Navigation Links
Study finds patient navigation increases colorectal cancer screening in ethnically diverse patients

(Boston) Researchers from Boston University School of Medicine, Cambridge Health Alliance and Harvard Medical School have found targeting patient navigation to black and non-English speaking patients may be one approach to reducing disparities in colorectal cancer (CRC) screenings. These findings appear in the May 23 issue of the Archives of Internal Medicine.

Colorectal cancer is the second leading cause of cancer death in the U.S. and is preventable through screening. Nevertheless, about 40 percent of eligible adults in the U.S. and more foreign born U.S. residents are overdue for CRC screening. Patients at greatest risk of not being screened include minorities, patients with Medicaid or no health insurance, those who are foreign-born and patients of low socioeconomic status.

Patient navigators are non-clinical staff members who guide patients through the health care system so that they receive appropriate services. The navigators perform a wide range of advocacy and coordination activities, such as assisting patients in obtaining health insurance or transportation to appointments.

The researchers identified 465 primary care patients from four community health centers and two public hospital-based clinics who were not up-to-date with CRC screening and spoke English, Haitian Creole, Portuguese or Spanish. They randomly allocated patients to receive a patient navigation-based intervention or usual care. Intervention patients received an introductory letter from their primary care provider with educational material followed by telephone calls from a language-concordant navigator. The navigators offered patients the option of being screened by fecal occult blood testing or colonoscopy. The primary outcome was completion of any CRC screening within 12 months. Secondary outcomes included the proportions of patients screened by colonoscopy and who had adenomas or cancer detected.

Over a 12 month period, the researchers found that intervention patients were more likely to undergo CRC screening than control patients (33.6 percent vs. 20.0 percent), to be screened by colonoscopy (26.4 percent vs. 13.0 percent) and to have adenomas detected (8.1 percent vs. 3.9 percent).

"Patient navigation increased CRC screening rates substantially among ethnically and linguistically diverse patients served by urban community health centers and public hospital-based clinics," said lead author Karen Lasser, MD, MPH, an associate professor of medicine and public health at BUSM and Boston University School of Public Health and a primary care physician at Boston Medical Center.

Focusing patient navigation on populations of black and non-English speaking patients may be a particularly effective approach to reducing CRC screening disparities for these patients. Future research should assess how health systems can sustain this benefit when patient navigation is implemented as a routine component of primary care.


Contact: Jenny Eriksen Leary
Boston University Medical Center

Related medicine news :

1. Study links acetaminophen to lower prostate cancer risk
2. Some Dentists Reluctant to Treat Kids on Medicaid: Study
3. Younger Docs More Likely to Prescribe Drugs for Heart Disease: Study
4. Common test could help predict early death in diabetes, study shows
5. Study identifies novel role for a protein that could lead to new treatments for rheumatoid arthritis
6. EMPHASIS HF: Study shows epleronone to reduce atrial fibrillation
7. Robotic Surgery Oversold on Hospital Websites, Study Contends
8. Driving Skills Do Ebb With Age: Study
9. Study Sees Link Between Psoriasis, Obesity in Kids
10. Study Suggests Supplement May Protect Against Preeclampsia
11. Enlarged prostate: Study demonstrates immediate and long-term benefits of laser treatment
Post Your Comments:
(Date:11/30/2015)... ... November 30, 2015 , ... Newly reviewed and approved “NJ ... graduated from Tufts School of Dental Medicine in 1935. His father graduated from ... family being in dentistry as well as their commitment and passion to the Practice ...
(Date:11/30/2015)... ... November 30, 2015 , ... The ... National Poison Data System (NPDS) reveals that in 2014, someone called a poison ... over two million of which were human exposure cases. , The American Association ...
(Date:11/30/2015)... ... , ... Two years ago, Debbie Gregory, the CEO of, found herself ... Meditation (TM). After encouraging a number of veterans to go through the program, ... the talk. , TM is becoming one of the best alternative treatments for Post-Traumatic ...
(Date:11/30/2015)... ... ... The American Society for Clinical Pathology (ASCP) announced today that it has launched ... ASCP shared its “Give a minute. Get tested. Find a cure.” icon and infographic ... tested for HIV. , ASCP has asked members to replace their Facebook, Twitter, or ...
(Date:11/30/2015)... Beach, FL (PRWEB) , ... November 30, 2015 ... ... of Consumer Reports magazine, quoted Michael Hansen, Ph.D., a senior scientist at Consumer ... and even more so for a child’s exposure limits. , The original Nov ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... REHOVOT, Israel , Nov. 30, 2015 ... focused on acquiring and developing innovative therapies for ear, ... of Keith A. Katkin as chairman of ... Flesher , chief executive officer for OticPharma, Ltd.  "Keith ... As chairman, he will be able to share this ...
(Date:11/29/2015)...  Strengthening its leadership in connected healthcare informatics, ... IntelliSpace Portal 8.0 , the latest edition of ... helps radiologists detect, diagnose and follow-up on treatment of ... North America Annual Meeting (RSNA) in ... the changing demands in radiology that result from an ...
(Date:11/29/2015)... GE Health Cloud 1 was unveiled today at the ... America (RSNA) meeting in Chicago ... ecosystem and its applications will connect radiologists and clinicians to ... – both inside and outside the hospital setting. ... the digital industrial leader, we are betting big on the ...
Breaking Medicine Technology: