Evidence map›Paper›PMID 27432417›Full record

SynthesisBreast cancer research and treatment2016

The impact of patient navigation on the delivery of diagnostic breast cancer care in the National Patient Navigation Research Program: a prospective meta-analysis.

Tracy A Battaglia, Julie S Darnell, Naomi Ko, Fred Snyder, Electra D Paskett, Kristen J Wells, Elizabeth M Whitley, Jennifer J Griggs, Anand Karnad, Heather Young and 3 more

4 registry-linked trialsOpen access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Breast cancer research and treatment, 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 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 9% of its field
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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Application of patient navigation programs across the entire continuum of breast cancer care: a GRADE-assessed systematic review with meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Pooled it
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  7. Coproducing a health advocate intervention for pediatric liver transplant recipients using a human-centered design.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2025
    Article
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  15. The Integration of Value Assessment and Social Network Methods for Breast Health Navigation Among African Americans.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023
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  16. 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

13 authors at 13 institutions in 1 country.

Tracy A BattagliaWomen's Health Unit, Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, 801 Massachusetts Avenue, Crosstown Building 1st Floor, Boston, MA, 02118, USA. tracy.battaglia@bmc.org.
Julie S DarnellDepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, 2160 S. First Avenue, Bldg 115, Room 556, Maywood, IL, 60153, USA.
Naomi KoSection of Hematology Oncology, Boston University School of Medicine, 801 Massachusetts Avenue, First Floor, Boston, MA, 02118, USA.
Fred SnyderNOVA Research Company, 801 Roeder Road, Suite 700, Silver Spring, MD, 20910, USA.
Electra D PaskettDivision of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine and Comprehensive Cancer Center, The Ohio State University, 1590 North High Street, Columbus, OH, 43201, USA.
Kristen J WellsDepartment of Psychology, San Diego State University, 6363 Alvarado Ct., Ste. 103, San Diego, CA, 92120-4913, USA.
Elizabeth M WhitleyColorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, CO, 80246, USA.
Jennifer J GriggsUniversity of Michigan School of Public Health, 2800 Plymouth Road, Building 16, 116 W, Ann Arbor, MI, 48109, USA.
Anand KarnadDivision of Hematology-Oncology, Cancer Therapy & Research Center (CTRC), UT Health Science Center, 7979 Wurzbach Rd., San Antonio, TX, 78229, USA.
Heather YoungGeorge Washington University Cancer Institute, 950 New Hampshire Ave. NW 5th Floor, Washington, DC, 20052, USA.
Victoria Warren-MearsNorthwest Portland Area Indian Health Board, 2121 SW Broadway, Suite 300, Portland, OR, 97201, USA.
Melissa A SimonNorthwestern University Feinberg School of Medicine, 633 N. St Clair, Suite 1800, Chicago, IL, 60611, USA.
Elizabeth CalhounUniversity of Arizona Health Sciences, 550 East Van Buren, Phoenix, AZ, 85004-2230, USA.
Boston Medical Center · USBoston University · USColorado Department of Public Health and Environment · USGeorge Washington University · USLoyola University Chicago · USNorthwestern University · USNorthwest Portland Area Indian Health Board · USNova Research Company (United States) · USSan Diego State University · USThe Ohio State University · USThe University of Texas Health Science Center at Houston · USUniversity of Arizona · USUniversity of Michigan–Ann Arbor · US

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEONIDAS C. PLATANIAS · 1993 to 2026
$153.9M
Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
Research Education CoreU54CA202997 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI CIECIERSKI, CHRISTINA, FEINGLASS, JOSEPH M · 2015 to 2024
$13.8M
Research Education CoreU54CA203000 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CIECIERSKI, CHRISTINA, FEINGLASS, JOSEPH M · 2015 to 2024
$12.4M
The Chicago Cancer Health Equity Collaborative (ChicagoCHEC)U54CA202995 · NCI · NORTHEASTERN ILLINOIS UNIVERSITY · PI HIBDON, JOSEPH EDWARD · 2015 to 2024
$9.5M
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
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
NCI NIH HHS P30 CA016058NCI NIH HHS P30 CA060553NCI 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 CA117281NCI NIH HHS U54 CA202995NCI NIH HHS U54 CA202997NCI NIH HHS U54 CA203000
6 · The paper itself

Abstract

Patient navigation is emerging as a standard in breast cancer care delivery, yet multi-site data on the impact of navigation at reducing delays along the continuum of care are lacking. The purpose of this study was to determine the effect of navigation on reaching diagnostic resolution at specific time points after an abnormal breast cancer screening test among a national sample. A prospective meta-analysis estimated the adjusted odds of achieving timely diagnostic resolution at 60, 180, and 365 days. Exploratory analyses were conducted on the pooled sample to identify which groups had the most benefit from navigation. Clinics from six medical centers serving vulnerable populations participated in the Patient Navigation Research Program. Women with an abnormal breast cancer screening test between 2007 and 2009 were included and received the patient navigation intervention or usual care. Patient navigators worked with patients and their care providers to address patient-specific barriers to care to prevent delays in diagnosis. A total of 4675 participants included predominantly racial/ethnic minorities (74 %) with public insurance (40 %) or no insurance (31 %). At 60 days and 180 days, there was no statistically significant effect of navigation on achieving timely diagnostic care, but a benefit of navigation was seen at 365 days (aOR 2.12, CI 1.36-3.29). We found an equal benefit of navigation across all groups, regardless of race/ethnicity, language, insurance status, and type of screening abnormality. Patient navigation resulted in more timely diagnostic resolution at 365 days among a diverse group of minority, low-income women with breast cancer screening abnormalities. Trial registrations clinicaltrials.gov Identifiers: NCT00613275, NCT00496678, NCT00375024, NCT01569672.

Indexed as

AdultBreast NeoplasmsEarly Detection of CancerFemaleHumansMiddle AgedMinority GroupsOdds RatioPatient NavigationProspective StudiesTime-to-TreatmentBreast cancerCare deliveryDisparitiesPatient navigation

Identifiers

PMID27432417
PMCPMC5216421
OpenAlexW2503438974

What OpenQuestion holds

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Read underepoch 390

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.