Evidence map›Paper›PMID 25168070›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2015

Cost-effectiveness analysis of a colonoscopy screening navigator program designed for Hispanic men.

Fernando A Wilson, Roberto Villarreal, Jim P Stimpson, José A Pagán

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04048382 (Developing a Patient Navigation Intervention for PrEP Continuum of Care Among Young Latino MSM), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 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.

NCT04048382 nacompletednot on this mapstarted 2019, after this paper: background citation

Developing a Patient Navigation Intervention for PrEP Continuum of Care Among Young Latino MSM (PrEParate)

TypeinterventionalSponsorSan Diego State UniversityRan2019 to 2021Enrolled57ConditionsHIV/AIDSArmsPatient Navigation, Usual Care
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Simulation modeling validity and utility in colorectal cancer screening delivery: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020
    Pooled it
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  9. "Journal of latinx psychology · 2022
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  20. The Role of Patient Navigation on Colorectal Cancer Screening Completion and Education: a Review of the Literature.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fernando A WilsonDepartment of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, 68198, NE, USA.
Roberto Villarreal
Jim P Stimpson
José A Pagán

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although Hispanic men are at higher risk of developing colon cancer compared to non-Hispanic white men, colonoscopy screening among Hispanic men is much lower than among non-Hispanic white men. University Health System (UHS) in San Antonio, Texas, instituted a Colorectal Cancer Male Navigation (CCMN) Program in 2011 specifically designed for Hispanic men. The CCMN Program contacted 461 Hispanic men 50 years of age and older to participate over a 2-year period. Of these age-eligible men, 370 were screened for CRC after being contacted by the navigator. Using participant and program data, a Markov model was constructed to determine the cost-effectiveness of the CCMN Program. An average 50-year-old Hispanic male who participates in the CCMN Program will have 0.3 more quality-adjusted life-years (QALYs) compared to a similar male receiving usual care. Life expectancy is also predicted to increase by 6 months for participants compared to non-participants. The program results in net health care savings of $1,148 per participant ($424,760 for the 370 CCMN Program participants). The incremental cost-effectiveness ratio is estimated at $3,765 per QALY in favor of the navigation program. Interventions to reduce disparities in CRC screening across ethnic groups are needed, and this is one of the first studies to evaluate the economic benefit of a patient navigator program specifically designed for an urban population of Hispanic men. A colorectal cancer screening intervention which relies on patient navigators trained to address the unique needs of the targeted population (language barriers, transportation and scheduling assistance, colon cancer, and screening knowledge) can substantially increase the likelihood of screening and improve quality of life in a cost-effective manner.

Indexed as

Cost-Benefit AnalysisPatient NavigationColonoscopyColorectal NeoplasmsEarly Detection of CancerFollow-Up StudiesHispanic or LatinoHumansMaleMiddle AgedPatient CompliancePrognosisQuality of Life

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.