Evidence map›Paper›PMID 28948326›Full record

ArticleWorld journal of surgery2017

Patient Navigation by Community Health Workers Increases Access to Surgical Care in Rural Haiti.

Alexi C Matousek, Stephen R Addington, Joseph Kahan, Herriot Sannon, Thelius Luckner, Chauvet Exe, Rodolphe R Eisenhower Jean Louis, Stuart Lipsitz, John G Meara, Robert Riviello

Abstract readComparative StudyControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 23% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Patient navigation programmes for symptomatic lung cancer patients: a scoping review.Archives of public health = Archives belges de sante publique · 2025
    Pooled it
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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 at 3 institutions in 2 countries.

Alexi C MatousekThe Center for Surgery and Public Health, Brigham and Women's Hospital, One Brigham Circle, Suite 4-020, 1620 Tremont Street, Boston, MA, 02120, USA. amatousek@partners.org.
Stephen R AddingtonThe Center for Surgery and Public Health, Brigham and Women's Hospital, One Brigham Circle, Suite 4-020, 1620 Tremont Street, Boston, MA, 02120, USA.
Joseph KahanHospital Albert Schweitzer, Deschapelles, Haiti.
Herriot SannonHospital Albert Schweitzer, Deschapelles, Haiti.
Thelius LucknerHospital Albert Schweitzer, Deschapelles, Haiti.
Chauvet ExeHospital Albert Schweitzer, Deschapelles, Haiti.
Rodolphe R Eisenhower Jean LouisHospital Albert Schweitzer, Deschapelles, Haiti.
Stuart LipsitzThe Center for Surgery and Public Health, Brigham and Women's Hospital, One Brigham Circle, Suite 4-020, 1620 Tremont Street, Boston, MA, 02120, USA.
John G MearaThe Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Robert RivielloThe Center for Surgery and Public Health, Brigham and Women's Hospital, One Brigham Circle, Suite 4-020, 1620 Tremont Street, Boston, MA, 02120, USA.
Albert Schweitzer Hospital · GABrigham and Women's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the Hôpital Albert Schweitzer district in rural Haiti, patients from mountain areas receive fewer operations per capita than patients from the plains. Possible additional barriers for mountain patients include lower socioeconomic status, lack of awareness of financial support, illiteracy and unfamiliarity with the hospital system. We sought to increase the rate of elective surgery for a mountain population using a patient navigation program. MATERIALS AND

methodsPatient navigators were trained to guide subjects from a mountain population through the entire hospital process for elective surgery. We compared the rate of elective operations before and after the patient navigation intervention between three groups: a control group from a mountainous area, a control group from the plains and an intervention group from a mountainous area.

resultsThe baseline elective operation rate differed significantly between the plains control group, the mountain control group and the mountain intervention group (361 vs. 57 vs. 68 operations per 100,000 population per year). The rate of elective surgery between the two mountain groups was not statistically different prior to the intervention. After the intervention, the elective operation rate in the mountain group that received patient navigation increased from 68 to 131 operations per 100,000 population per year (p = 0.017). DISCUSSION: Patient navigation doubled the elective operation rate for a mountain population in rural Haiti. While additional barriers to access remain for this vulnerable population, patient navigation is an essential augmentation to financial assistance programs to ensure that the poor gain access to surgical care.

Indexed as

Community Health WorkersPatient NavigationDeveloping CountriesElective Surgical ProceduresHaitiHealth Services AccessibilityHospitalsHumansRural Health ServicesRural Population

Identifiers

PMID28948326
OpenAlexW2758325786

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.