Evidence map›Paper›PMID 26109462›Full record

Trial reportCancer causes & control : CCC2015

Patient navigation to increase colorectal cancer screening among Latino Medicare enrollees: a randomized controlled trial.

K R Enard, L Nevarez, M Hernandez, S R Hovick, M R Moguel, R A Hajek, C E Blinka, L A Jones, I Torres-Vigil

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer causes & control : CCC, 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 30 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 10 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

30 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  11. A Randomized Trial to Compare a Tailored Web-Based Intervention and Tailored Phone Counseling to Usual Care for Increasing Colorectal Cancer Screening.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 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

9 authors.

K R EnardDepartment of Health Management and Policy, Saint Louis University, 3545 Lafayette Ave, Room 380, Saint Louis, MO, 63104, USA, enardkr@slu.edu.
L Nevarez
M Hernandez
S R Hovick
M R Moguel
R A Hajek
C E Blinka
L A Jones
I Torres-Vigil

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
SHARED RESOUCES COREP60MD000503 · NIMHD · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LI, YISHENG · 2003 to 2011
$12.4M
BEHAVIORAL SCIENCE EDUCATION--CANCER PREVENTION/CONTROLR25CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MULLEN, PATRICIA DOLAN · 1992 to 2017
$8.6M
End-of-life treatment preferences of Latino Medicare beneficiaries with cancerK01CA151785 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI TORRES, ISABEL · 2010 to 2014
$748k
NCI NIH HHS 2R25CA57712NCI NIH HHS 5K01CA151785-04NCI NIH HHS CA016672NCI NIH HHS K01 CA151785NCI NIH HHS P30 CA016672NCI NIH HHS P30CA016672NCI NIH HHS R25 CA057712NIMHD NIH HHS P60 MD000503
6 · The paper itself

Abstract

purposeLatino Medicare enrollees report suboptimal rates of colorectal cancer screening (CRCS) despite Medicare policies designed to improve CRCS access for older persons. Patient navigation (PN) may address many underlying barriers to CRCS, yet little is known about the effectiveness of PN to increase CRCS adherence among Latino Medicare enrollees.

methodsUsing a randomized controlled trial study design, we evaluated tailored PN delivered outside of primary care settings as an intervention to increase CRCS adherence in this population. Intervention participants (n = 135) received tailored PN services which included education, counseling, and logistical support administered in their language of choice. Comparison participants (n = 168) received mailed cancer education materials. We compared CRCS rates between interventions and used multivariable logistic regression to assess the odds of CRCS adherence for PN versus comparison groups after adjusting for covariates of interest.

resultsMore navigated than non-navigated participants became CRCS adherent during the study period (43.7 vs. 32.1%, p = 0.04). The odds of CRCS adherence were significantly higher for PN relative to comparison participants before and after adjusting for covariates (unadjusted OR 1.64, p = 0.04; adjusted OR 1.82, p = 0.02). Higher CRCS adherence rates were observed primarily in the uptake of endoscopic screening methods.

conclusionThis study demonstrates that PN delivered outside of the primary care environment is modestly effective in increasing CRCS adherence among Latino Medicare enrollees. This intervention strategy should be further evaluated as a complement to primary care-based PN and other care coordination strategies to increase adherence with CRCS and other evidence-based screenings among older Latinos.

Indexed as

Hispanic or LatinoPatient NavigationPrimary Health CareAgedColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMedicareMiddle AgedUnited States

Identifiers

PMID26109462
PMCPMC5215648

What OpenQuestion holds

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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.