Kevin Fiscella|Elizabeth M. Whitley|Samantha Hendren|Peter C. Raich|Sharon G. Humiston|Paul Winters|Pascal Jean?Pierre|Patricia Valverde|W. Thorland|Ronald M. Epstein
Patient Navigation for Breast and Colorectal Cancer Treatment: A Randomized Trial
University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Children's Mercy Hospital|Denver Health Medical Center|University of Colorado Denver|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Children's Mercy Hospital|Denver Health Medical Center|University of Colorado Denver|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Children's Mercy Hospital|Denver Health Medical Center|University of Colorado Denver|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Children's Mercy Hospital|Denver Health Medical Center|University of Colorado Denver|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Children's Mercy Hospital|Denver Health Medical Center|University of Colorado Denver|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Children's Mercy Hospital|Denver Health Medical Center|University of Colorado Denver|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Denver Health Medical Center|University of Colorado Denver|Children's Mercy Hospital|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Denver Health Medical Center|University of Colorado Denver|Children's Mercy Hospital|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Children's Mercy Hospital|Denver Health Medical Center|University of Colorado Denver|University of Michigan–Ann Arbor|University of Rochester|University of Miami|Sylvester Comprehensive Cancer Center|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Denver Health Medical Center|University of Colorado Denver|Children's Mercy Hospital
abstract background limited highquality evidence impact patient navigation pn outcomes patients diagnosed cancer methods pooled data two sites national patient navigation research program patients n 438 newly diagnosed breast n 353 colorectal cancer n 85 randomized pn usual care trained lay navigators met patients randomized pn help assess treatment barriers identify resources overcome barriers used intenttotreat analysis assess time completion primary treatment psychologic distress impact events scale satisfaction patient satisfaction cancerrelated care within 3 months initiation cancer treatment results sample predominantly middleaged mean age 57 female 90 44 raceethnic minorities 44 46 reported lower education levels 18 uninsured 9 reported nonenglish primary language randomized groups comparable baseline characteristics primary analysis showed statistically significant group differences time completion primary cancer treatment satisfaction cancerrelated care psychologic distress subgroup analysis showed socially disadvantaged patients ie uninsured low english proficiency nonenglish primary language received pn reported higher satisfaction receiving usual care p amplt 005 navigated patients living alone reported greater distress receiving usual care conclusions although primary analysis showed overall benefit subgroup analysis suggests pn may improve satisfaction care certain disadvantaged individuals impact pn cancer patients may necessarily reduce treatment time distress cancer epidemiol biomarkers prev 2110 167381 2012 aacr