Evidence map›Paper›PMID 24276777›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2014

Nurse navigators in early cancer care: a randomized, controlled trial.

Edward H Wagner, Evette J Ludman, Erin J Aiello Bowles, Robert Penfold, Robert J Reid, Carolyn M Rutter, Jessica Chubak, Ruth McCorkle

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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

83 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Patient navigation programmes for symptomatic lung cancer patients: a scoping review.Archives of public health = Archives belges de sante publique · 2025
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  10. Professional patient navigation in a hospital setting: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Edward H WagnerEdward H. Wagner, MacColl Center for Health Care Innovation; Edward H. Wagner, Evette J. Ludman, Erin J. Aiello Bowles, Robert Penfold, Robert J. Reid, Carolyn M. Rutter, and Jessica Chubak, Group Health Research Institute; Robert Penfold and Jessica Chubak, University of Washington; Robert J. Reid, Group Health Permanente, Seattle, WA; and Ruth McCorkle, Yale University, New Haven, CT.
Evette J Ludman
Erin J Aiello Bowles
Robert Penfold
Robert J Reid
Carolyn M Rutter
Jessica Chubak
Ruth McCorkle

Funding

Training and DevelopmentP20CA137219 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEARING, JAMES WILLIAM · 2008 to 2012
$7.8M
NCI NIH HHS P20 CA137219NCI NIH HHS P20CA137219
6 · The paper itself

Abstract

purposeTo determine whether a nurse navigator intervention improves quality of life and patient experience with care for people recently given a diagnosis of breast, colorectal, or lung cancer. PATIENTS AND

methodsAdults with recently diagnosed primary breast, colorectal, or lung cancer (n = 251) received either enhanced usual care (n = 118) or nurse navigator support for 4 months (n = 133) in a two-group cluster randomized, controlled trial with primary care physicians as the units of randomization. Patient-reported measures included the Functional Assessment of Cancer Therapy-General (FACT-G) Quality of Life scale, three subscales of the Patient Assessment of Chronic Illness Care (PACIC), and selected subscales from a cancer adaptation of the Picker Institute's patient experience survey. Self-report measures were collected at baseline, 4 months, and 12 months. Automated administrative data were used to assess time to treatment and total health care costs.

resultsThere were no significant differences between groups in FACT-G scores. Nurse navigator patients reported significantly higher scores on the PACIC and reported significantly fewer problems with care, especially psychosocial care, care coordination, and information, as measured by the Picker instrument. Cumulative costs after diagnosis did not differ significantly between groups, but lung cancer costs were $6,852 less among nurse navigator patients.

conclusionCompared with enhanced usual care, nurse navigator support for patients with cancer early in their course improves patient experience and reduces problems in care, but did not differentially affect quality of life.

Indexed as

NursesPatient AdvocacyPatient Care PlanningQuality of LifeAdultAgedBreast NeoplasmsColorectal NeoplasmsFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasmsResearch DesignSelf Report

Identifiers

PMID24276777
PMCPMC3867643

What OpenQuestion holds

Textmetadata
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.