Document Type
Article
Publication Date
8-1-2019
Abstract
Patient navigation has been proposed to combat cancer disparities in vulnerable populations. Vulnerable populations often have poorer cancer outcomes and lower levels of screening, adherence, and treatment. Navigation has been studied in various cancers, but few studies have assessed navigation in lung cancer. Additionally, there is a lack of consistency in metrics to assess the quality of navigation programs. The authors conducted a systematic review of published cancer screening studies to identify quality metrics used in navigation programs, as well as to recommend standardized metrics to define excellence in lung cancer navigation. The authors included 26 studies evaluating navigation metrics in breast, cervical, colorectal, prostate, and lung cancer. After reviewing the literature, the authors propose the following navigation metrics for lung cancer screening programs: (1) screening rate, (2) compliance with follow-up, (3) time to treatment initiation, (4) patient satisfaction, (5) quality of life, (6) biopsy complications, and (7) cultural competency.
Recommended Citation
Shusted, Christine S; Barta, Julie A; Lake, Michael; Brawer, Rickie; Ruane, Brooke; Giamboy, Teresa E; Sundaram, Baskaran; Evans, Nathaniel R; Myers, Ronald E; and Kane, Gregory C, "The Case for Patient Navigation in Lung Cancer Screening in Vulnerable Populations: A Systematic Review." (2019). Division of Pulmonary and Critical Care Medicine Faculty Papers. Paper 19.
https://jdc.jefferson.edu/pulmcritcarefp/19
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
30407102
Language
English
Comments
This is the final published version of the article from the journal Population Health Management, 2019 Aug;22(4):347-361.
The full text can also be accessed at the Journal's Website: https://doi.org/10.1089/pop.2018.0128
Copyright. The Authors.