ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2012
Boston Patient Navigation Research Program: the impact of navigation on time to diagnostic resolution after abnormal cancer screening.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 8 of them syntheses 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
92 citing papers in PubMed, 8 syntheses or guidelines pooled it, 125 citations in OpenAlex.
- Interventions to increase follow-up of abnormal cervical cancer screening results: A systematic literature review and meta-analysis.PloS one · 2024Pooled it
- Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.BMC cancer · 2021Pooled it
- Association of Treatment Delays With Survival for Patients With Head and Neck Cancer: A Systematic Review.JAMA otolaryngology-- head & neck surgery · 2019Pooled it
- Adherence in the Cancer Care Setting: a Systematic Review of Patient Navigation to Traverse Barriers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Pooled it
- Timely follow-up of positive cancer screening results: A systematic review and recommendations from the PROSPR Consortium.CA: a cancer journal for clinicians · 2018Pooled it
- The impact of patient navigation on the delivery of diagnostic breast cancer care in the National Patient Navigation Research Program: a prospective meta-analysis.Breast cancer research and treatment · 2016Pooled it
- Impact of patient navigation on timely cancer care: the Patient Navigation Research Program.Journal of the National Cancer Institute · 2014Pooled it
- Fundamental Elements in Training Patient Navigators and Their Involvement in Promoting Public Cervical Cancer Screening Knowledge and Practices: A Systematic Review.Cancer control : journal of the Moffitt Cancer CenterPooled it
- Patient Navigation and Postpartum Health Care Outcomes: A Randomized Clinical Trial.JAMA health forum · 2026Trial
- Patient navigator team perceptions on the implementation of a citywide breast cancer patient navigation protocol: a qualitative study.BMC health services research · 2022Trial
- A patient advocate to facilitate access and improve communication, care, and outcomes in adults with moderate or severe asthma: Rationale, design, and methods of a randomized controlled trial.Contemporary clinical trials · 2017Trial
- Patient Navigation in Medically Underserved Areas study design: A trial with implications for efficacy, effect modification, and full continuum assessment.Contemporary clinical trials · 2017Trial
- Neighborhood factors associated with time to resolution following an abnormal breast or cervical cancer screening test.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014Trial
- Can patient navigation improve receipt of recommended breast cancer care? Evidence from the National Patient Navigation Research Program.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014Trial
- Navigating veterans with an abnormal prostate cancer screening test: a quasi-experimental study.BMC health services research · 2013Trial
- The Effect of Peer-Led Navigation Approach as a Form of Task Shifting in Promoting Cervical Cancer Screening Knowledge, Intention, and Practices Among Urban Women in Tanzania: A Randomized Controlled Trial.Cancer control : journal of the Moffitt Cancer CenterTrial
- Delay to timely treatment in locally advanced cervical cancer: insurance inequities in access to gynecologic oncology.American journal of obstetrics and gynecology · 2025Article
- A Scoping Review of Patient Navigation in the Continuity of Cancer Care for Women.International journal of women's health · 2025Review
- Improving Communication and Management Following a Positive Home HPV Self-Sampling Result: Comparing Intervention Strategies Between the HOME and STEP Trials.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Evaluation of follow-up colposcopy procedures after abnormal cervical screening result across a statewide study in Mississippi.Cancer causes & control : CCC · 2024Article
32 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundThere is a need for controlled studies to assess the impact of patient navigation in vulnerable cancer populations.
methodsBoston Patient Navigation Research Program conducted a quasi-experimental patient navigation intervention across six federally qualified inner-city community health centers, three assigned to a breast cancer navigation intervention and three assigned to a cervical cancer navigation intervention; each group then served as the control for the other. Eligible women had an abnormal breast or cervical cancer screening test conducted at one of the participating health centers during a baseline (2004-2005) or intervention period (2007-2008). Kaplan-Meier survival curves and proportional hazards regression examined the effect of patient navigation on time to definitive diagnosis, adjusting for covariates, clustering by clinic and differences between the baseline and intervention period.
resultsWe enrolled 997 subjects in the baseline period and 3,041 subjects during the intervention period, of whom 1,497 were in the navigated arm, and 1,544 in the control arm. There was a significant decrease in time to diagnosis for subjects in the navigated group compared with controls among those with a cervical screening abnormality [aHR 1.46; 95% confidence interval (CI), 1.1-1.9]; and among those with a breast cancer screening abnormality that resolved after 60 days (aHR 1.40; 95% CI, 1.1-1.9), with no differences before 60 days.
conclusionsThis study documents a benefit of patient navigation on time to diagnosis among a racially/ethnically diverse inner city population. IMPACT: Patient navigation may address cancer health disparities by reducing time to diagnosis following an abnormal cancer-screening event.
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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.