Matches in SemOpenAlex for { <https://semopenalex.org/work/W3201231857> ?p ?o ?g. }
Showing items 1 to 83 of
83
with 100 items per page.
- W3201231857 endingPage "103" @default.
- W3201231857 startingPage "103" @default.
- W3201231857 abstract "103 Background: Community health centers’ (CHCs) patients newly diagnosed with cancer often experience barriers to accessing timely treatment. Patient navigation decreases barriers to cancer screening and diagnostic care, but the exact impact on cancer treatment is unclear. We implemented patient navigation to provide underserved patients with support to access and adhere to cancer treatment. The goal of our study is to determine the effect of patient navigation on missed appointment rates, treatment adherence, and health outcomes among an underserved patient population. Here, we present preliminary data about program implementation. Methods: Utilizing a population health registry, TopCare, and referrals from CHCs physician champions, newly diagnosed cancer patients from Massachusetts General Hospital CHCs were referred to the Cancer Center, identified and verbally consented to participate in the study’s intervention. Patients are randomized either to receive in-person patient navigation or enhanced usual care, which consists of two reminder phone calls prior to each oncology appointment. Adherence to treatment, healthcare utilization, patient satisfaction with cancer care and patient navigation, patient engagement, financial burden, symptom burden, health-related quality of life, and psychosocial care are longitudinally assessed. Our primary outcome is missed appointment rate to oncology appointments. Results: The trial started in November 2017 and as of April 2021, we have identified 349 eligible patients and enrolled 261 (82% consent rate for reached patients). Of 261 enrolled patients, 50% were women, 38% identified as non-White, 25% identified as Hispanic or Latino, and 28% did not speak English. The most frequent cancer types enrolled include genitourinary (n=67), thoracic (n=47), gastrointestinal (n=47), and breast (n=46). Patients had 6257 visits and 195 were missed (3.1%). Navigators performed 4553 interventions. There were 152 emergency department visits and 127 unplanned hospital admissions. Of 120 referrals to supportive care, 54 were to social work, 38 to palliative care and 28 to Psychiatric Oncology or behavioral health. Conclusions: Patient navigation is feasible for underserved CHC patients newly diagnosed with cancer. Our current missed appointment rate is 3.1%, including the time period of the COVID-19 pandemic. After trial completion in July 2021, we will compare the outcomes in patients who received in-person patient navigation to patients who were randomized to enhanced usual care. Clinical trial information: NCT03226405." @default.
- W3201231857 created "2021-09-27" @default.
- W3201231857 creator A5001324507 @default.
- W3201231857 creator A5001370554 @default.
- W3201231857 creator A5017550097 @default.
- W3201231857 creator A5020090500 @default.
- W3201231857 creator A5024997362 @default.
- W3201231857 creator A5027046496 @default.
- W3201231857 creator A5036686988 @default.
- W3201231857 creator A5052375097 @default.
- W3201231857 creator A5065932145 @default.
- W3201231857 creator A5067529949 @default.
- W3201231857 creator A5069815204 @default.
- W3201231857 date "2021-10-01" @default.
- W3201231857 modified "2023-09-27" @default.
- W3201231857 title "Implementing a patient navigation program to improve adherence with cancer treatment for community health center patients newly diagnosed with cancer." @default.
- W3201231857 doi "https://doi.org/10.1200/jco.2020.39.28_suppl.103" @default.
- W3201231857 hasPublicationYear "2021" @default.
- W3201231857 type Work @default.
- W3201231857 sameAs 3201231857 @default.
- W3201231857 citedByCount "1" @default.
- W3201231857 countsByYear W32012318572022 @default.
- W3201231857 crossrefType "journal-article" @default.
- W3201231857 hasAuthorship W3201231857A5001324507 @default.
- W3201231857 hasAuthorship W3201231857A5001370554 @default.
- W3201231857 hasAuthorship W3201231857A5017550097 @default.
- W3201231857 hasAuthorship W3201231857A5020090500 @default.
- W3201231857 hasAuthorship W3201231857A5024997362 @default.
- W3201231857 hasAuthorship W3201231857A5027046496 @default.
- W3201231857 hasAuthorship W3201231857A5036686988 @default.
- W3201231857 hasAuthorship W3201231857A5052375097 @default.
- W3201231857 hasAuthorship W3201231857A5065932145 @default.
- W3201231857 hasAuthorship W3201231857A5067529949 @default.
- W3201231857 hasAuthorship W3201231857A5069815204 @default.
- W3201231857 hasConcept C118552586 @default.
- W3201231857 hasConcept C121608353 @default.
- W3201231857 hasConcept C126322002 @default.
- W3201231857 hasConcept C150966472 @default.
- W3201231857 hasConcept C159110408 @default.
- W3201231857 hasConcept C160735492 @default.
- W3201231857 hasConcept C162324750 @default.
- W3201231857 hasConcept C2775944032 @default.
- W3201231857 hasConcept C2779951463 @default.
- W3201231857 hasConcept C2908647359 @default.
- W3201231857 hasConcept C50522688 @default.
- W3201231857 hasConcept C512399662 @default.
- W3201231857 hasConcept C71924100 @default.
- W3201231857 hasConcept C99454951 @default.
- W3201231857 hasConceptScore W3201231857C118552586 @default.
- W3201231857 hasConceptScore W3201231857C121608353 @default.
- W3201231857 hasConceptScore W3201231857C126322002 @default.
- W3201231857 hasConceptScore W3201231857C150966472 @default.
- W3201231857 hasConceptScore W3201231857C159110408 @default.
- W3201231857 hasConceptScore W3201231857C160735492 @default.
- W3201231857 hasConceptScore W3201231857C162324750 @default.
- W3201231857 hasConceptScore W3201231857C2775944032 @default.
- W3201231857 hasConceptScore W3201231857C2779951463 @default.
- W3201231857 hasConceptScore W3201231857C2908647359 @default.
- W3201231857 hasConceptScore W3201231857C50522688 @default.
- W3201231857 hasConceptScore W3201231857C512399662 @default.
- W3201231857 hasConceptScore W3201231857C71924100 @default.
- W3201231857 hasConceptScore W3201231857C99454951 @default.
- W3201231857 hasIssue "28_suppl" @default.
- W3201231857 hasLocation W32012318571 @default.
- W3201231857 hasOpenAccess W3201231857 @default.
- W3201231857 hasPrimaryLocation W32012318571 @default.
- W3201231857 hasRelatedWork W1750836925 @default.
- W3201231857 hasRelatedWork W1953606094 @default.
- W3201231857 hasRelatedWork W2076328997 @default.
- W3201231857 hasRelatedWork W2125507092 @default.
- W3201231857 hasRelatedWork W2239809200 @default.
- W3201231857 hasRelatedWork W2463543801 @default.
- W3201231857 hasRelatedWork W2511157903 @default.
- W3201231857 hasRelatedWork W2601643798 @default.
- W3201231857 hasRelatedWork W2798013410 @default.
- W3201231857 hasRelatedWork W2886214291 @default.
- W3201231857 hasVolume "39" @default.
- W3201231857 isParatext "false" @default.
- W3201231857 isRetracted "false" @default.
- W3201231857 magId "3201231857" @default.
- W3201231857 workType "article" @default.