Patient navigation across the cancer care continuum: An overview of systematic reviews and emerging literature.

Autor: Chan RJ; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.; Cancer and Palliative Care Outcomes Centre, School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia., Milch VE; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.; Cancer Australia, Sydney, New South Wales, Australia.; School of Medicine, The University of Notre Dame Australia, Sydney, New South Wales, Australia., Crawford-Williams F; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Agbejule OA; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Joseph R; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Johal J; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Dick N; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Wallen MP; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.; Institute of Health and Wellbeing, Federation University Australia, Ballarat, Victoria, Australia., Ratcliffe J; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Agarwal A; Cancer Australia, Sydney, New South Wales, Australia.; National Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.; Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia., Nekhlyudov L; Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Tieu M; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia., Al-Momani M; Cancer Australia, Sydney, New South Wales, Australia., Turnbull S; Cancer Australia, Sydney, New South Wales, Australia., Sathiaraj R; Cancer Australia, Sydney, New South Wales, Australia., Keefe D; Cancer Australia, Sydney, New South Wales, Australia.; School of Medicine, University of Adelaide, Adelaide, South Australia, Australia., Hart NH; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.; Cancer and Palliative Care Outcomes Centre, School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia.; Institute for Health Research, The University of Notre Dame Australia, Perth, Western Australia, Australia.; Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia.; Human Performance Research Centre, Innovative Solutions for Well-being and Health (INSIGHT) Research Institute, Faculty of Health, University of Technology Sydney (UTS), Sydney, New South Wales, Australia.
Jazyk: angličtina
Zdroj: CA: a cancer journal for clinicians [CA Cancer J Clin] 2023 Nov-Dec; Vol. 73 (6), pp. 565-589. Date of Electronic Publication: 2023 Jun 26.
DOI: 10.3322/caac.21788
Abstrakt: Patient navigation is a strategy for overcoming barriers to reduce disparities and to improve access and outcomes. The aim of this umbrella review was to identify, critically appraise, synthesize, and present the best available evidence to inform policy and planning regarding patient navigation across the cancer continuum. Systematic reviews examining navigation in cancer care were identified in the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Cumulative Index of Nursing and Allied Health (CINAHL), Epistemonikos, and Prospective Register of Systematic Reviews (PROSPERO) databases and in the gray literature from January 1, 2012, to April 19, 2022. Data were screened, extracted, and appraised independently by two authors. The JBI Critical Appraisal Checklist for Systematic Review and Research Syntheses was used for quality appraisal. Emerging literature up to May 25, 2022, was also explored to capture primary research published beyond the coverage of included systematic reviews. Of the 2062 unique records identified, 61 systematic reviews were included. Fifty-four reviews were quantitative or mixed-methods reviews, reporting on the effectiveness of cancer patient navigation, including 12 reviews reporting costs or cost-effectiveness outcomes. Seven qualitative reviews explored navigation needs, barriers, and experiences. In addition, 53 primary studies published since 2021 were included. Patient navigation is effective in improving participation in cancer screening and reducing the time from screening to diagnosis and from diagnosis to treatment initiation. Emerging evidence suggests that patient navigation improves quality of life and patient satisfaction with care in the survivorship phase and reduces hospital readmission in the active treatment and survivorship care phases. Palliative care data were extremely limited. Economic evaluations from the United States suggest the potential cost-effectiveness of navigation in screening programs.
(© 2023 The Authors. CA: A Cancer Journal for Clinicians published by Wiley Periodicals LLC on behalf of American Cancer Society.)
Databáze: MEDLINE
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