Patient navigation for American Indians undergoing cancer treatment: utilization and impact on care delivery in a regional healthcare center.
Patient navigation for American Indians undergoing cancer treatment: utilization and impact on care delivery in a regional healthcare center.
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DOI：
10.1002/cncr.25823
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发表时间：
2011-06-15
期刊：
影响因子：
6.2
通讯作者：
Petereit, Daniel G.
中科院分区：
文献类型：
--
作者：
Guadagnolo, B. Ashleigh;Boylan, Amy;Sargent, Michele;Koop, David;Brunette, Deb;Kanekar, Shalini;Shortbull, Vanessa;Molloy, Kevin;Petereit, Daniel G.
评估美国印第安人（AI）癌症患者的患者导航（PN）利用率及其对治疗中断和临床试验入组的影响。在2004年2月至2009年9月期间，332名AI癌症患者在癌症治疗期间接受了PN服务。PN计划提供了有文化能力的导航员，以帮助患者导航癌症治疗，获得药物，保险问题，与医疗提供者沟通，以及旅行和住宿物流。前瞻性收集了使用和试验入组数据。70例未接受PN服务的AI患者的历史对照组数据用于比较在根治性放疗期间接受PN的患者（123例患者的亚组）的治疗中断。与导航员联系的中位数为12次（范围，1-119次）。第一次接触时与导航员在一起的中位时间为40分钟（范围10-250分钟）。15分钟用于后续接触。与未接受PN服务的历史对照组（平均值，4.9天; 95% CI，2.9-6.9天）相比，接受PN治疗并接受根治性放疗的患者的治疗中断天数（平均值，1.7天; 95% CI，1.1-2.2天）更少。在332例患者中，72例（22%; 95% CI，17-26%）入组临床治疗试验或癌症控制方案。与国家报告相比，PN与AI癌症患者中较少的治疗中断和相对较高的临床试验入组率相关。
To assess patient navigation (PN) utilization and its impact on treatment interruptions and clinical trial enrollment among American Indian (AI) cancer patients. Between February 2004 and September 2009, 332 AI cancer patients received PN services throughout cancer treatment. The PN program provided culturally-competent navigators to assist patients with navigating cancer therapy, obtaining medications, insurance issues, communicating with medical providers, and travel and lodging logistics. Data on utilization and trial enrollment were prospectively collected. Data for a historical control group of 70 AI patients who did not receive PN services were used to compare treatment interruptions among those undergoing PN during curative radiation therapy (subgroup of 123 patients). The median number of contacts with a navigator was 12 (range, 1-119). The median time spent with the navigator at first contact was 40 minutes (range 10-250 min.) and 15 min for subsequent contacts. Patients treated with radiation therapy with curative intent who underwent PN had fewer days of treatment interruption (mean, 1.7 days; 95% CI, 1.1-2.2 days) than historical controls who did not receive PN services (mean, 4.9 days; 95% CI, 2.9-6.9 days). Of the 332 patients, 72 (22%; 95% CI, 17-26%) were enrolled on a clinical treatment trial or cancer control protocol. PN was associated with fewer treatment interruptions and relatively high rates of clinical trial enrollment among AI cancer patients compared to national reports.
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影响因子：
3.3
作者：
Christie, Jennifer;Itzkowitz, Steven;Jandorf, Lina
通讯作者：
Jandorf, Lina
影响因子：
1.9
作者：
Campbell, Cheryl;Craig, Janet;Bailey-Dorton, Chasse
通讯作者：
Bailey-Dorton, Chasse
影响因子：
254.7
作者：
FREEMAN, HP
通讯作者：
FREEMAN, HP
影响因子：
6.2
作者：
Ell, Kathleen;Vourlekis, Betsy;Palinkas, Lawrence A.
通讯作者：
Palinkas, Lawrence A.
影响因子：
3.3
作者：
Lin, Chyongchiou J.;Schwaderer, Karen A.;Heron, Dwight E.
通讯作者：
Heron, Dwight E.