ArticleJournal of women's health (2002)2015
Multiple barriers delay care among women with abnormal cancer screening despite patient navigation.
Article in Journal of women's health (2002), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluating human papillomavirus (HPV) self-sampling among Latinas in the United States: A systematic review.Cancer medicine · 2024Pooled it
- Trial
- Patient navigation to address sociolegal barriers for patients with cancer: A comparative-effectiveness study.Cancer · 2022Trial
- A hybrid type I randomized effectiveness-implementation trial of patient navigation to improve access to services for children with autism spectrum disorder.BMC psychiatry · 2018Trial
- Trauma-Informed Approaches in the Context of Cancer Care in Canada and the United States: A Scoping Review.Trauma, violence & abuse · 2023Article
- The many "costs" of transportation: Examining what cancer caregivers experience as transportation obstacles.Cancer medicine · 2023Article
- Sociodemographic factors and perceived patient-provider communication associated with healthcare avoidance among women with psychological distress.PEC innovation · 2022Article
- Multilevel Follow-up of Cancer Screening (mFOCUS): Protocol for a multilevel intervention to improve the follow-up of abnormal cancer screening test results.Contemporary clinical trials · 2021Article
- An Analysis of Individual and Contextual-Level Disparities in Screening, Treatment, and Outcomes for Hepatocellular Carcinoma.Journal of hepatocellular carcinoma · 2021Review
- Helping Men Find Their Way: Improving Prostate Cancer Clinic Attendance via Patient Navigation.Journal of community health · 2020Article
- Psychological and neighborhood factors associated with urban women's preventive care use.Journal of behavioral medicine · 2020Article
- Time to diagnostic resolution after an uncertain screening mammogram in an underserved population.Cancer medicine · 2020Article
- Increasing health service access by expanding disease coverage and adding patient navigation: challenges for patient satisfaction.BMC health services research · 2020Article
- Article
- A mixed-methods process evaluation of Family Navigation implementation for autism spectrum disorder.Autism : the international journal of research and practice · 2019Article
- Mammography facilities serving vulnerable women have longer follow-up times.Health services research · 2019Article
- Determinants of Abnormal Cervical Cancer Screening Follow-Up And Invasive Cervical Cancer Among Uninsured and Underinsured Women in New Jersey.Journal of health care for the poor and underserved · 2019Article
- Article
- Health Care Disparities in Hereditary Ovarian Cancer: Are We Reaching the Underserved Population?Current treatment options in oncology · 2016Review
- Cancer Care Delivery and Women's Health: The Role of Patient Navigation.Frontiers in oncology · 2016Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundWhile there is widespread dissemination of patient navigation programs in an effort to reduce delays in cancer care, little is known about the impact of barriers to care on timely outcomes.
methodsWe conducted a secondary analysis of the Boston Patient Navigation Research Program (PNRP) to examine the effect that the presence of barriers had on time to diagnostic resolution of abnormal breast or cervical cancer screening tests. We used multivariable Cox proportional hazards regression with time to diagnostic resolution as the outcome to examine the effect of the number of barriers, controlling for demographic covariates and clustered by patients' primary navigator.
resultsThere were 1481 women who received navigation; mean age was 39 years; 32% were White, 27% Black, and 31% Hispanic; 28% had private health insurance; and 38% did not speak English. Overall, half (n=745, 50%) had documentation of one or more barriers to care. Women with barriers were more likely to be older, non-White, non-English language speakers, and on public or no health insurance compared with women without barriers. In multivariable analyses, we found less timely diagnostic resolution as the number of barriers increased (one barrier, adjusted hazard ratio [aHR] 0.81 [95% CI 0.56-1.17], p=0.26; two barriers, aHR 0.55 [95% CI 0.37-0.81], p=0.0025; three or more barriers, aHR 0.31 [95% CI 0.21-0.46], p<0.0001)].
conclusionWithin a patient navigation program proven to reduce delays in care, we found that navigated patients with documented barriers to care experience less timely resolution of abnormal cancer screening tests.
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