmark A

    更新日期:2001-12-15 00:00:00

  • Isolated limb reperfusion with tumor necrosis factor and melphalan in patients with extremity melanoma after failure of isolated limb perfusion with chemotherapeutics.

    abstract:BACKGROUND:This retrospective study evaluated the benefit of using tumor necrosis factor (TNF) and melphalan administered via an isolated limb perfusion (ILP) in a series of patients with metastatic melanoma who failed initial ILP with chemotherapeutics. METHODS:Seventeen patients with extremity melanoma who underwent...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19971201)80:11<2084::aid-c

    authors: Bartlett DL,Ma G,Alexander HR,Libutti SK,Fraker DL

    更新日期:1997-12-01 00:00:00

  • Gut microbiota-immune-brain interactions in chemotherapy-associated behavioral comorbidities.

    abstract::Increasing scientific attention is focused on the gut-brain axis, including the ability of the gastrointestinal (GI) tract to modulate central nervous system function. Changes in the intestinal microbiome can influence affective-like behavior, cognitive performance, fatigue, and sleep in rodents and humans. Patients w...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.31584

    authors: Jordan KR,Loman BR,Bailey MT,Pyter LM

    更新日期:2018-10-15 00:00:00

  • Pleomorphic liposarcoma: clinical observations and molecular variables.

    abstract:BACKGROUND:Pleomorphic liposarcoma (PLS) is a rare high-grade sarcoma that has lipoblastic differentiation. In this study, the authors evaluated PLS natural history, patient outcomes, and commonly deregulated protein biomarkers. METHODS:Medical records from patients (n = 155) who had PLS from 1993 to 2010 were reviewe...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26195

    authors: Ghadimi MP,Liu P,Peng T,Bolshakov S,Young ED,Torres KE,Colombo C,Hoffman A,Broccoli D,Hornick JL,Lazar AJ,Pisters P,Pollock RE,Lev D

    更新日期:2011-12-01 00:00:00

  • Management of relapsing disease in prostate cancer.

    abstract::Almost all patients with prostatic cancer will eventually escape the control of the first-line endocrine therapy and relapse. This escape is attributed to selecting and/or cloning preexisting or de novo appearing hormone-independent or resistant cell lines and occurs in most patients after a median time of 12 to 18 mo...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19920701)70:1+<329::aid-cncr2820

    authors: Mahler C,Denis L

    更新日期:1992-07-01 00:00:00

  • Cerebral metastases pathology after radiosurgery: a multicenter study.

    abstract:BACKGROUND:To the authors' knowledge, comprehensive human pathologic investigations that explore fundamental radiosurgical effects on metastatic brain tumors are sparse in the literature. The objective of this study was to analyze histopathologic findings in a set of clinically recurrent cerebral metastases after patie...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.21946

    authors: Szeifert GT,Atteberry DS,Kondziolka D,Levivier M,Lunsford LD

    更新日期:2006-06-15 00:00:00

  • Self-examination and clinical examination of the breast.

    abstract::The techniques of self breast examination and the clinical examination of the breasts are described briefly. The potential value and the limitations of these tests in screening for breast cancer are reviewed. In a Cancer Society Monograph in 1958, Haagensen said, "It is probable that, from the point of view of the gre...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800815)46:4+<930::aid-cncr2820

    authors: Venet L

    更新日期:1980-08-15 00:00:00

  • Urinary neopterin excretion in patients with uterine sarcomas.

    abstract::Neopterin, a pyrazinopyrimidine compound, is a marker of activation of cell-mediated immunity. Urinary neopterin concentrations were measured in a total of 44 patients with uterine sarcomas. Pretherapeutic neopterin excretions were elevated in 78% (14/18). The mean neopterin concentration of patients with sarcomas was...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900301)65:5<1228::aid-cncr2820

    authors: Fuith LC,Fuchs D,Hausen A,Hetzel H,Reibnegger G,Werner ER,Wachter H

    更新日期:1990-03-01 00:00:00

  • Histopathologic grading and DNA ploidy in relation to survival among 206 adult astrocytic tumor patients.

    abstract:BACKGROUND:The authors studied the benefit of performing histopathologic grading and DNA ploidy characterization with respect to patient survival in a series of 206 astrocytomas (AST) for which they obtained 134 complete clinical follow-ups. METHODS:The material analyzed came from archival material, i.e., formalin-fix...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920715)70:2<538::aid-cncr28207

    authors: Salmon I,Kiss R,Dewitte O,Gras T,Pasteels JL,Brotchi J,Flament-Durand J

    更新日期:1992-07-15 00:00:00

  • Epstein-Barr virus in gastric carcinoma with lymphoid stroma. Special reference to its detection by the polymerase chain reaction and in situ hybridization in 99 tumors, including a morphologic analysis.

