Evidence map›Paper›PMID 30498134›Full record

ArticleThe oncologist2019

Patient Navigation to Enhance Access to Care for Underserved Patients with a Suspicion or Diagnosis of Cancer.

Yanin Chavarri-Guerra, Enrique Soto-Perez-de-Celis, Wendy Ramos-López, Sandra L San Miguel de Majors, Jesus Sanchez-Gonzalez, Samuel Ahumada-Tamayo, Lorena Viramontes-Aguilar, Oscar Sanchez-Gutierrez, Bernardo Davila-Davila, Patricia Rojo-Castillo and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05745077 (Using Data to Achieve Surgical Health Equity in the Community), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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.

NCT05745077 nacompletednot on this mapstarted 2023, after this paper: background citation

Using Data to Achieve Surgical Health Equity in the Community

TypeinterventionalSponsorUniversity of PennsylvaniaRan2023 to 2024Enrolled60ConditionsGallbladder DiseaseArmsTelemedicine Consultation, Traditional Care
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Trial
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  3. Healthcare stakeholders' perspectives on coordinating cancer diagnosis in Chile, Colombia, and Ecuador.Revista panamericana de salud publica = Pan American journal of public health · 2026
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  7. Loss of Follow-up for Thyroid Nodules in Patients Living in Poverty.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Article
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  11. Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review.International journal of environmental research and public health · 2022
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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.

Yanin Chavarri-GuerraDepartment of Hemato-Oncology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico yaninchg@gmail.com.
Enrique Soto-Perez-de-CelisDepartment of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Wendy Ramos-LópezDepartment of Hemato-Oncology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Sandra L San Miguel de MajorsNational Cancer Institute, Rockville, Maryland, USA.
Jesus Sanchez-GonzalezAjusco Medio General Hospital Dra. Obdulia Rodríguez Rodríguez, Mexico City, Mexico.
Samuel Ahumada-TamayoAjusco Medio General Hospital Dra. Obdulia Rodríguez Rodríguez, Mexico City, Mexico.
Lorena Viramontes-AguilarAjusco Medio General Hospital Dra. Obdulia Rodríguez Rodríguez, Mexico City, Mexico.
Oscar Sanchez-GutierrezAjusco Medio General Hospital Dra. Obdulia Rodríguez Rodríguez, Mexico City, Mexico.
Bernardo Davila-DavilaAjusco Medio General Hospital Dra. Obdulia Rodríguez Rodríguez, Mexico City, Mexico.
Patricia Rojo-CastilloDepartment of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Viridiana Perez-MontessoroDepartment of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Alexandra BukowskiGlobal Cancer Institute, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Paul E GossGlobal Cancer Institute, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterventions aimed at improving access to timely cancer care for patients in low- and middle-income countries (LMIC) are urgently needed. We aimed to evaluate a patient navigation (PN) program to reduce referral time to cancer centers for underserved patients with a suspicion or diagnosis of cancer at a public general hospital in Mexico City. MATERIALS AND

methodsFrom January 2016 to March 2017, consecutive patients aged >18 years with a suspicion or diagnosis of cancer seen at Ajusco Medio General Hospital in Mexico City who required referral to a specialized center for diagnosis or treatment were enrolled. A patient navigator assisted patients with scheduling, completing paperwork, obtaining results in a timely manner, transportation, and addressing other barriers to care. The primary outcome was the proportion of patients who obtained a specialized consultation at a cancer center within the first 3 months after enrollment.

resultsSeventy patients (median age 54, range 19-85) participated in this study. Ninety-six percent (

conclusionImplementing PN in LMIC is feasible, and may lead to shortened referral times for specialized cancer care by helping overcome barriers to health care access among underserved patients. IMPLICATIONS FOR PRACTICE: A patient navigation program for patients with suspicion or diagnosis of cancer in a second-level hospital was feasible and acceptable. It reduced patient-reported barriers, and referral time to specialized appointments and treatment initiation were within international recommended limits. Patient navigation may improve access to care for underserved patients in developing countries.

Indexed as

Early Detection of CancerPatient NavigationAdultAgedAged, 80 and overFemaleHealth Services AccessibilityHumansMaleMexicoMiddle AgedNeoplasmsPovertyReferral and ConsultationVulnerable PopulationsCancer care facilitiesDeveloping countriesEarly cancer detectionPatient navigationReferral

Identifiers

PMID30498134
PMCPMC6738287

What OpenQuestion holds

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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.