ArticleJournal of global oncology2018
Feasibility of Patient Navigation to Improve Breast Cancer Care in Malaysia.
Article in Journal of global oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Implementation research on common cancers (lung, breast, and colorectal) in Asia - a systematic review.Frontiers in oncology · 2025Pooled it
- A systematic review of public health interventions to address breast cancer inequalities in low- and middle-income countries.Systematic reviews · 2024Pooled it
- Pooled it
- Patient navigation to address sociolegal barriers for patients with cancer: A comparative-effectiveness study.Cancer · 2022Trial
- A mixed-methods evaluation of a patient navigation program for breast and cervical cancers in Rwanda.BMC public health · 2026Article
- Navigation program: comparison of diagnosis-treatment times among breast cancer patients.Revista latino-americana de enfermagem · 2026Article
- Challenges and facilitators in pathways to cancer diagnosis in Southern Africa: a qualitative study.BMJ open · 2025Article
- Presentation of Breast Cancer and Impact of Patient Navigation on Timeliness of Diagnosis and Treatment and on Adherence to Treatment Recommendations in a Multicenter Network in Malaysia.JCO global oncology · 2024Article
- JURNI (Journeying with Patients' Understanding and Responding to Needs Interactively): An In-Hospital Navigation Application for Timely Diagnosis and Treatment of Breast Cancer at the University Malaya Medical Centre.Health services insights · 2024Article
- Benchmarking of the Cervical Cancer Care Cascade and Survival Outcomes After Radiation Treatment in a Low- and Middle-Income Country Setting.JCO global oncology · 2023Article
- Influence of a patient navigation program on timeliness of care in patients with esophageal cancer.Cancer medicine · 2023Article
- Barriers to help-seeking for Malaysian women with symptoms of breast cancer: a mixed-methods, two-step cluster analysis.BMC health services research · 2023Article
- Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review.International journal of environmental research and public health · 2022Article
- Breast Cancer Care Timeliness Framework: A Quality Framework for Cancer Control.JCO global oncology · 2022Article
- Aiming beyond equality to reach equity: the promise and challenge of quality improvement.BMJ (Clinical research ed.) · 2021Article
- Development and evaluation of a sustainable video health education program for newly diagnosed breast cancer patients in Malaysia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Factors Influencing the Implementation of Patient Navigation Programs for Adults with Complex Needs: A Scoping Review of the Literature.Health services insights · 2021Article
- Prioritization of Patients with Abnormal Breast Findings in the Alerta Rosa Navigation Program to Reduce Diagnostic Delays.The oncologist · 2020Article
- Healthcare delivery interventions to reduce cancer disparities worldwide.World journal of clinical oncology · 2020Review
- Obstetric care navigation: results of a quality improvement project to provide accompaniment to women for facility-based maternity care in rural Guatemala.BMJ quality & safety · 2020Article
Corrections and comments
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Authors and funding
14 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLate stage at presentation and poor adherence to treatment remain major contributors to poor survival in low- and middle-income countries (LMICs). Patient navigation (PN) programs in the United States have led to improvement in diagnostic or treatment timeliness, particularly for women in lower socioeconomic classes or minority groups. To date, studies of PN in Asia have been limited. We aimed to assess the feasibility of PN in a state-run hospital in an LMIC and to report the impact on diagnostic and treatment timeliness for patients in its first year of implementation.
methodsWe established PN in a dedicated breast clinic of a Malaysian state-run hospital. We compared diagnostic and treatment timeliness between navigated patients (n = 135) and patients diagnosed in the prior year (n = 148), and described factors associated with timeliness.
resultsWomen with PN received timely mammography compared with patients in the prior year (96.4% v 74.4%; P < .001), biopsy (92.5% v 76.1%; P = .003), and communication of news (80.0% v 58.5%; P < .001). PN reduced treatment default rates (4.4% v 11.5%; P = .048). Among navigated patients, late stage at presentation was independently associated with having emotional and language barriers ( P = .01). Finally, the main reason reported for delay, default, or refusal of treatment was the preference for alternative therapy.
conclusionPN is feasible for addressing barriers to cancer care when integrated with a state-run breast clinic of an LMIC. Its implementation resulted in improved diagnostic timeliness and reduced treatment default. Wider adoption of PN could be a key element of cancer control in LMICs.
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