Evidence map›Paper›PMID 38484197›Full record

ArticleJCO global oncology2024

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.

Maheswari Jaganathan, Boon Hong Ang, Adibah Ali, Siti Zubaidah Sharif, Mazwela Mohamad, Azuddin Mohd Khairy, Kavitha Muniandy, Hani Zainal, Fizati Sabtu, Norija Sapiee and 18 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in JCO global oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 9% 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.

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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

28 authors at 7 institutions in 1 country.

Maheswari JaganathanCancer Research Malaysia, Subang Jaya, Malaysia.ORCID 0000-0002-7009-7843
Boon Hong AngCancer Research Malaysia, Subang Jaya, Malaysia.ORCID 0000-0002-7242-7615
Adibah AliHospital Umum Sarawak, Jalan Hospital, Kuching, Malaysia.
Siti Zubaidah SharifHospital Queen Elizabeth II, Kota Kinabalu, Malaysia.ORCID 0009-0009-2407-3785
Mazwela MohamadHospital Tuanku Ja'afar, Seremban, Malaysia.
Azuddin Mohd KhairyHospital Tengku Ampuan Rahimah, Klang, Malaysia.
Kavitha MuniandyCancer Research Malaysia, Subang Jaya, Malaysia.
Hani ZainalCancer Research Malaysia, Subang Jaya, Malaysia.
Fizati SabtuHospital Tuanku Ja'afar, Seremban, Malaysia.
Norija SapieeHospital Umum Sarawak, Jalan Hospital, Kuching, Malaysia.
Nur Hidayati ZainalHospital Tengku Ampuan Rahimah, Klang, Malaysia.
Nur Fazilah Hanisah ZaipudinHospital Queen Elizabeth II, Kota Kinabalu, Malaysia.
Mallika MuniandiCancer Research Malaysia, Subang Jaya, Malaysia.
Aini Fatimah GhazaliCancer Research Malaysia, Subang Jaya, Malaysia.
France Olovia RoiminCancer Research Malaysia, Subang Jaya, Malaysia.
Clara Ching Ling ChongCancer Research Malaysia, Subang Jaya, Malaysia.
Nadia RajaramCancer Research Malaysia, Subang Jaya, Malaysia.ORCID 0000-0002-8469-8332
Nurshuhadah JaafarHospital Queen Elizabeth II, Kota Kinabalu, Malaysia.ORCID 0000-0002-0144-977X
Rokayah JulaihiHospital Umum Sarawak, Jalan Hospital, Kuching, Malaysia.
Norlia RahimHospital Tengku Ampuan Rahimah, Klang, Malaysia.
Nor Aniza ZakariaHospital Tuanku Ja'afar, Seremban, Malaysia.
Isabella MenonHospital Umum Sarawak, Jalan Hospital, Kuching, Malaysia.
Nurul Ain TajudeenHospital Tengku Ampuan Rahimah, Klang, Malaysia.
Kah Yee HoHospital Queen Elizabeth II, Kota Kinabalu, Malaysia.ORCID 0000-0002-6037-1052
Suryani Md YusofHospital Tuanku Ja'afar, Seremban, Malaysia.
Mohamed Yusof Abdul WahabMinistry of Health, Putrajaya, Malaysia.
Imi Sairi Ab HadiMinistry of Health, Putrajaya, Malaysia.
Soo-Hwang TeoCancer Research Malaysia, Subang Jaya, Malaysia.ORCID 0000-0002-0444-590X
Cancer Research Malaysia · MYHospital Tuanku Ja’afar · MYQueen Elizabeth Hospital · MYSarawak General Hospital · MYTengku Ampuan Rahimah Hospital · MYMinistry of Health · MYUniversity of Malaya · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast cancer deaths disproportionately affect women living in low- and middle-income countries (LMICs). Patient navigation has emerged as a cost-effective and impactful approach to enable women with symptoms or suspicious mammogram findings to access timely diagnosis and patients with breast cancer to access timely and appropriate multimodality treatment. However, few studies have systematically evaluated the impact of patient navigation on timeliness of diagnosis and treatment in LMICs.

methodsWe established a nurse- and community-navigator-led navigation program in breast clinics of four public hospitals located in Peninsular and East Malaysia and evaluated the impact of navigation on timeliness of diagnosis and treatment.

resultsPatients with breast cancer treated at public hospitals reported facing barriers to accessing care, including having a poor recognition of breast cancer symptoms and low awareness of screening methods, and facing financial and logistics challenges. Compared with patients diagnosed in the previous year, patients receiving navigation experienced timely ultrasound (84.0%

conclusionPatient navigation improves access to timely diagnosis and treatment for women presenting at secondary and tertiary hospitals in Malaysia.

Indexed as

Breast NeoplasmsPatient NavigationBreastFemaleHumansMalaysiaMammography

Identifiers

PMID38484197
PMCPMC10954078
OpenAlexW4392795043

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.