ArticleFrontiers in oncology2011
Addressing Cancer Disparities Among American Indians through Innovative Technologies and Patient Navigation: The Walking Forward Experience.
Article in Frontiers in oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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.
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.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- 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 · 2021Pooled it
- Perspectives on GUIDE (Guiding participation toward understanding, inclusion, diversity, and equity for cancer trials): a clinical trial access intervention.Cancer causes & control : CCC · 2026Article
- Colorectal Cancer and Quality of Life: A Medicare Advantage Study by Race, Ethnicity, and Language.Journal of surgical oncology · 2025Observational
- Barriers and unmet needs related to healthcare for American Indian and Alaska Native communities: improving access to specialty care and clinical trials.Frontiers in health services · 2025Review
- 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 · 2024Article
- Financial hardship screening among Native American patients with cancer: a qualitative analysis.BMC health services research · 2024Article
- Mobile Web App Intervention to Promote Breast Cancer Screening Among American Indian Women in the Northern Plains: Feasibility and Efficacy Study.JMIR formative research · 2023Article
- Navigator utilization among African-American breast cancer patients at a Comprehensive Cancer Center.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023Article
- Factors Influencing Palliative Care Access and Delivery for Great Plains American Indians.Journal of pain and symptom management · 2022Article
- Kidney Cancer Incidence and Mortality Disparities Involving American Indians/Alaska Natives: An Analysis of the Oklahoma Central Cancer Registry (OCCR).Journal of cancer epidemiology · 2022Article
- Operational strategies in US cancer centers of excellence that support the successful accrual of racial and ethnic minorities in clinical trials.Contemporary clinical trials communications · 2020Article
- Sharing Wisdom, Sharing Hope: Strategies Used by Native American Cancer Survivors to Restore Quality of Life.JCO global oncology · 2020Article
- Cancer Care Access and Outcomes for American Indian Populations in the United States: Challenges and Models for Progress.Seminars in radiation oncology · 2017Review
- The Radiation Stress Response: Of the People, By the People and For the People.Radiation research · 2017Article
- Patient Navigation As a Model to Increase Participation of African Americans in Cancer Clinical Trials.Journal of oncology practice · 2016Article
- Editorial: "global challenges in radiation oncology".Frontiers in oncology · 2015Article
- State-of-the-science of patient navigation as a strategy for enhancing minority clinical trial accrual.Cancer · 2014Review
- The international cancer expert corps: a unique approach for sustainable cancer care in low and lower-middle income countries.Frontiers in oncology · 2014Review
- National Cancer Institute's Cancer Disparities Research Partnership Program: Experience and Lessons Learned.Frontiers in oncology · 2014Article
- The National Cancer Institute-American Society of Clinical Oncology Cancer Trial Accrual Symposium: summary and recommendations.Journal of oncology practice · 2013Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
PURPOSE/OBJECTIVE(S): American Indians (AIs) present with more advanced stages of cancer and, therefore, suffer from higher cancer mortality rates compared to non-AIs. Under the National Cancer Institute (NCI) Cancer Disparities Research Partnership (CDRP) Program, we have been researching methods of improving cancer treatment and outcomes since 2002, for AIs in Western South Dakota, through the Walking Forward (WF) Program. MATERIALS/
methodsThis program consists of (a) a culturally tailored patient navigation program that facilitated access to innovative clinical trials in conjunction with a comprehensive educational program encouraging screening and early detection, (b), surveys to evaluate barriers to access, (c) clinical trials focusing on reducing treatment length to facilitate enhanced participation using brachytherapy and intensity modulated radiotherapy (IMRT) for breast and prostate cancer, as AIs live a median of 140 miles from the cancer center, and (d) a molecular study (ataxia telangiectasia mutated) to address whether there is a specific profile that increases toxicity risks.
resultsWe describe the design and implementation of this program, summary of previously published results, and ongoing research to influence stage at presentation. Some of the critical outcomes include the successful implementation of a community-based research program, development of trust within tribal communities, identification of barriers, analysis of nearly 400 navigated cancer patients, clinical trial accrual rate of 10%, and total enrollment of nearly 2,500 AIs on WF research studies.
conclusionThis NCI funded pilot program has achieved some initial measures of success. A research infrastructure has been created in a community setting to address new research questions and interventions. Efforts underway to promote cancer education and screening are presented, as well as applications of the lessons learned to other health disparity populations - both nationally and internationally.
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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.