Document Detail

Patient navigation: an update on the state of the science.
MedLine Citation:
PMID:  21659419     Owner:  NLM     Status:  MEDLINE    
Although patient navigation was introduced 2 decades ago, there remains a lack of consensus regarding its definition, the necessary qualifications of patient navigators, and its impact on the continuum of cancer care. This review provides an update to the 2008 review by Wells et al on patient navigation. Since then, there has been a significant increase in the number of published studies dealing with cancer patient navigation. The authors of the current review conducted a search by using the keywords "navigation" or "navigator" and "cancer." Thirty-three articles published from November 2007 through July 2010 met the search criteria. Consistent with the prior review, there is building evidence of some degree of efficacy of patient navigation in terms of increasing cancer screening rates. However, there is less recent evidence concerning the benefit of patient navigation with regard to diagnostic follow-up and in the treatment setting, and a paucity of research focusing on patient navigation in cancer survivorship remains. Methodological limitations were noted in many studies, including small sample sizes and a lack of control groups. As patient navigation programs continue to develop across North America and beyond, further research will be required to determine the efficacy of cancer patient navigation across all aspects of the cancer care continuum.
Electra D Paskett; J Phil Harrop; Kristen J Wells
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-06-09
Journal Detail:
Title:  CA: a cancer journal for clinicians     Volume:  61     ISSN:  1542-4863     ISO Abbreviation:  CA Cancer J Clin     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-01     Completed Date:  2011-09-08     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  0370647     Medline TA:  CA Cancer J Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  237-49     Citation Subset:  AIM; IM    
MarionDivisionComprehensive Cancer Center, The Ohio State University, Columbus, USA.
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MeSH Terms
Continuity of Patient Care
Delivery of Health Care*
Early Detection of Cancer
Health Services Accessibility
Health Status Disparities
Neoplasms / diagnosis,  epidemiology*,  therapy
Socioeconomic Factors
United States
Grant Support

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