Navigation Links
Patient navigators appear to improve colorectal cancer screening rate in ethnically diverse patients
Date:5/23/2011

Among low-income patients who are black or whose primary language is not English, patient navigators may help improve colorectal cancer (CRC) screening rates, according to a report in the May 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. The article is part of the journal's Health Care Reform series.

According to background information in the article, CRC is one of the country's main causes of cancer deaths. "Nevertheless," the authors write, "approximately 40 percent of eligible adults in the United States and more foreign-born U.S. residents are overdue for CRC screening," especially those who are racial minorities, have Medicaid or lack health insurance, are immigrants, or socioeconomically disadvantaged. Studies have shown that patient navigatorscommunity members who guide and support patients in receiving carecan positively affect CRC screening rates.

Karen E. Lasser, M.D., M.P.H., from the Boston University School of Public Health, and colleagues conducted a randomized, controlled trial to study the role of patient navigators in encouraging screening for CRC. Among the 465 patients enrolled at Cambridge Health Alliance, a Massachusetts-based community health system, the majority was nonwhite, spoke a primary language other than English and had publicly funded health insurance or no coverage. Researchers randomized the patients to 230 receiving usual care and 235 receiving up to six hours of patient navigation (in English, Spanish, Portuguese, or Haitian Creole) in six months. (Of the 235 patients assigned to the intervention group, navigators were able to contact 181, or 77 percent.) The study's principal outcome was completion within one year of CRC screening, and researchers also examined colonoscopy rates in particular as well as the proportion of adenomas or cancers found.

At the one-year mark, 33.6 percent of patients in the intervention group had been screened for CRC, versus 20.0 percent of patients in the control group. Within the intervention group, the screening rate was significantly higher among those whom the navigators reached (39.8 %) as opposed to those who were not able to be contacted (18.6 percent). Those receiving the intervention were more likely to be screened with colonoscopy and to have adenomas discovered. The navigators helped improve screening rates among patients whose primary language was not English and among black patients.

The authors state that their results are similar to those of other studies involving patient navigators. And although they call for further study in this area, they also note that these members of the health care team may be important for reaching underserved populations. "Focusing patient navigation on populations of patients who are black and whose primary language is other than English may be a particularly effective approach to reducing CRC screening disparities for these patients," they conclude.

(Arch Intern Med. 2011;171[10]:906-912. Available pre-embargo to the media at www.jamamedia.org.)

Editor's Note: This study was supported by a grant from the American Cancer Society. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Commentary: Patient Outreach Is Just One Strategy for Improving Primary Care

In a commentary accompanying the article, Thomas Bodenheimer, M.D., from the University of California, San Francisco, notes that the study by Lasser and colleagues demonstrated the value patient navigators can have in encouraging health screenings and other positive behaviors. He also points to other articles in this issue of the journal, namely a study of electronic records and its accompanying commentary, as rounding out the tenets of a patient-centered medical home. Physician shortages and other shifts in primary care, Bodenheimer writes, may leave "team-based care as the only hope." Adopting electronic health records, a clinical registry and health teams comprising patient navigators and other staff may provide the "building blocks" of a patient-centered medical home

(Arch Intern Med. 2011;171[10]:912-913. Available pre-embargo to the media at www.jamamedia.org.)

Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.


'/>"/>

Contact: Gina DiGravio
gina.digravio@bmc.org
617-638-8491
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Cancer Patients Benefit From Full Access to Medical Records
2. Access to personal medical records increases satisfaction among new cancer patients
3. Telemonitoring can improve overall survival of HF patients
4. Use of naltrexone reduces inflammation in Crohns patients
5. African-Americans with SLE more responsive to flu vaccine than patients of European descent
6. Researchers discover that lymphocyte count indicates prognosis of patients with renal cell carcinoma
7. When rising PSA means prostate cancer is in patients future
8. Marker identifies breast cancer patients likely to respond to tamoxifen
9. Hospitals misleading patients about benefits of robotic surgery, study suggests
10. Patients who see preferred doctor less likely to go for emergency hospital admission
11. COPD patients may breathe easier, thanks to the Wii
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/28/2017)... ... June 28, 2017 , ... The parent company ... in employee engagement. Omaha-based C&A Industries, a national leader in staffing and ... in North America for 2017. The annual award, issued by Achievers, ...
(Date:6/28/2017)... Church, VA (PRWEB) , ... June 28, 2017 , ... ... http://www.fdanews.com/fdaeumdregs      , No matter on which side of the Atlantic devicemakers ... medical device regulations they have to follow. , In addition to the full text ...
(Date:6/28/2017)... ... June 28, 2017 , ... Eating disorders have the highest mortality ... at least one person dies as a direct result from an eating disorder in ... qualified treatment providers. The iaedp Foundation meets this challenge by offering what has become ...
(Date:6/28/2017)... ... June 28, 2017 , ... American Farmer proudly announces the participation of ... winning television series, scheduled to broadcast fourth quarter 2017. American Farmer airs Tuesdays at ... supplier of garden pea seed. As demand grew, the small company located in Moscow, ...
(Date:6/28/2017)... (PRWEB) , ... June 28, 2017 , ... ... insurance management and financial planning assistance to clients in southern Montana, is announcing ... offered by Zoo Montana. , The outreach programs offered by Zoo Montana provide ...
Breaking Medicine News(10 mins):
(Date:6/7/2017)... , June 7, 2017  Novavax, Inc., (Nasdaq: ... of two Phase 2 trials of its RSV F protein ... child bearing age have been published in the journal ... have been shared in prior scientific conferences). The Company previously ... April 2014. Novavax is developing the RSV F Vaccine with ...
(Date:6/2/2017)... Mass. , June 2, 2017  NxStage Medical, ... renal care, today announced new findings demonstrating positive biochemical ... ® System One™. The data will be presented ... in Madrid, Spain . ... to Improve Home Dialysis Network in Europe ...
(Date:5/29/2017)...  Cellect Biotechnology Ltd. (NASDAQ: APOP ; TASE: ... functional selection of stem cells, today provided a corporate ... ended March 31 st , 2017. ... first quarter of 2017," said Dr. Shai Yarkoni, Chief ... treatment of the first blood cancer patient in the ...
Breaking Medicine Technology: