SynthesisPloS one2018
Patient navigators for people with chronic disease: A systematic review.
Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 152 papers, 12 of them syntheses that pooled 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.
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.
Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study A, A Randomized Controlled Trial With Waitlist Control
Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study B, A Randomized Controlled Trial
Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study C, A Randomized Controlled Trial With Waitlist Control
Co-design and Evaluation of a Patient Navigator Intervention for Migrant Children and Youth with Special Healthcare Needs (CYSHCN) Experiencing Care Transitions (MiNav Trial)
Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial
The OpRESTORE AI-Patient Navigator Study: Developing and Testing an AI-enhanced Patient Navigator for UK Veterans With Service-related Physical Health Problems
Who cites it
152 citing papers in PubMed, 12 syntheses or guidelines pooled it, 297 citations in OpenAlex.
- Patient navigation programmes for symptomatic lung cancer patients: a scoping review.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Community care navigation intervention for people who are at risk of unplanned hospital presentations.The Cochrane database of systematic reviews · 2025Pooled it
- Patient navigator programmes for children and adolescents with chronic diseases.The Cochrane database of systematic reviews · 2024Pooled it
- Do Peer Navigators Improve Initiation and Retention in HIV/VH/STI Treatment Programs for People From Key Populations? A Systematic Review of Effectiveness, Values and Preferences, and Cost.Journal of acquired immune deficiency syndromes (1999) · 2024Pooled it
- Pooled it
- Effectiveness of system navigation programs linking primary care with community-based health and social services: a systematic review.BMC health services research · 2023Pooled it
- Community Health Workers as Healthcare Navigators in Primary Care Chronic Disease Management: a Systematic Review.Journal of general internal medicine · 2021Pooled it
- Cost-effectiveness of patient navigation programs for stroke patients-A systematic review.PloS one · 2021Pooled it
- Culturally Tailored Intervention to Promote Mammography Screening Practice Among Chinese American Women: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020Pooled it
- Pooled it
- Current trends in health coaching for chronic conditions: A systematic review and meta-analysis of randomized controlled trials.Medicine · 2020Pooled it
- Mapping variation in intervention design: a systematic review to develop a program theory for patient navigator programs.Systematic reviews · 2019Pooled it
- Understanding patient barriers and enablers to accessing community resources: a qualitative study to inform navigation service delivery.BMC primary care · 2025Trial
- The impact of a disparity-reduction intervention on outcomes of patients with acute coronary syndrome in the emergency department: a clinical trial.International journal for equity in health · 2025Trial
- Preliminary Reach of an Information Technology Approach to Support COVID-19 Testing in Schools.Pediatrics · 2023Trial
- Recommendations for post-implementation adaptations to optimize family navigation in pediatric primary care: a qualitative study with parents and navigators.BMC primary care · 2023Trial
- Baseline characteristics of participants in the NAVKIDSPediatric nephrology (Berlin, Germany) · 2023Trial
- The stay strong app as a self-management tool for first nations people with chronic kidney disease: a qualitative study.BMC nephrology · 2022Trial
- A distance-based living donor kidney education program for Black wait-list candidates: A feasibility randomized trial.Clinical transplantation · 2021Trial
- Patient Advocates for Low-Income Adults with Moderate to Severe Asthma: A Randomized Clinical Trial.The journal of allergy and clinical immunology. In practiceTrial
92 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople with chronic diseases experience barriers to managing their diseases and accessing available health services. Patient navigator programs are increasingly being used to help people with chronic diseases navigate and access health services.
objectiveThe objective of this review was to summarize the evidence for patient navigator programs in people with a broad range of chronic diseases, compared to usual care.
methodsWe searched MEDLINE, EMBASE, CENTRAL, CINAHL, PsycINFO, and Social Work Abstracts from inception to August 23, 2017. We also searched the reference lists of included articles. We included original reports of randomized controlled trials of patient navigator programs compared to usual care for adult and pediatric patients with any one of a defined set of chronic diseases.
resultsFrom a total of 14,672 abstracts, 67 unique studies fit our inclusion criteria. Of these, 44 were in cancer, 8 in diabetes, 7 in HIV/AIDS, 4 in cardiovascular disease, 2 in chronic kidney disease, 1 in dementia and 1 in patients with more than one condition. Program characteristics varied considerably. Primary outcomes were most commonly process measures, and 45 of 67 studies reported a statistically significant improvement in the primary outcome.
conclusionOur findings indicate that patient navigator programs improve processes of care, although few studies assessed patient experience, clinical outcomes or costs. The inability to definitively outline successful components remains a key uncertainty in the use of patient navigator programs across chronic diseases. Given the increasing popularity of patient navigators, future studies should use a consistent definition for patient navigation and determine which elements of this intervention are most likely to lead to improved outcomes.
trial registrationPROSPERO #CRD42013005857.
Indexed as
Identifiers
What OpenQuestion holds
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.