Evidence map›Paper›PMID 34767089›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Assessment of patient navigation programs for breast cancer patients across the city of Boston.

Amy M LeClair, Tracy A Battaglia, Nicole L Casanova, Jennifer S Haas, Karen M Freund, Beverly Moy, Susan K Parsons, Naomi Y Ko, JoEllen Ross, Ellen Ohrenberger and 2 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03514433 (Translating Research Into Practice), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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.

NCT03514433 nacompletednot on this map

Translating Research Into Practice: A Regional Collaborative to Reduce Disparities in Breast Cancer Care

TypeinterventionalSponsorBoston Medical CenterRan2016 to 2023Enrolled1,725ConditionsCancer, BreastArmsTRIP Patient Navigation Intervention
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 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. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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

12 authors at 6 institutions in 1 country.

Amy M LeClairDepartment of Medicine, Tufts Medical Center, Boston, MA, USA. aleclair@tuftsmedicalcenter.org.ORCID http://orcid.org/0000-0001-5333-1813
Tracy A BattagliaWomen's Health Unit, Section of General Internal Medicine, Evans Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.
Nicole L CasanovaDepartment of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
Jennifer S HaasDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Karen M FreundDepartment of Medicine, Tufts Medical Center, Boston, MA, USA.
Beverly MoyDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Susan K ParsonsDepartment of Medicine, Tufts Medical Center, Boston, MA, USA.
Naomi Y KoWomen's Health Unit, Section of General Internal Medicine, Evans Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.
JoEllen RossBeth Israel Deaconess Medical Center, Boston, MA, USA.
Ellen OhrenbergerBeth Israel Deaconess Medical Center, Boston, MA, USA.
Katelyn R MullikinDepartment of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
Stephenie C LemonUMass Medical School, Worcester, MA, USA.
Tufts Medical Center · USBeth Israel Deaconess Medical Center · USBoston Medical Center · USBoston University · USMassachusetts General Hospital · USUniversity of Massachusetts Chan Medical School · US

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
University of Massachusetts Center for Clinical Science and Translational SupplementUL1TR001453 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2015 to 2024
$39.0M
Translating Research Into Practice: A Regional Collaborative to Reduce Disparities in Breast Cancer CareU01TR002070 · NCATS · BOSTON MEDICAL CENTER · PI BATTAGLIA, TRACY ANN, FREUND, KAREN · 2017 to 2021
$8.7M
Prevention And Control of Cancer: Training for Change in Individuals and SystemsT32CA172009 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEMON, STEPHENIE C., OCKENE, JUDITH K · 2019 to 2023
$1.5M
NCATS NIH HHS U01 TR002070NCATS NIH HHS UL1 TR001430NCATS NIH HHS UL1 TR001453NCATS NIH HHS UL1 TR002541NCATS NIH HHS UL1 TR002544NCI NIH HHS T32 CA172009
6 · The paper itself

Abstract

purposeHealthcare systems contribute to disparities in breast cancer outcomes. Patient navigation is a widely cited system-based approach to improve outcomes among populations at risk for delays in care. Patient navigation programs exist in all major Boston hospitals, yet disparities in outcomes persist. The objective of this study was to conduct a baseline assessment of navigation processes at six Boston hospitals that provide breast cancer care in preparation for an implementation trial of standardized navigation across the city.

methodsWe conducted a mixed methods study in six hospitals that provide treatment to breast cancer patients in Boston. We administered a web-based survey to clinical champions (n = 7) across six sites to collect information about the structure of navigation programs. We then conducted in-person workflow assessments at each site using a semi-structured interview guide to understand site-specific implementation processes for patient navigation programs. The target population included administrators, supervisors, and patient navigators who provided breast cancer treatment-focused care.

resultsAll sites offered patient navigation services to their patients undergoing treatment for breast cancer. We identified wide heterogeneity in terms of how programs were funded/resourced, which patients were targeted for navigation, the type of services provided, and the continuity of those services relative to the patient's cancer treatment.

conclusionsThe operationalization of patient navigation varies widely across hospitals especially in relation to three core principles in patient navigation: providing patient support across the care continuum, targeting services to those patients most likely to experience delays in care, and systematically screening for and addressing patients' health-related social needs. Gaps in navigation across the care continuum present opportunities for intervention.

trial registrationClinical Trial Registration Number NCT03514433, 5/2/2018.

Indexed as

Breast NeoplasmsPatient NavigationBostonContinuity of Patient CareDelivery of Health CareFemaleHumansBreast cancerHealth disparitiesImplementation sciencePatient navigation

Identifiers

PMID34767089
PMCPMC8962605
OpenAlexW3213485971

What OpenQuestion holds

Textmetadata
LicenceTDM
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.