    abstract:BACKGROUND:Gastric carcinoma with lymphoid stroma (GCLS) has been reported to have a more favorable prognosis than ordinary gastric carcinoma, however, the precise mechanism of the pathogenesis for GCLS remains unclear. METHODS:The authors analyzed 99 GCLS in 94 patients for Epstein-Barr virus (EBV) sequences using po...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19940501)73:9<2239::aid-cncr2820

    authors: Nakamura S,Ueki T,Yao T,Ueyama T,Tsuneyoshi M

    更新日期:1994-05-01 00:00:00

  • Precursor lesions of Wilms' tumor in Indian children: a multiinstitutional study.

    abstract:BACKGROUND:Studies regarding different ethnic populations of children with Wilms' tumor (WT) in the U. S. have shown differences between age and gender incidence and the type of its precursor lesions (nephrogenic rests). To the authors' knowledge there are few reports in the literature regarding nephrogenic rests in a ...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Mishra K,Mathur M,Logani KB,Kakkar N,Krishna A

    更新日期:1998-11-15 00:00:00

  • Childhood cancer in relation to parental race and ethnicity: a 5-state pooled analysis.

    abstract:BACKGROUND:Children of different racial/ethnic backgrounds have varying risks of cancer. However, to the authors' knowledge, few studies to date have examined cancer occurrence in children of mixed ancestry. METHODS:This population-based case-control study examined cancer among children aged <15 years using linked can...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25099

    authors: Chow EJ,Puumala SE,Mueller BA,Carozza SE,Fox EE,Horel S,Johnson KJ,McLaughlin CC,Reynolds P,Von Behren J,Spector LG

    更新日期:2010-06-15 00:00:00

  • Treatment of fludarabine-refractory chronic lymphocytic leukemia.

    abstract::The development of resistance to purine analogs defines a poor-risk subset of patients with chronic lymphocytic leukemia (CLL). Although in recent years chemoimmunotherapeutic combinations such as fludarabine, cyclophosphamide, and rituximab have induced response rates of 95% in previously untreated patients and incre...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.24329

    authors: Tsimberidou AM,Keating MJ

    更新日期:2009-07-01 00:00:00

  • An analysis of abnormalities of the retinoblastoma gene in human ovarian and endometrial carcinoma.

    abstract::The altered expression of the human retinoblastoma (RB) gene has been demonstrated to play an important role in the pathogenesis of RB and other tumors. To determine whether the RB gene might be involved in the pathogenesis of human ovarian and endometrial cancer, DNA from 24 human ovarian tumors, 3 normal ovaries, 3 ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19901115)66:10<2150::aid-cncr282

    authors: Sasano H,Comerford J,Silverberg SG,Garrett CT

    更新日期:1990-11-15 00:00:00

  • Steroid receptor expression in thymomas and thymic carcinomas.

    abstract:BACKGROUND:Although protein expressions of glucocorticoid receptor (GR), estrogen receptors (ERα and ERβ), progesterone receptor A (PgR-A), and androgen receptor (AR) were shown to play roles in the growth and differentiation of normal thymus and thymic tumors, to the authors' knowledge their association with patient c...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26061

    authors: Mimae T,Tsuta K,Takahashi F,Yoshida A,Kondo T,Murakami Y,Okada M,Takeuchi M,Asamura H,Tsuda H

    更新日期:2011-10-01 00:00:00

  • Squamous cell carcinoma antigen in the diagnosis and treatment follow-up of oral and facial squamous cell carcinoma.

    abstract::The squamous cell carcinoma (SCC) antigen was determined by radioimmunoassay in the serum of 40 untreated patients with SCC of the oromaxillofacial region. The mean (+/- SEM) serum concentration for these patients (3.8 +/- 0.8 ng/ml) was significantly higher than that of 52 disease-free patients coming to routine post...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900315)65:6<1321::aid-cncr2820

    authors: Fischbach W,Meyer T,Barthel K

    更新日期:1990-03-15 00:00:00

  • Multiple primary malignant neoplasms in breast cancer patients in Israel.

    abstract::The data of an epidemiologic study of multiple primary malignant neoplasms in breast cancer patients in Israel are presented. During the 18-year period of the study 12,302 cases of breast carcinoma were diagnosed, and, of these, 984 patients (8%) had multiple primary malignant tumors. Forty-seven of these patients dev...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840701)54:1<139::aid-cncr28205

    authors: Schenker JG,Levinsky R,Ohel G

    更新日期:1984-07-01 00:00:00

  • Primary care providers' perspectives on discontinuing prostate cancer screening.

