Evidence map›Paper›PMID 26438146›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016

Effect of patient navigation on satisfaction with cancer-related care.

Kristen J Wells, Paul C Winters, Pascal Jean-Pierre, Victoria Warren-Mears, Douglas Post, Mary Ann S Van Duyn, Kevin Fiscella, Julie Darnell, Karen M Freund, Patient Navigation Research Program Investigators

4 registry-linked trialsAbstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 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.

NCT00375024 nacompletednot on this map

Patient Navigator Project

TypeinterventionalSponsorH. Lee Moffitt Cancer Center and Research InstituteRan2007 to 2012Enrolled1,267ConditionsBreast Cancer, Colon CancerArmsPatient Navigation, Clinic Staff
NCT00496678 phase4completednot on this map

RCT of Primary Care-based Patient Navigation-Activation

TypeinterventionalSponsorUniversity of RochesterRan2007 to 2010Enrolled900ConditionsBreast Cancer, Colorectal CancerArmsNavigation, Standard of Care
NCT00613275 phase4completednot on this map

Patient Navigation in the Safety Net:CONNECTeDD

TypeinterventionalSponsorBoston Medical CenterRan2005 to 2011Enrolled4,038ConditionsBreast Cancer, Cervical CancerArmspatient Navigation
NCT01569672 nacompletednot on this map

Ohio Patient Navigation Research Program

TypeinterventionalSponsorOhio State University Comprehensive Cancer CenterRan2006 to 2020Enrolled941ConditionsBreast Cancer, Cervical Cancer, Colon Cancer, Rectal CancerArmsPatient Navigator matched with subject, Subjects are mailed informational/educational materials
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Systematic Review of Interventions Addressing Racial and Ethnic Disparities in Cancer Care and Health Outcomes.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Pooled it
  4. Effects of patient navigation on satisfaction with cancer care: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Pooled it
  5. Trial
  6. Comorbidity, treatment toxicity and satisfaction with cancer care: an international cross-sectional study based on the EORTC PATSAT-C33 and OUT-PATSAT7.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  16. 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
    Review
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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

10 authors.

Kristen J WellsDepartment of Psychology, San Diego State University and University of California, San Diego Moores Cancer Center, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120-1863, USA. kwells@mail.sdsu.edu.
Paul C WintersFamily Medicine Research Programs, University of Rochester Medical Center, 1381 South Avenue, Rochester, NY, 14620, USA.
Pascal Jean-PierreDepartment of Psychology, University of Notre Dame, 109 Haggar Hall, Notre Dame, IN, 46556, USA.
Victoria Warren-MearsNorthwest Portland Area Indian Health Board, 2121 SW Broadway Suite 300, Portland, OR, 97201, USA.
Douglas PostOhio State University, 1590 North High Street, Suite 525, Columbus, OH, 43201, USA.
Mary Ann S Van DuynNational Institutes of Health, National Cancer Institute, 9609 Medical Center Drive, Room 6W118, Bethesda, MD, 20892, USA.
Kevin FiscellaFamily Medicine Research Programs, University of Rochester Medical Center, 1381 South Avenue, Rochester, NY, 14620, USA.
Julie DarnellDivision of Health Policy & Administration, School of Public Health, University of Illinois at Chicago, 1603 W. Taylor Street, Room 758, Chicago, IL, 60612, USA.
Karen M FreundInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Tufts University School of Medicine, 800 Washington Street #63, Boston, MA, 02111, USA.
Patient Navigation Research Program Investigators

