ArticleJournal of the National Medical Association2011
Patients' barriers to receipt of cancer care, and factors associated with needing more assistance from a patient navigator.
Article in Journal of the National Medical Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 5 of them syntheses that pooled it.
What it found
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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
93 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Effect of healthcare professional-delivered health literacy interventions on patient reported outcomes in cancer patients - a systematic review.BMC cancer · 2026Pooled it
- Neoadjuvant Chemotherapy for Newly Diagnosed, Advanced Ovarian Cancer: ASCO Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025Guideline
- Housing and Cancer Care and Outcomes: A Systematic Review.Journal of the National Cancer Institute · 2022Pooled it
- Pooled it
- Health Literacy Among Surgical Patients: A Systematic Review and Meta-analysis.World journal of surgery · 2019Pooled it
- Patient Navigation for Colonoscopy Completion: Results of an RCT.American journal of preventive medicine · 2017Trial
- A randomized trial comparing live and telemedicine deliveries of an imagery-based behavioral intervention for breast cancer survivors: reducing symptoms and barriers to care.Psycho-oncology · 2015Trial
- Effect of patient navigation on colorectal cancer screening in a community-based randomized controlled trial of urban African American adults.Cancer causes & control : CCC · 2015Trial
- Trial
- Patient navigation for breast and colorectal cancer treatment: a randomized trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012Trial
- When Covering and Discovering Are at Odds: How the Logic of US Health Insurance Undercuts the Promise and Equity of Precision Medicine for People with Hereditary Cancer Risks.Journal of health politics, policy and law · 2026Article
- Assessing Training Practices and Gaps for Staff Involved in the Delivery of Oncology Financial Navigation: A Qualitative Study.Current oncology (Toronto, Ont.) · 2026Article
- Evaluating the impact of the CHANGE initiative on cancer screening referral and uptake in underserved communities in Georgia.Preventive medicine reports · 2026Article
- Barriers and Timely Postoperative Radiation Therapy in Head and Neck Cancer.JAMA otolaryngology-- head & neck surgery · 2025Article
- Socioeconomic disparities impacting breast cancer care and survival in Iran.Scientific reports · 2025Article
- Insights from a Patient-Centered Lung Cancer Navigation Program in a Low-Resource Community.Current oncology (Toronto, Ont.) · 2025Article
- A Formative Evaluation of Interventions to Enhance Clinical Trial Diversity Guided by the Socioecological Model.Cancers · 2025Article
- Enhancing Cancer Patient Navigation: Lessons from an Evaluation of Navigation Services in Alberta, Canada.Current oncology (Toronto, Ont.) · 2025Article
- Treated well but feeling poorly: examining supportive care devices in oncology practice.The oncologist · 2025Article
- Outcomes of Brain Metastasis from Lung Cancer.Cancers · 2025Article
33 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundRacial minorities have poorer cancer survival in the United States compared to whites. The purpose of this study was to better understand patients' barriers to cancer care and to determine which patients have a greater need for assistance from a patient navigator.
methodsCommunity health workers assisted newly-diagnosed breast and colorectal cancer patients during a randomized trial of patient navigation and collected information about patients' barriers. Barriers to care were characterized and compared between non-Hispanic white and minority patients. A multivariate model was constructed of factors associated with increased log navigation time, a measure of patients' need for assistance.
resultsPatients' (n = 103) most commonly identified barriers to care included a lack of social support, insurance/financial concerns, and problems communicating with health care providers. Barriers differed between nonminority and minority patients, and minority patients faced a greater number of barriers (p = .0001). In univariate analysis, log navigation time was associated with race/ethnicity, education, income, employment, insurance type, health literacy, marital status, language, and comorbidity. A multivariate model (R2 = 0.43) for log navigation time was created using stepwise selection, and included the following factors: minority race/ethnicity (p = .032), non-full-time employment (p = .0004), unmarried status (p = .085), university center (p = .0005), and months in study (p <.0001).
conclusionsNewly diagnosed cancer patients' most common barriers to care include lack of social support, insurance/financial concerns, and problems with health care communications. In this sample of patients, a greater need for assistance was independently associated with minority race/ethnicity and unemployment. These data may help in the design and targeting of interventions to reduce cancer health disparities.
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