Establishing a patient navigator program to reduce cancer disparities in the American Indian communities of Western South Dakota: initial observations and results.
Establishing a patient navigator program to reduce cancer disparities in the American Indian communities of Western South Dakota: initial observations and results.
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DOI：
10.1177/107327480801500309
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发表时间：
2008-07
期刊：
影响因子：
--
通讯作者：
Roberts CR
中科院分区：
文献类型：
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作者：
Petereit DG;Molloy K;Reiner ML;Helbig P;Cina K;Miner R;Spotted Tail C;Rost C;Conroy P;Roberts CR
与美国普通人口和美国其他地区的美洲印第安人相比，北方平原地区的美洲印第安人（AI）的癌症死亡率高得不成比例。国家癌症研究所开发了癌症差异研究伙伴关系，以解决这些不平等问题。这项在南达科他州拉皮德城开展的计划试图通过创新的临床试验、行为研究和遗传研究来降低人工智能的癌症死亡率。患者导航是该计划的关键部分。两个导航策略描述：导航员在癌症中心和导航员在每个保留。进行了一项回顾性分析，以确定与非导航患者（n = 74）相比，导航患者（n = 42）接受潜在治愈性放疗的治疗中断是否更少。共有213例患有癌症的人工智能接受了患者导航。对于接受癌症治疗的患者，患者导航交互的中位数为15（范围1至95），而对于癌症治疗后随访的患者，联系的中位数为4（范围1至26）。在放射治疗期间接受导航服务的AI与在放射治疗期间未接受导航服务的AI相比，平均少3天的治疗中断（P = 0.002，N = 116）。早期研究结果表明，患者导航是解决这一人群癌症差异的关键组成部分。该计划已经建立了信任与个人癌症患者，与部落委员会，并与一般人口的三个保留区的西部南达科他州。
American Indians (AIs) in the Northern Plains region suffer disproportionately high cancer mortality rates compared with the general US population and with AIs from other regions in the United States. The National Cancer Institute developed the Cancer Disparity Research Partnership to address these inequities. This initiative in Rapid City, South Dakota, attempts to lower cancer mortality rates for AIs by access to innovative clinical trials, behavioral research, and a genetic study. Patient navigation is a critical part of the program. Two navigation strategies are described: navigators at the cancer center and navigators on each reservation. A retrospective analysis was performed to determine if navigated patients (n = 42) undergoing potentially curative radiotherapy had fewer treatment interruptions compared with nonnavigated patients (n = 74). A total of 213 AIs with cancer have undergone patient navigation. For those undergoing cancer treatment, the median number of patient navigation interactions was 15 (range 1 to 95), whereas for those seen in follow-up after their cancer treatment, the median number of contacts was 4 (range 1 to 26). AIs who received navigation services during curative radiation treatment had on average 3 fewer days of treatment interruptions compared to AIs who did not receive navigation services during curative radiation treatment (P = .002, N = 116). Early findings suggest that patient navigation is a critical component in addressing cancer disparities in this population. The program has established trust with individual cancer patients, with the tribal councils, and with the general population on each of the three reservations of western South Dakota.