Evidence map›Paper›PMID 37245225›Full record

SynthesisCancer medicine2023

Components and effectiveness of patient navigation programmes to increase participation to breast, cervical and colorectal cancer screening: A systematic review.

Isabel Mosquera, Adam Todd, Mirza Balaj, Li Zhang, Sara Benitez Majano, Keitly Mensah, Terje Andreas Eikemo, Partha Basu, Andre L Carvalho

Abstract readSystematic Review
In one paragraph

Synthesis in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–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.

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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  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
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  3. Low-cost interventions to increase uptake of cervical cancer screening among emergency department patients: Results of a randomized clinical trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
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  17. Addressing barriers to care for African American men facing prostate cancer: a scoping review of navigation programs.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

9 authors.

Isabel MosqueraEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0001-8886-6244
Adam ToddSchool of Pharmacy, Newcastle University, Newcastle upon Tyne, UK.
Mirza BalajCentre for Global Health Inequalities Research (CHAIN), Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Li ZhangEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.
Sara Benitez MajanoNoncommunicable Diseases, Violence and Injuries Prevention Unit, Pan American Health Organization, Washington, DC, USA.
Keitly MensahEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.
Terje Andreas EikemoCentre for Global Health Inequalities Research (CHAIN), Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Partha BasuEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0003-0124-4050
Andre L CarvalhoEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.

Funding

Cancer Research UK 18525Cancer Research UK 29018World Health Organization 001
6 · The paper itself

Abstract

backgroundInequalities in cancer incidence and mortality can be partly explained by unequal access to high-quality health services, including cancer screening. Several interventions have been described to increase access to cancer screening, among them patient navigation (PN), a barrier-focused intervention. This systematic review aimed to identify the reported components of PN and to assess the effectiveness of PN to promote breast, cervical and colorectal cancer screening.

methodsWe searched Embase, PubMed and Web of Science Core Collection databases. The components of PN programmes were identified, including the types of barriers addressed by navigators. The percentage change in screening participation was calculated.

resultsThe 44 studies included were mainly on colorectal cancer and were conducted in the USA. All described their goals and community characteristics, and the majority reported the setting (97.7%), monitoring and evaluation (97.7%), navigator background and qualifications (81.4%) and training (79.1%). Supervision was only referred to in 16 studies (36.4%). Programmes addressed mainly barriers at the educational (63.6%) and health system level (61.4%), while only 25.0% reported providing social and emotional support. PN increased cancer screening participation when compared with usual care (0.4% to 250.6% higher) and educational interventions (3.3% to 3558.0% higher).

conclusionPatient navigation programmes are effective at increasing participation to breast, cervical and colorectal cancer screening. A standardized reporting of the components of PN programmes would allow their replication and a better measure of their impact. Understanding the local context and needs is essential to design a successful PN programme.

Indexed as

Colorectal NeoplasmsPatient NavigationEarly Detection of CancerHealth StatusHumansMass Screeningbreast cancercervical cancercolorectal cancercomponentseffectivenesspatient navigationscreening

Identifiers

PMID37245225
PMCPMC10358261

What OpenQuestion holds

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Registered trials

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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.