Skip to main content
release_alert
Welcome to the new Scholars 3.0! Read about new features and let us know what you think.
cancel

Can patient navigation improve receipt of recommended breast cancer care? Evidence from the National Patient Navigation Research Program.

Publication ,  Journal Article
Ko, NY; Darnell, JS; Calhoun, E; Freund, KM; Wells, KJ; Shapiro, CL; Dudley, DJ; Patierno, SR; Fiscella, K; Raich, P; Battaglia, TA
Published in: J Clin Oncol
September 1, 2014

PURPOSE: Poor and underserved women face barriers in receiving timely and appropriate breast cancer care. Patient navigators help individuals overcome these barriers, but little is known about whether patient navigation improves quality of care. The purpose of this study is to examine whether navigated women with breast cancer are more likely to receive recommended standard breast cancer care. PATIENTS AND METHODS: Women with breast cancer who participated in the national Patient Navigation Research Program were examined to determine whether the care they received included the following: initiation of antiestrogen therapy in patients with hormone receptor-positive breast cancer; initiation of postlumpectomy radiation therapy; and initiation of chemotherapy in women younger than age 70 years with triple-negative tumors more than 1 cm. This is a secondary analysis of a multicenter quasi-experimental study funded by the National Cancer Institute to evaluate patient navigation. Multiple logistic regression was performed to compare differences in receipt of care between navigated and non-navigated participants. RESULTS: Among participants eligible for antiestrogen therapy, navigated participants (n = 380) had a statistically significant higher likelihood of receiving antiestrogen therapy compared with non-navigated controls (n = 381; odds ratio [OR], 1.73; P = .004) in a multivariable analysis. Among the participants eligible for radiation therapy after lumpectomy, navigated participants (n = 255) were no more likely to receive radiation (OR, 1.42; P = .22) than control participants (n = 297). CONCLUSION: We demonstrate that navigated participants were more likely than non-navigated participants to receive antiestrogen therapy. Future studies are required to determine the full impact patient navigation may have on ensuring that vulnerable populations receive quality care.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Clin Oncol

DOI

EISSN

1527-7755

Publication Date

September 1, 2014

Volume

32

Issue

25

Start / End Page

2758 / 2764

Location

United States

Related Subject Headings

  • Quality of Health Care
  • Patient Navigation
  • Oncology & Carcinogenesis
  • Middle Aged
  • Mastectomy, Segmental
  • Humans
  • Healthcare Disparities
  • Health Services Accessibility
  • Female
  • Estrogen Receptor Modulators
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ko, N. Y., Darnell, J. S., Calhoun, E., Freund, K. M., Wells, K. J., Shapiro, C. L., … Battaglia, T. A. (2014). Can patient navigation improve receipt of recommended breast cancer care? Evidence from the National Patient Navigation Research Program. J Clin Oncol, 32(25), 2758–2764. https://doi.org/10.1200/JCO.2013.53.6037
Ko, Naomi Y., Julie S. Darnell, Elizabeth Calhoun, Karen M. Freund, Kristin J. Wells, Charles L. Shapiro, Donald J. Dudley, et al. “Can patient navigation improve receipt of recommended breast cancer care? Evidence from the National Patient Navigation Research Program.J Clin Oncol 32, no. 25 (September 1, 2014): 2758–64. https://doi.org/10.1200/JCO.2013.53.6037.
Ko NY, Darnell JS, Calhoun E, Freund KM, Wells KJ, Shapiro CL, et al. Can patient navigation improve receipt of recommended breast cancer care? Evidence from the National Patient Navigation Research Program. J Clin Oncol. 2014 Sep 1;32(25):2758–64.
Ko, Naomi Y., et al. “Can patient navigation improve receipt of recommended breast cancer care? Evidence from the National Patient Navigation Research Program.J Clin Oncol, vol. 32, no. 25, Sept. 2014, pp. 2758–64. Pubmed, doi:10.1200/JCO.2013.53.6037.
Ko NY, Darnell JS, Calhoun E, Freund KM, Wells KJ, Shapiro CL, Dudley DJ, Patierno SR, Fiscella K, Raich P, Battaglia TA. Can patient navigation improve receipt of recommended breast cancer care? Evidence from the National Patient Navigation Research Program. J Clin Oncol. 2014 Sep 1;32(25):2758–2764.

Published In

J Clin Oncol

DOI

EISSN

1527-7755

Publication Date

September 1, 2014

Volume

32

Issue

25

Start / End Page

2758 / 2764

Location

United States

Related Subject Headings

  • Quality of Health Care
  • Patient Navigation
  • Oncology & Carcinogenesis
  • Middle Aged
  • Mastectomy, Segmental
  • Humans
  • Healthcare Disparities
  • Health Services Accessibility
  • Female
  • Estrogen Receptor Modulators