A randomized controlled trial using patient navigation to increase colonoscopy screening among low-income minorities
A randomized controlled trial using patient navigation to increase colonoscopy screening among low-income minorities
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DOI：
10.1016/s0027-9684(15)31240-2
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发表时间：
2008-03-01
影响因子：
3.3
通讯作者：
Jandorf, Lina
中科院分区：
文献类型：
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作者：
Christie, Jennifer;Itzkowitz, Steven;Jandorf, Lina
组织障碍在低收入少数群体的结直肠癌（CRC）筛查差异中起着关键作用。这是一项前瞻性随机试验，旨在确定患者导航员（PN）是否有助于克服低收入少数群体在尝试获得筛查结肠镜检查时面临的组织障碍。CRC平均风险的患者由他们的初级保健医生转诊进行结肠镜检查。在PN接受转诊后，患者被随机分配接受导航（PN+）至筛查结肠镜检查或不接受导航（PN-）。我们假设PN会增加患者对筛查结肠镜检查的依从性。共有21例患者入组初步研究（PN+= 13，PN-=8）; 54%的导航患者完成了筛选结肠镜检查，而非导航患者为13%（p=0.058）。86%的导航患者的结肠准备极好或非常好;然而，两组之间的准备质量没有差异（p=0.10）。100%的导航患者对导航服务非常满意。PIN提高了低收入少数民族筛查结肠镜检查的依从性。需要更大规模的研究来评估导航的哪些功能在促进筛查结肠镜检查的完成方面最有效。
Organizational barriers play a key role in colorectal cancer (CRC) screening disparities in low-income minorities. This is a prospective, randomized trial to determine whether a patient navigator (PN) can help overcome the organizational barriers low-income minorities face in trying to obtain screening colonoscopy. Patients of average risk for CRC were referred by their primary care physician for screening colonoscopy. After the PN received the referral, patients were randomly assigned to either receive navigation (PN+) to screening colonoscopy or not receive navigation (PN-) We hypothesized that a PN would increase patient compliance with screening colonoscopy. A total of 21 patients were enrolled in the pilot study (PN+= 13, PN-=8); 54% of navigated patients completed screening colonoscopy versus 13% of nonnavigated patients (p=0.058). Eighty-six percent of navigated patients had an excellent or very good colon prep; however, there was no difference in prep quality between groups (p=0.10). One-hundred percent of navigated patients were very satisfied with navigation services. A PIN improves compliance with screening colonoscopy in low-income minorities. Larger studies are needed to evaluate what features of navigation are most effective in facilitating completion of screening colonoscopy.