Patient Navigation in Cancer Treatment: A Systematic Review

IF 4.7 2区 医学 Q1 ONCOLOGY Current Oncology Reports Pub Date : 2024-04-06 DOI:10.1007/s11912-024-01514-9
Matthew Chen, Victoria S. Wu, Derek Falk, Chesley Cheatham, Jennifer Cullen, Richard Hoehn
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Abstract

Purpose of Review

Patient navigation promotes access to timely treatment of chronic diseases by eliminating barriers to care. Patient navigation programs have been well-established in improving screening rates and diagnostic resolution. This systematic review aimed to characterize the multifaceted role of patient navigators within the realm of cancer treatment.

Recent Findings

A comprehensive electronic literature review of PubMed and Embase databases was conducted to identify relevant studies investigating the role of patient navigators in cancer treatment from August 1, 2009 to March 27, 2023.

Summary

Fifty-nine articles were included in this review. Amongst studies focused on cancer treatment initiation, 70% found a significant improvement in treatment initiation amongst patients who were enrolled in patient navigation programs, 71% of studies focused on treatment adherence demonstrated significant improvements in treatment adherence, 87% of studies investigating patient satisfaction showed significant benefits, and 81% of studies reported a positive impact of patient navigators on quality care indicators. Three palliative care studies found beneficial effects of patient navigation. Thirty-seven studies investigated disadvantaged populations, with 76% of them concluded that patient navigators made a positive impact during treatment. This systematic review provides compelling evidence supporting the value of patient navigation programs in cancer treatment. The findings suggest that patient navigation plays a crucial role in improving access to care and optimizing treatment outcomes, especially for disadvantaged cancer patients. Incorporating patient navigation into standard oncology practice can reduce disparities and improve the overall quality of cancer care.

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癌症治疗中的患者导航:系统回顾
审查目的:患者指导通过消除医疗障碍,促进慢性疾病的及时治疗。患者导航计划在提高筛查率和诊断分辨率方面已得到广泛认可。本系统性综述旨在描述患者导航员在癌症治疗领域的多方面作用。最新研究结果对 PubMed 和 Embase 数据库进行了全面的电子文献综述,以确定 2009 年 8 月 1 日至 2023 年 3 月 27 日期间调查患者导航员在癌症治疗中作用的相关研究。在关注癌症治疗启动的研究中,70%的研究发现参加患者导航计划的患者在治疗启动方面有显著改善,71%关注治疗依从性的研究显示治疗依从性有显著改善,87%调查患者满意度的研究显示患者满意度有显著提高,81%的研究报告了患者导航对优质护理指标的积极影响。三项姑息治疗研究发现了患者导航的有益效果。37 项研究对弱势群体进行了调查,其中 76% 的研究得出结论,患者导航员在治疗过程中产生了积极影响。这篇系统综述提供了令人信服的证据,支持患者导航计划在癌症治疗中的价值。研究结果表明,患者指导在改善患者获得治疗的机会和优化治疗效果方面发挥着至关重要的作用,尤其是对弱势癌症患者而言。将患者指导纳入标准的肿瘤治疗实践中可以减少差异,提高癌症治疗的整体质量。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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