Funding

Chicago Cancer Navigation ProjectU01CA116875 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ROSEN, STEVEN TERRY · 2005 to 2011
$4.5M
RCT of Primary Care-based Patient Navigation-ActivationU01CA116924 · NCI · UNIVERSITY OF ROCHESTER · PI FISCELLA, KEVIN ANTHONY · 2005 to 2011
$4.4M
"Patient Navigation in the SafetyNet: CONNECTeDD"U01CA116892 · NCI · BOSTON MEDICAL CENTER · PI FREUND, KAREN · 2005 to 2010
$4.3M
DC City-wide Patient Navigation Research ProgramU01CA116937 · NCI · GEORGE WASHINGTON UNIVERSITY · PI PATIERNO, STEVEN R · 2005 to 2011
$4.1M
Behavioral Oncology Education & Career DevelopmentR25CA090314 · NCI · H. LEE MOFFITT CANCER CTR &RES INST · PI BRANDON, THOMAS H · 2003 to 2018
$4.0M
Improving Patient Outcomes Through System NavigationU01CA116903 · NCI · DENVER HEALTH AND HOSPITAL AUTHORITY · PI RAICH, PETER CHRISTIAN · 2005 to 2011
$3.8M
Patient Navigation Research ProgramU01CA116885 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DUDLEY, DONALD J · 2005 to 2010
$3.3M
Patient Navigator ProgramU01CA117281 · NCI · H. LEE MOFFITT CANCER CTR &RES INST · PI ROETZHEIM, RICHARD G · 2005 to 2009
$3.1M
Northwest Tribal Cancer Navigator ProgramU01CA116925 · NCI · NORTHWEST PORTLAND AREA INDIAN HLTH BD · PI WARREN-MEARS, VICTORIA ANN · 2005 to 2009
$3.0M
NCI NIH HHS 5U01CA116875NCI NIH HHS 5U01CA116885NCI NIH HHS 5U01CA116892NCI NIH HHS 5U01CA116903NCI NIH HHS 5U01CA116924NCI NIH HHS 5U01CA116925NCI NIH HHS 5U01CA116937NCI NIH HHS 5U01CA117281NCI NIH HHS R25 CA090314NCI NIH HHS R25CA090314NCI NIH HHS U01 CA116875NCI NIH HHS U01 CA116885NCI NIH HHS U01 CA116892NCI NIH HHS U01 CA116903NCI NIH HHS U01 CA116924NCI NIH HHS U01 CA116925NCI NIH HHS U01 CA116937NCI NIH HHS U01 CA117281
6 · The paper itself

Abstract

purposeDespite growing popularity of patient navigation (PN) as a means to improve cancer care quality and reduce cancer-related disparities, there are few well-designed controlled trials assessing the impact of PN on patient outcomes like satisfaction with care. The present controlled study examined effect of PN on satisfaction with cancer-related care.

methodsPatients who presented with a symptom or abnormal screening test (n = 1788) or definitive diagnosis (n = 445) of breast, cervical, colorectal, or prostate cancer from eight Patient Navigator Research Program sites were included in one of two groups: intervention (PN) or comparison (usual care or usual care plus cancer educational materials). Trained patient navigators met with intervention group participants to help them assess and identify resources to address barriers to cancer diagnostic or treatment care. Using a validated instrument, we assessed participants' satisfaction with their cancer diagnostic or treatment care up to 3 months after diagnostic resolution of a cancer-related abnormality or within 3 months of initiation of cancer treatment.

resultsOverall, patients reported high satisfaction with diagnostic care and cancer treatment. There were no statistically significant differences between PN and control groups in satisfaction with cancer-related care (p > 0.05). Hispanic and African American participants were less likely to report high satisfaction with cancer care when compared to White patients. Middle-aged participants with higher education, higher household income, private insurance, owning their own home, working full-time, and those whose primary language is English had higher satisfaction with cancer-related diagnostic care.

conclusionsPN had no statistically significant effect on patients' satisfaction with cancer-related care. Further research is needed to define the patient populations who might benefit from PN, content of PN that is most useful, and services that might enhance PN. TRIAL REGISTRATIONS: clinicaltrials.gov identifiers: NCT00613275 , NCT00496678 , NCT00375024 , NCT01569672.

Indexed as

AdultFemaleHumansMaleMiddle AgedNeoplasmsPatient NavigationPatient SatisfactionCancer-related careDisparitiesPatient navigationPatient navigatorPatient satisfaction

Identifiers

PMID26438146
PMCPMC4767607

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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.