Trial reportPloS one2013
Patient navigation and time to diagnostic resolution: results for a cluster randomized trial evaluating the efficacy of patient navigation among patients with breast cancer screening abnormalities, Tampa, FL.
Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00375024 (Patient Navigator Project), which is not on this map. Cited by 21 papers, 5 of them syntheses that pooled 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.
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.
Patient Navigator Project
Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Application of patient navigation programs across the entire continuum of breast cancer care: a GRADE-assessed systematic review with meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Pooled it
- Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.BMC cancer · 2021Pooled it
- The Case for Patient Navigation in Lung Cancer Screening in Vulnerable Populations: A Systematic Review.Population health management · 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
- Pooled it
- Mobilizing social support networks to improve cancer screening: the COACH randomized controlled trial study design.BMC cancer · 2015Trial
- Characteristics of interventions aimed at reducing inequalities along the cancer continuum: A scoping review.International journal of cancer · 2025Article
- A Scoping Review of Patient Navigation in the Continuity of Cancer Care for Women.International journal of women's health · 2025Review
- Barriers to Mammography Screening among Black Women at a Community Health Center in South Florida, USA.Medical research archives · 2023Article
- Healthcare delivery interventions to reduce cancer disparities worldwide.World journal of clinical oncology · 2020Review
- Establishing effective patient navigation programs in oncology.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Review
- Effects of program scale-up on time to resolution for patients with abnormal screening mammography results.Cancer causes & control : CCC · 2018Article
- Training in Patient Navigation: A Review of the Research Literature.Health promotion practice · 2016Review
- Effect of patient navigation on satisfaction with cancer-related care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Cancer Care Delivery and Women's Health: The Role of Patient Navigation.Frontiers in oncology · 2016Review
- Article
- Patient navigation to improve follow-up of abnormal mammograms among disadvantaged women.Journal of women's health (2002) · 2015Article
- Association of patient-provider communication domains with lung cancer treatment.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2014Article
- Effect of patient navigation on time to diagnostic resolution among patients with colorectal cancer-related abnormalities.Journal of cancer education : the official journal of the American Association for Cancer Education · 2014Article
- Patient Navigation in a Colorectal Cancer Screening Program.Journal of public health management and practice : JPHMPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesThe objective of this study was to evaluate a patient navigation (PN) program that attempts to reduce the time between a breast cancer screening abnormality and definitive diagnosis among medically underserved populations of Tampa Bay, Florida.
methodsThe Moffitt Patient Navigation Research Program conducted a cluster randomized design with 10 primary care clinics. Patients were navigated from time of a breast screening abnormality to diagnostic resolution. This paper examined the length of time between breast abnormality and definitive diagnosis, using a shared frailty Cox proportional hazard model to assess PN program effect.
results1,039 patients were eligible for the study because of an abnormal breast cancer screening/clinical abnormality (494 navigated; 545 control). Analysis of PN effect by two time periods of resolution (0-3 months and > 3 months) showed a lagged effect of PN. For patients resolving in the first three months, the adjusted Hazard Ratio (aHR) was 0.85 (95% Confidence Interval [CI]: 0.64-1.13) suggesting that PN had no effect on resolution time during this period. Beyond three months, however, navigated patients resolved more quickly to diagnostic resolution compared with the control group (aHR 2.8, 95%CI: 1.30-6.13). The predicted aHR at 3 months was 1.2, which was not statistically significant, while PN had a significant positive effect beyond 4.7 months.
conclusionsPN programs may increase the timeliness of diagnostic resolution for patients with a breast cancer-related abnormality. PN did not speed diagnostic resolution during the initial three months of follow up but started to reduce time to diagnostic resolution after three months and showed a significant effect after 4.7 months.
trial registrationClinicalTrials.gov NCT00375024.
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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.