2023-09-28 14:46:10 +00:00
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abstract: 'Background: Patient navigation programs have been launched nationwide in
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an attempt to reduce racial/ethnic and socio-demographic disparities in
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cancer care, but few have evaluated outcomes in the prostate cancer
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setting. The National Cancer Institute-funded Chicago Patient Navigation
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Research Program (C-PNRP) aims to implement and evaluate the efficacy of
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a patient navigation intervention for predominantly low-income minority
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patients with an abnormal prostate cancer screening test at a Veterans
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Affairs (VA) hospital in Chicago.
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Methods/Design: From 2006 through 2010, C-PNRP implemented a
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quasi-experimental intervention whereby trained social worker and lay
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health navigators worked with veterans with an abnormal prostate screen
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to proactively identify and resolve personal and systems barriers to
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care. Men were enrolled at a VA urology clinic and were selected to
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receive navigated versus usual care based on clinic day. Patient
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navigators performed activities to facilitate timely follow-up such as
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appointment reminders, transportation coordination, cancer education,
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scheduling assistance, and social support as needed. Primary outcome
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measures included time (days) from abnormal screening to diagnosis and
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time from diagnosis to treatment initiation. Secondary outcomes included
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psychosocial and demographic predictors of non-compliance and patient
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satisfaction. Dates of screening, follow-up visits, and treatment were
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obtained through chart audit, and questionnaires were administered at
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baseline, after diagnosis, and after treatment initiation. At the VA,
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546 patients were enrolled in the study (245 in the navigated arm, 245
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in the records-based control arm, and 56 in a subsample of surveyed
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control subjects).
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Discussion: Given increasing concerns about balancing better health
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outcomes with lower costs, careful examination of interventions aimed at
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reducing healthcare disparities attain critical importance. While
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analysis of the C-PNRP data is underway, the design of this patient
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navigation intervention will inform other patient navigation programs
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addressing strategies to improve prostate cancer outcomes among
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vulnerable populations.'
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affiliation: 'Simon, MA (Corresponding Author), Northwestern Univ, Robert H Lurie
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Comprehens Canc Ctr, Chicago, IL 60611 USA.
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Nonzee, Narissa J.; McKoy, June M.; Rademaker, Alfred W.; Byer, Peter; Liu, Dachao;
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Simon, Melissa A., Northwestern Univ, Robert H Lurie Comprehens Canc Ctr, Chicago,
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IL 60611 USA.
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Nonzee, Narissa J., Jesse Brown VA Med Ctr, Chicago, IL USA.
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McKoy, June M., Northwestern Univ, Feinberg Sch Med, Div Gen Internal Med \& Geriatr,
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Dept Med, Chicago, IL 60611 USA.
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McKoy, June M.; Rademaker, Alfred W.; Liu, Dachao; Simon, Melissa A., Northwestern
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Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60611 USA.
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Thanh Ha Luu; Samaras, Athena T.; Simon, Melissa A., Northwestern Univ, Feinberg
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Sch Med, Dept Obstet \& Gynecol, Chicago, IL 60611 USA.
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Richey, Elizabeth A., Dartmouth Coll, Geisel Sch Med, Hanover, NH 03755 USA.
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Panucci, Genna, Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA.
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Dong, XinQi, Rush Univ, Inst Hlth Aging, Chicago, IL 60612 USA.'
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article-number: '340'
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author: Nonzee, Narissa J. and McKoy, June M. and Rademaker, Alfred W. and Byer, Peter
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and Luu, Thanh Ha and Liu, Dachao and Richey, Elizabeth A. and Samaras, Athena T.
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and Panucci, Genna and Dong, XinQi and Simon, Melissa A.
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author-email: m-simon2@northwestern.edu
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author_list:
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- family: Nonzee
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given: Narissa J.
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- family: McKoy
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given: June M.
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- family: Rademaker
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given: Alfred W.
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- family: Byer
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given: Peter
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- family: Luu
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given: Thanh Ha
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- family: Liu
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given: Dachao
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- family: Richey
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given: Elizabeth A.
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- family: Samaras
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given: Athena T.
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- family: Panucci
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given: Genna
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- family: Dong
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given: XinQi
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- family: Simon
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given: Melissa A.
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da: '2023-09-28'
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doi: 10.1186/1472-6963-12-340
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eissn: 1472-6963
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files: []
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journal: BMC HEALTH SERVICES RESEARCH
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keywords: Patient navigation; Prostate cancer; Cancer health disparities; Veterans
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keywords-plus: 'RELIABILITY-ANALYSIS; RANDOMIZED PROSTATE; MORTALITY; RACE; DIAGNOSIS;
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LITERACY; SATISFACTION; DISPARITIES; VALIDATION; ACCESS'
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language: English
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month: SEP 25
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number-of-cited-references: '46'
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papis_id: 03ed09668c7baf8f3d6a78ca823f2c77
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ref: Nonzee2012designprostate
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researcherid-numbers: 'MCKOY, JUNE/GRJ-5660-2022
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Dong, Xin/IZQ-2213-2023
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Dong, Xin/HSG-6425-2023'
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times-cited: '10'
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title: Design of a prostate cancer patient navigation intervention for a Veterans
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Affairs hospital
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000311939100001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '15'
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volume: '12'
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web-of-science-categories: Health Care Sciences \& Services
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year: '2012'
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