| Autor: |
Maheswari Jaganathan, Boon Hong Ang, Adibah Ali, Siti Zubaidah Sharif, Mazwela Mohamad, Azuddin Mohd Khairy, Kavitha Muniandy, Hani Zainal, Fizati Sabtu, Norija Sapiee, Nur Hidayati Zainal, Nur Fazilah Hanisah Zaipudin, Mallika Muniandi, Aini Fatimah Ghazali, France Olovia Roimin, Clara Ching Ling Chong, Nadia Rajaram, Nurshuhadah Jaafar, Rokayah Julaihi, Norlia Rahim, Nor Aniza Zakaria, Isabella Menon, Nurul Ain Tajudeen, Kah Yee Ho, Suryani Md Yusof, Mohamed Yusof Abdul Wahab, Imi Sairi Ab Hadi, Soo-Hwang Teo |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
JCO Global Oncology, Vol , Iss 10 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2687-8941 |
| DOI: |
10.1200/GO.23.00297 |
| Popis: |
PURPOSEBreast cancer deaths disproportionately affect women living in low- and middle-income countries (LMICs). Patient navigation has emerged as a cost-effective and impactful approach to enable women with symptoms or suspicious mammogram findings to access timely diagnosis and patients with breast cancer to access timely and appropriate multimodality treatment. However, few studies have systematically evaluated the impact of patient navigation on timeliness of diagnosis and treatment in LMICs.METHODSWe established a nurse- and community-navigator-led navigation program in breast clinics of four public hospitals located in Peninsular and East Malaysia and evaluated the impact of navigation on timeliness of diagnosis and treatment.RESULTSPatients with breast cancer treated at public hospitals reported facing barriers to accessing care, including having a poor recognition of breast cancer symptoms and low awareness of screening methods, and facing financial and logistics challenges. Compared with patients diagnosed in the previous year, patients receiving navigation experienced timely ultrasound (84.0% v 65.0%; P < .001), biopsy (84.0% v 78.0%; P = .012), communication of news (63.0% v 40.0%; P < .001), surgery (46% v 36%; P = .008), and neoadjuvant therapy (59% v 42%, P = .030). Treatment adherence improved significantly (98.0% v 87.0%, P < .001), and this was consistent across the network of four breast clinics.CONCLUSIONPatient navigation improves access to timely diagnosis and treatment for women presenting at secondary and tertiary hospitals in Malaysia. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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