Evidence map›Paper›PMID 21656754›Full record

ArticleCancer2011

Patient navigation for American Indians undergoing cancer treatment: utilization and impact on care delivery in a regional healthcare center.

B Ashleigh Guadagnolo, Amy Boylan, Michele Sargent, David Koop, Deb Brunette, Shalini Kanekar, Vanessa Shortbull, Kevin Molloy, Daniel G Petereit

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 5 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 5 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Systematic Review of Interventions Addressing Racial and Ethnic Disparities in Cancer Care and Health Outcomes.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Pooled it
  3. Pooled it
  4. Interventions to improve cancer survivorship among Indigenous Peoples and communities: a systematic review with a narrative synthesis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  5. Pooled it
  6. A Pilot Study to Determine the Effect of an Educational DVD in Philippine Languages on Cancer Clinical Trial Participation among Filipinos in Hawai'i.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2017
    Trial
  7. Helping cancer patients across the care continuum: the navigation program at the Queen's Medical Center.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2013
    Trial
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  11. Review
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  14. Pilot implementation and qualitative evaluation of a financial hardship screening among Native American patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  15. Providers' and survivors' perspectives on the availability and accessibility of surgery in gastrointestinal cancer care.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

B Ashleigh GuadagnoloDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA. aguadagn@mdanderson.org
Amy Boylan
Michele Sargent
David Koop
Deb Brunette
Shalini Kanekar
Vanessa Shortbull
Kevin Molloy
Daniel G Petereit
Rapid City Regional Hospital · USThe University of Texas MD Anderson Cancer Center · USVA Black Hills Health Care System · US

Funding

Enhancing Native American Participation in RT TrialsU56CA099010 · NCI · RAPID CITY REGIONAL HOSPITAL · PI PETEREIT, DANIEL G · 2002 to 2008
$6.2M
Walking Forward - American Indian Participation in Cancer Clinical TrialsU54CA142157 · NCI · RAPID CITY REGIONAL HOSPITAL · PI PETEREIT, DANIEL G · 2009 to 2013
$4.1M
NCI NIH HHS 5U56CA99010NCI NIH HHS U54 CA142157NCI NIH HHS U56 CA099010
6 · The paper itself

Abstract

backgroundA study was undertaken to assess patient navigation utilization and its impact on treatment interruptions and clinical trial enrollment among American Indian cancer patients.

methodsBetween February 2004 and September 2009, 332 American Indian cancer patients received patient navigation services throughout cancer treatment. The patient navigation program provided culturally competent navigators to assist patients with navigating cancer therapy, obtaining medications, insurance issues, communicating with medical providers, and travel and lodging logistics. Data on utilization and trial enrollment were prospectively collected. Data for a historical control group of 70 American Indian patients who did not receive patient navigation services were used to compare treatment interruptions among those undergoing patient navigation during curative radiation therapy (subgroup of 123 patients).

resultsThe median number of contacts with a navigator was 12 (range, 1-119). The median time spent with the navigator at first contact was 40 minutes (range, 10-250 minutes), and it was 15 minutes for subsequent contacts. Patients treated with radiation therapy with curative intent who underwent patient navigation had fewer days of treatment interruption (mean, 1.7 days; 95% confidence interval [CI], 1.1-2.2 days) than historical controls who did not receive patient navigation services (mean, 4.9 days; 95% CI, 2.9-6.9 days). Of the 332 patients, 72 (22%; 95% CI, 17%-26%) were enrolled on a clinical treatment trial or cancer control protocol.

conclusionsPatient navigation was associated with fewer treatment interruptions and relatively high rates of clinical trial enrollment among American Indian cancer patients compared with national reports.

Indexed as

Delivery of Health CareHealth Services AccessibilityIndians, North AmericanAdolescentAdultAgedAged, 80 and overClinical Trials as TopicFemaleHumansMaleMiddle AgedNeoplasms

Identifiers

PMID21656754
PMCPMC3112306
OpenAlexW1500894356

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.