ArticleCancer2015
Impact of patient navigation in eliminating economic disparities in cancer care.
Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.
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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.
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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
68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 129 citations in OpenAlex.
- Interventions to increase follow-up of abnormal cervical cancer screening results: A systematic literature review and meta-analysis.PloS one · 2024Pooled it
- Housing and Cancer Care and Outcomes: A Systematic Review.Journal of the National Cancer Institute · 2022Pooled it
- Patient Navigation and Postpartum Health Care Outcomes: A Randomized Clinical Trial.JAMA health forum · 2026Trial
- Evaluation of a 2-1-1 Telephone Navigation Program to Increase Cancer Control Behaviors: Results From a Randomized Controlled Trial.American journal of health promotion : AJHP · 2022Trial
- Patient navigator team perceptions on the implementation of a citywide breast cancer patient navigation protocol: a qualitative study.BMC health services research · 2022Trial
- The impact of social determinants on care for veterans with cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Patient navigation activities in a large community -based colorectal cancer screening program.BMC primary care · 2026Article
- Protocol for a pilot RCT investigating a weight loss navigation program for adults.Contemporary clinical trials · 2026Article
- Principles to promote social equality across the cancer trajectory: A group concept mapping study.Acta oncologica (Stockholm, Sweden) · 2025Article
- Improving equity and wellness in cancer care with people of Latin American and African Descent: a study protocol.Frontiers in oncology · 2025Article
- The impact of socioeconomic inequality on access to health care for patients with advanced cancer: A qualitative study.Asia-Pacific journal of oncology nursing · 2024Article
- Evaluating implementation of a community-focused patient navigation intervention at an NCI-designated cancer center using RE-AIM.BMC health services research · 2024Article
- Quality and Dependability of ChatGPT and DingXiangYuan Forums for Remote Orthopedic Consultations: Comparative Analysis.Journal of medical Internet research · 2024Article
- Inequity in Cancer and Cancer Care Delivery in the United States.Hematology/oncology clinics of North America · 2024Review
- Navigation programs to support community-dwelling individuals with life-limiting illness: determinants of implementation.BMC health services research · 2024Article
- Nurse navigation, symptom monitoring and exercise in vulnerable patients with lung cancer: feasibility of the NAVIGATE intervention.Scientific reports · 2023Article
- Increasing access to palliative care for patients with advanced cancer of African and Latin American descent: a patient-oriented community-based study protocol.BMC palliative care · 2023Article
- Article
- How do navigation programs address the needs of those living in the community with advanced, life-limiting Illness? A realist evaluation of programs in Canada.BMC palliative care · 2023Article
- Influence of a patient navigation program on timeliness of care in patients with esophageal cancer.Cancer medicine · 2023Article
8 more citing papers are in PubMed but not listed here.
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Authors and funding
13 authors at 12 institutions in 2 countries.
Funding
Abstract
backgroundPatient navigation may reduce cancer disparities associated with socioeconomic status (SES) and household factors. This study examined whether these factors were associated with delays in diagnostic resolution among patients with cancer screening abnormalities and whether patient navigation ameliorated these delays.
methodsThis study analyzed data from 5 of 10 centers of the National Cancer Institute's Patient Navigation Research Program, which collected SES and household data on employment, income, education, housing, marital status, and household composition. The primary outcome was the time to diagnostic resolution after a cancer screening abnormality. Separate adjusted Cox proportional hazard models were fit for each SES and household factor, and an interaction between that factor and the intervention status was included.
resultsAmong the 3777 participants (1968 in the control arm and 1809 in the navigation intervention arm), 91% were women, and the mean age was 44 years; 43% were Hispanic, 28% were white, and 27% were African American. Within the control arm, the unemployed experienced a longer time to resolution than those employed full-time (hazard ratio [HR], 0.85; P = .02). Renters (HR, 0.81; P = .02) and those with other (ie, unstable) housing (HR, 0.60; P < .001) had delays in comparison with homeowners. Never married (HR, 0.70; P < .001) and previously married participants (HR, 0.85; P = .03) had a longer time to care than married participants. There were no differences in the time to diagnostic resolution with any of these variables within the navigation intervention arm.
conclusionsDelays in diagnostic resolution exist by employment, housing type, and marital status. Patient navigation eliminated these disparities in the study sample. These findings demonstrate the value of providing patient navigation to patients at high risk for delays in cancer care.
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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.