ArticleHealth policy (Amsterdam, Netherlands)2011
Are breast cancer navigation programs cost-effective? Evidence from the Chicago Cancer Navigation Project.
Article in Health policy (Amsterdam, Netherlands), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 19 citations in OpenAlex.
- Effect of Patient Navigation on Breast Cancer Screening Among African American Medicare Beneficiaries: A Randomized Controlled Trial.Journal of general internal medicine · 2016Trial
- Article
- A Comparison of Different Intensities of Patient Navigation After Abnormal Mammography.Health promotion practice · 2019Article
- Leveraging system sciences methods in clinical trial evaluation: An example concerning African American women diagnosed with breast cancer via the Patient Navigation in Medically Underserved Areas study.Contemporary clinical trials communications · 2019Article
- Breast Cancer Disparities Among Women in Underserved Communities in the USA.Current breast cancer reports · 2018Article
- Patient Navigation in Breast Cancer Treatment and Survivorship: A Systematic Review.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016Article
- Cancer care coordinators in stage III colon cancer: a cost-utility analysis.BMC health services research · 2015Article
- State-of-the-science of patient navigation as a strategy for enhancing minority clinical trial accrual.Cancer · 2014Review
- Article
- Impact of patient navigation on cancer diagnostic resolution among Northwest Tribal communities.Journal of cancer education : the official journal of the American Association for Cancer Education · 2013Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesOne of the aims of the Chicago Cancer Navigation Project (CCNP) is to reduce the interval of time between abnormal breast cancer screening and definitive diagnosis in patients who are navigated as compared to usual care. In this article, we investigate the extent to which total costs of breast cancer navigation can be offset by survival benefits and savings in lifetime breast cancer-attributable costs.
methodsData sources for the cost-effectiveness analysis include data from published literature, secondary data from the NCI's Surveillance Epidemiology and End Results (SEER) program, and primary data from the CCNP.
resultsIf women enrolled in CCNP receive breast cancer diagnosis earlier by 6 months as compared to usual care, then navigation is borderline cost-effective for $95,625 per life-year saved. Results from sensitivity analyses suggest that the cost-effectiveness of navigation is sensitive to: the interval of time between screening and diagnosis, percent increase in number of women who receive cancer diagnosis and treatment, women's age, and the positive predictive value of a mammogram.
conclusionsIn planning cost-effective navigation programs, special considerations should be made regarding the characteristics of the disease, program participants, and the initial screening test that determines program eligibility.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.