Abstract A25: Patient Navigation Research Program: Time to diagnostic resolution
| Autor: | Barbara Lottero, Nisha Thakrar, Timothy Heeren, Sharon Bak, Stephen M. Tringale, A. Patrick Egan, Tracy A. Battaglia, Richard Kalish, James I. Taylor, Karen M. Freund |
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| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Cancer Epidemiology, Biomarkers & Prevention. 20:A25-A25 |
| ISSN: | 1538-7755 1055-9965 |
| Popis: | There is a need for controlled research studies to assess the impact of patient navigation on patient outcomes. The goal is to evaluate whether patient navigation decreased time to diagnosis for subjects with a breast or cervical cancer screening abnormality. Boston Patient Navigation Research Program collected baseline data (2004–2005) and intervention data (2007–2008) at 6 community health center sites. Kaplan-Meier survival curves and proportional hazards regression examined the effect of navigation on time to definitive diagnosis, adjusting for clustering by clinic and adjusting for age, race, language, and insurance. Hazard ratios greater than 1.0 indicate a decrease in time to diagnosis. We enrolled N = 997 subjects in the baseline period and N = 3,041 subjects during the intervention period (n = 1,499 navigated, n = 1,542 control); 66% were Non-White. Among those with a breast screening abnormality, there was a significant decrease in time to diagnosis for navigated subjects who resolved after 60 days [aHR 1.49, 95% CI: 1.2–1.8] compared with controls, but no differences for those who resolved before 60 days. Among those with a cervical screening abnormality, there was a significant decrease in time to diagnosis for all navigated subjects when compared with controls (aHR 1.33, 95% CI: 1.13–1.56). This controlled study documents a benefit of patient navigation on time to diagnosis among a racially/ethnically diverse inner city population. Citation Information: Cancer Epidemiol Biomarkers Prev 2011;20(10 Suppl):A25. |
| Databáze: | OpenAIRE |
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