Impact of patient navigation from diagnosis to treatment in an urban safety net breast cancer population.
Impact of patient navigation from diagnosis to treatment in an urban safety net breast cancer population.
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DOI：
10.7150/jca.2.467
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发表时间：
2011
影响因子：
3.9
通讯作者：
Moormeier JA
中科院分区：
文献类型：
--
作者：
Haideri NA;Moormeier JA
背景：美国人群之间在癌症发病率、治疗和结果方面的差异已被充分记录。关于患者导航程序对消除这些差异的影响，文献证据很少。研究方法：这是一项回顾性病例系列分析。导航前组包括1997年1月1日至1999年12月31日期间诊断的患者。导航后组包括2000年1月1日至2003年12月31日期间诊断的患者。通过回顾病历比较癌症分期、从就诊到治疗的时间和治疗结果。结果：1997年1月1日至2003年12月31日期间确诊335名妇女。13名患者不合格，导航前组103名女性，导航后组219名女性。157人（72%）获得导航服务。至首次治疗的中位时间缩短了9天（导航前组为42天，导航后组为33天）。种族、保险和临床表现不影响治疗时间。结论：导航程序不影响妇女的表现阶段或总生存率。从初次就诊到最终治疗的时间有适度缩短。导航程序的效用可能因机构而异。
Background: Disparities between U.S. population groups in cancer incidence, treatment and outcome have been well documented. Literature evidence is scarce regarding the impact of patient navigator programs on elimination of these differences. Methods: This is a retrospective case series analysis .The pre -navigation group included patients diagnosed between January 1, 1997 and December 31, 1999. The post -navigation group included patients diagnosed between January 1, 2000 and December 31, 2003. Cancer stage, time from presentation to treatment and treatment outcome were compared by review of medical records. Results: Three hundred and thirty five women were diagnosed between January 1, 1997 and December 31, 2003. Thirteen patients were ineligible, 103 women in the pre- navigation group, and 219 women in the post-navigation group. 157 (72%) received navigation services. The median time to first treatment was decreased by 9 days (42 days in pre -navigation group compared to 33 days in post -navigator group). Race, insurance and clinical presentation did not influence the time to treatment. Conclusions: Navigation program did not influence the stage of presentation or the overall survival of women. There was a modest decrease in the time between initial presentation and definitive therapy. The utility of navigator programs is likely to vary with each institution.