Reducing time-to-treatment in underserved Latinas with breast cancer: the Six Cities Study.
Reducing time-to-treatment in underserved Latinas with breast cancer: the Six Cities Study.
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DOI：
10.1002/cncr.28450
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发表时间：
2014-03-01
期刊：
影响因子：
6.2
通讯作者：
Gallion, Kipling
中科院分区：
文献类型：
--
作者：
Ramirez, Amelie;Perez-Stable, Eliseo;Penedo, Frank;Talavera, Gregory;Carrillo, J. Emilio;Fernandez, Maria;Holden, Alan;Munoz, Edgar;San Miguel, Sandra;Gallion, Kipling
背景乳腺癌诊断后临床和患者层面挑战的相互作用可能是医疗保健差异的重要来源。未能解决造成或加剧障碍的特定文化特征可能导致不理想的导航结果，特别是在西班牙裔/拉丁裔女性中。方法为了解决这些差异，来自德克萨斯州圣安东尼奥市的研究负责人和其他5个联邦资助的国家拉丁裔癌症研究网络（Acción: National Latino Cancer Research network）的区域合作伙伴为拉丁裔乳腺癌患者开发了一种文化定制的患者导航干预模型。结果与对照组患者相比，导航组患者在癌症诊断后30天（69.0%对46.3%，P= 0.029）和60天（97.6%对73.1%，P= 0.001）内开始治疗的比例更高。导航组从癌症诊断到首次治疗的时间（平均22.22天，中位数23.00天）低于对照组（平均48.30天，中位数33.00天）。这些结果与诊断时的癌症阶段和癌症诊所和个体参与者的许多特征无关。结论患者导航的成功应用提高了拉丁裔患者在确诊后30天和60天内开始接受乳腺癌治疗的比例。这是通过导航员提供的服务实现的，如陪同预约、交通安排、患者电话支持、患者-家属电话支持、西班牙语-英语翻译以及协助保险文书工作。©2013美国癌症协会。
BACKGROUNDThe interaction of clinical and patient‐level challenges following a breast cancer diagnosis can be a significant source of health care disparities. Failure to address specific cultural features that create or exacerbate barriers can lead to less‐than optimal navigation results, specifically in Hispanic/Latino women.METHODSTo address these disparities, the study leaders in San Antonio, Texas, and 5 other regional partners of the federally‐fundedRedes En Acción: The National Latino Cancer Research Networkdeveloped a culturally‐tailored patient navigation intervention model for Latinas with breast cancer.RESULTSCompared with control patients, a higher percentage of navigated subjects initiated treatment within 30 days (69.0% versus 46.3%,P= .029) and 60 days (97.6% versus 73.1%,P= .001) following their cancer diagnosis. Time from cancer diagnosis to first treatment was lower in the navigated group (mean, 22.22 days; median, 23.00 days) than controls (mean, 48.30 days; median, 33.00 days). These results were independent of cancer stage at diagnosis and numerous characteristics of cancer clinics and individual participants.CONCLUSIONSSuccessful application of patient navigation increased the percentage of Latinas initiating breast cancer treatment within 30 and 60 days of diagnosis. This was achieved through navigator provision of services such as accompaniment to appointments, transportation arrangements, patient telephone support, patient‐family telephone support, Spanish‐English language translation, and assistance with insurance paperwork.Cancer2014;120:752–760. ©2013 American Cancer Society.
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影响因子：
3.9
作者：
Haideri NA;Moormeier JA
通讯作者：
Moormeier JA
DOI：
10.1158/1055-9965.epi-12-0532
发表时间：
2012-10
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Battaglia TA;Bak SM;Heeren T;Chen CA;Kalish R;Tringale S;Taylor JO;Lottero B;Egan AP;Thakrar N;Freund KM
通讯作者：
Freund KM
影响因子：
45.3
作者：
Freedman, Rachel A.;He, Yulei;Keating, Nancy L.
通讯作者：
Keating, Nancy L.
影响因子：
45.3
作者：
McLaughlin, John M.;Anderson, Roger T.;Paskett, Electra D.
通讯作者：
Paskett, Electra D.
影响因子：
1.9
作者：
Hall, Cathy P.;Hall, John D.;Jones, Craig H.
通讯作者：
Jones, Craig H.