ArticleCancer2016
Racial and ethnic differences in patient navigation: Results from the Patient Navigation Research Program.
Article in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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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
29 citing papers in PubMed.
- Patient navigator team perceptions on the implementation of a citywide breast cancer patient navigation protocol: a qualitative study.BMC health services research · 2022Trial
- Examining the Role of the Social Vulnerability Index in the Association between Race/Ethnicity and Breast Cancer Outcomes.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- Protocol for a pilot RCT investigating a weight loss navigation program for adults.Contemporary clinical trials · 2026Article
- Article
- An environmental scan and qualitative inquiry of cancer patient navigation services in North Carolina.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- "The doctor will see you now… but not for long": Linking physicians' racial attitudes and patients' discrimination experiences to racial disparities in the duration of medical consultations.Patient education and counseling · 2025Article
- Elucidating the influences of social determinants of health on perceived overall health among African American/Black and Hispanic ovarian cancer survivors using the NIH All of Us Research Program.Gynecologic oncology · 2024Article
- Supporting ColoREctal Equitable Navigation (SCREEN): a protocol for a stepped-wedge cluster randomized trial for patient navigation in primary care.Implementation science communications · 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
- The promise and challenges of multi-cancer early detection assays for reducing cancer disparities.Frontiers in oncology · 2024Article
- Adapting a model of cervical carcinogenesis to self-identified Black women to evaluate racial disparities in the United States.Journal of the National Cancer Institute. Monographs · 2023Article
- Reach and effectiveness of a centralized navigation program for patients with positive fecal immunochemical tests requiring follow-up colonoscopy.Preventive medicine reports · 2023Article
- Impact of lay navigation on utilization and Medicare spending for cancer survivors in the "Deep South".Journal of cancer survivorship : research and practice · 2022Article
- Article
- Assessment of patient navigation programs for breast cancer patients across the city of Boston.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Bridging the postpartum gap: best practices for training of obstetrical patient navigators.American journal of obstetrics and gynecology · 2021Article
- Racial Disparities in Surgery: A Cross-Specialty Matched Comparison Between Black and White Patients.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2020Article
- Translating research into practice: Protocol for a community-engaged, stepped wedge randomized trial to reduce disparities in breast cancer treatment through a regional patient navigation collaborative.Contemporary clinical trials · 2020Article
- Helping Men Find Their Way: Improving Prostate Cancer Clinic Attendance via Patient Navigation.Journal of community health · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundPatient navigation was developed to address barriers to timely care and reduce cancer disparities. The current study explored navigation and racial and ethnic differences in time to the diagnostic resolution of a cancer screening abnormality.
methodsThe authors conducted an analysis of the multisite Patient Navigation Research Program. Participants with an abnormal cancer screening test were allocated to either navigation or control. The unadjusted median time to resolution was calculated for each racial and ethnic group by navigation and control. Multivariable Cox proportional hazards models were fit, adjusting for sex, age, cancer abnormality type, and health insurance and stratifying by center of care.
resultsAmong a sample of 7514 participants, 29% were non-Hispanic white, 43% were Hispanic, and 28% were black. In the control group, black individuals were found to have a longer median time to diagnostic resolution (108 days) compared with non-Hispanic white individuals (65 days) or Hispanic individuals (68 days) (P<.0001). In the navigated groups, black individuals had a reduction in the median time to diagnostic resolution (97 days) (P<.0001). In the multivariable models, among controls, black race was found to be associated with an increased delay to diagnostic resolution (hazard ratio, 0.77; 95% confidence interval, 0.69-0.84) compared with non-Hispanic white individuals, which was reduced in the navigated arm (hazard ratio, 0.85; 95% confidence interval, 0.77-0.94).
conclusionsPatient navigation appears to have the greatest impact among black patients, who had the greatest delays in care. Cancer 2016. © 2016 American Cancer Society. Cancer 2016;122:2715-2722. © 2016 American Cancer Society.
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