ArticleCancer2015
Impact of patient and navigator race and language concordance on care after cancer screening abnormalities.
Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Exploring the role of racial/ethnic patient-physician concordance in optimizing health and patient outcomes among black populations in the United States: an integrative systematic review.Frontiers in public health · 2026Pooled it
- Patient navigation programmes for symptomatic lung cancer patients: a scoping review.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Interventions to increase follow-up of abnormal cervical cancer screening results: A systematic literature review and meta-analysis.PloS one · 2024Pooled it
- Who is a community health worker? - a systematic review of definitions.Global health action · 2017Pooled it
- Peer characteristics associated with improved glycemic control in a randomized controlled trial of a reciprocal peer support program for diabetes.Chronic illness · 2019Trial
- The Efficacy of Direct Mail, Patient Navigation, and Incentives for Increasing Mammography and Colonoscopy in the Medicaid Population: A Randomized Controlled Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018Trial
- Effect of Patient Navigation and Financial Incentives on Smoking Cessation Among Primary Care Patients at an Urban Safety-Net Hospital: A Randomized Clinical Trial.JAMA internal medicine · 2017Trial
- Multivariable regression modelling of structural, intermediary and demographic determinants of health literacy: evidence from unaccompanied migrants and statelessness-prone individuals in Ghana.Journal of health, population, and nutrition · 2026Article
- Characteristics and Effectiveness of Patient Navigation Programs on Colorectal Cancer Screening and Follow-Up Colonoscopy Uptake: A Systematic Review.AJPM focus · 2026Review
- Quality cancer care for older adults from culturally and linguistically diverse backgrounds: Perspectives from the Cancer and Aging Research Group Junior Board.Journal of geriatric oncology · 2026Article
- Untimely follow-up after cervical cancer screening: A qualitative study among healthcare providers in Flanders (Belgium).PloS one · 2026Article
- Cancer care disparities among patients with limited English proficiency: challenges and strategies for equity.BJC reports · 2025Review
- Supportive Care Needs of Patients with Breast Cancer Who Self-Identify as Black: An Integrative Review.Current oncology (Toronto, Ont.) · 2025Review
- The role of patient navigation programs in early cancer care in Mexico: a multi-case qualitative study.The oncologist · 2025Article
- Barriers and Facilitators of Implementing a Community and Faith-Based Intervention to Increase Eye Care Utilization in Black Americans.American journal of ophthalmology · 2025Article
- Social risk factors screening preferences among breast and prostate cancer survivors: A qualitative study.Journal of psychosocial oncology · 2025Article
- Advancing equity in cancer care: a pilot explanatory mixed methods study of a racially, ethnically, and linguistically concordant model of patient navigation.Journal of health equity · 2025Article
- A Scoping Review of Patient Navigation in the Continuity of Cancer Care for Women.International journal of women's health · 2025Review
- Mixed Methods Evaluation of Gaps and Barriers in Delivery of Precision Oncology in Advanced Lung Cancer.Journal of oncology navigation & survivorship · 2024Article
- Implementation of social needs screening for minoritized patients newly diagnosed with breast cancer: a mixed methods evaluation in a pragmatic patient navigation trial.BMC health services research · 2024Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundPatient navigation improves the timely diagnosis of cancer among minorities, but little is known about the effects of patient and navigator race and language concordance on health outcomes.
methodsThe authors investigated the effects of patient and navigator race and language concordance on the time to diagnosis of cancer screening abnormalities among participants in the Boston Patient Navigation Research Program, a clinical effectiveness trial for women who had breast or cervical cancer screening abnormalities identified from January 1, 2007 to December 31, 2008. Hazard ratios and 95% confidence intervals were estimated using proportional hazards regression adjusting for clinical and demographic factors.
resultsIn total, 1257 women had breast cancer screening abnormalities (n = 655) or cervical cancer screening abnormalities (n = 602) identified, and 56% were nonwhite. Language concordance was associated with timelier resolution for all patients in the cervical cancer screening abnormalities group during the first 90 days (adjusted hazard ratio, 1.46; 95% confidence interval, 1.18-1.80), and specifically for Spanish speakers during the first 90 days (adjusted hazard ratio, 1.43; 95% confidence interval, 1.10-1.84), but no difference was observed after 90 days for women who had cervical cancer screening abnormalities or at any time for those who had breast cancer screening abnormalities. Race concordance was associated with significant decreases in the time to diagnosis for minority women with breast and cervical cancer screening abnormalities in analyses stratified by race, but no differences were observed in analyses that included all women.
conclusionsPatient navigator race and language concordance improved the timeliness of care in a minority population. Patient navigators who are racially/ethnically diverse and multilingual may help address barriers to care and improve cancer outcomes for low-income minorities.
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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.