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Racial and ethnic differences in patient navigation: Results from the Patient Navigation Research Program.
- Source :
-
Cancer (0008543X) . Sep2016, Vol. 122 Issue 17, p2715-2722. 9p. - Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Patient navigation was developed to address barriers to timely care and reduce cancer disparities. The current study explored navigation and racial and ethnic differences in time to the diagnostic resolution of a cancer screening abnormality.<bold>Methods: </bold>The authors conducted an analysis of the multisite Patient Navigation Research Program. Participants with an abnormal cancer screening test were allocated to either navigation or control. The unadjusted median time to resolution was calculated for each racial and ethnic group by navigation and control. Multivariable Cox proportional hazards models were fit, adjusting for sex, age, cancer abnormality type, and health insurance and stratifying by center of care.<bold>Results: </bold>Among a sample of 7514 participants, 29% were non-Hispanic white, 43% were Hispanic, and 28% were black. In the control group, black individuals were found to have a longer median time to diagnostic resolution (108 days) compared with non-Hispanic white individuals (65 days) or Hispanic individuals (68 days) (P<.0001). In the navigated groups, black individuals had a reduction in the median time to diagnostic resolution (97 days) (P<.0001). In the multivariable models, among controls, black race was found to be associated with an increased delay to diagnostic resolution (hazard ratio, 0.77; 95% confidence interval, 0.69-0.84) compared with non-Hispanic white individuals, which was reduced in the navigated arm (hazard ratio, 0.85; 95% confidence interval, 0.77-0.94).<bold>Conclusions: </bold>Patient navigation appears to have the greatest impact among black patients, who had the greatest delays in care. Cancer 2016. © 2016 American Cancer Society. Cancer 2016;122:2715-2722. © 2016 American Cancer Society. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RACIAL differences
*ETHNIC differences
*CANCER patients
*EARLY detection of cancer
*CONTROL groups
*TUMOR diagnosis
*TUMOR treatment
*STATISTICS on Black people
*STATISTICS on Hispanic Americans
*HEALTH services accessibility
*HEALTH status indicators
*LONGITUDINAL method
*POPULATION
*PROGNOSIS
*TUMORS
*TUMOR classification
*WHITE people
*PROPORTIONAL hazards models
*PATIENT-centered care
Subjects
Details
- Language :
- English
- ISSN :
- 0008543X
- Volume :
- 122
- Issue :
- 17
- Database :
- Academic Search Index
- Journal :
- Cancer (0008543X)
- Publication Type :
- Academic Journal
- Accession number :
- 117573179
- Full Text :
- https://doi.org/10.1002/cncr.30109