    abstract:BACKGROUND:Clinical guidelines recommend against routine prostate-specific antigen (PSA) screening for older men and for those with lower life expectancies. The authors of this report examined providers' decision-making regarding discontinuing PSA screening. METHODS:A survey of primary providers from a large, universi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.27577

    authors: Pollack CE,Platz EA,Bhavsar NA,Noronha G,Green GE,Chen S,Carter HB

    更新日期:2012-11-15 00:00:00

  • Validation of the caregiver Pediatric Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events measure.

    abstract:BACKGROUND:Despite improvements in survival rates, cancer treatments have significant side effects that affect the quality of life of children and their families. When an ill child cannot self-report symptoms (eg, he or she is too ill), caregiver (parent) reporting becomes critical. This study evaluates the validity an...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.33389

    authors: Reeve BB,McFatrich M,Lin L,Lucas NR,Mack JW,Jacobs SS,Withycombe JS,Baker JN,Freyer DR,Hinds PS

    更新日期:2020-12-17 00:00:00

  • Differential alpha-fetoprotein lectin binding in hepatocellular carcinoma. Diagnostic utility at low serum levels.

    abstract::The reactivity of serum alpha-fetoprotein (AFP) from 20 patients with hepatocellular carcinoma (HCC) with immobilized lentil lectin was examined and found to be significantly greater (39% +/- 18%) than that of the same protein from seven patients with chronic liver disease (CLD, 11.2% +/- 3.3%), seven with fulminant h...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910115)67:2<476::aid-cncr28206

    authors: Du MQ,Hutchinson WL,Johnson PJ,Williams R

    更新日期:1991-01-15 00:00:00

  • Malignant "Triton" tumors. Natural history and immunohistochemistry of nine new cases with literature review.

    abstract::Malignant schwannomas with rhabdomyoblastic differentiation have been termed malignant "Triton" tumors (MTT). To define the natural history of MTT, we have analyzed our experience (9 cases, the largest series reported) in combination with the 27 previously described in the literature (total 36 cases). This study was i...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850601)55:11<2543::aid-cncr282

    authors: Brooks JS,Freeman M,Enterline HT

    更新日期:1985-06-01 00:00:00

  • Metastatic ependymoma of the sacrum.

    abstract::Ependymomas originating in the sacrum or extraspinal parasacral soft tissues are rare tumors. The majority are of the myxopapillary type and may be locally destructive. Even though metastases are not uncommon in retrosacral ependymomas, they have been rarely described in intrasacral locations. A case is reported of a ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900515)65:10<2353::aid-cncr282

    authors: Miralbell R,Louis DN,O'Keeffe D,Rosenberg AE,Suit HD

    更新日期:1990-05-15 00:00:00

  • The radiographic diagnosis and treatment of paraneoplastic central nervous system disease.

    abstract::Paraneoplastic nervous system syndromes are being identified with increasing frequency because of greater physician awareness and the availability of serodiagnostic tests for some syndromes. Frequently, paraneoplastic syndromes develop in the setting of an indolent, limited stage, or otherwise occult malignancy. As a ...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19940101)73:1<168::aid-cncr28207

    authors: Glantz MJ,Biran H,Myers ME,Gockerman JP,Friedberg MH

    更新日期:1994-01-01 00:00:00

  • Skeletal muscle wasting and protein-energy malnutrition in children with a newly diagnosed acute leukemia.

    abstract::The changes in skeletal muscle mass of 14 children with newly diagnosed acute leukemia were studied during the first 24 weeks of antileukemia therapy. A muscle index was calculated from the femoral quadriceps muscle thickness, measured by using an ultrasound method, and from the body surface area. Serum albumin concen...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900715)66:2<373::aid-cncr28206

    authors: Koskelo EK,Saarinen UM,Siimes MA

    更新日期:1990-07-15 00:00:00

  • Cancer mortality in Chinese immigrants to New York City. Comparison with Chinese in Tianjin and with United States-born whites.

    abstract:BACKGROUND:Cancer rates in immigrant populations are frequently found to be intermediate between the country of origin and the adopted country. Such observations play an important role in establishing the environmental origin of cancer. Chinese now constitute the third largest group immigrating to New York City. METHO...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19940215)73:4<1270::aid-cncr2820

    authors: Stellman SD,Wang QS

    更新日期:1994-02-15 00:00:00