Navigation Links
Study finds patient navigation increases colorectal cancer screening in ethnically diverse patients
Date:5/23/2011

(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
jenny.eriksen@bmc.org
617-638-6841
Boston University Medical Center
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:9/23/2017)... ... September 23, 2017 , ... ... to fighting obesity of Robert Kushner, director of Chicago’s Center for Lifestyle Medicine ... promoting healthier habits, the article notes that the center routinely recommends weight loss ...
(Date:9/22/2017)... PA (PRWEB) , ... September 22, 2017 , ... ... soon as possible, and they often saves lives. However, if one isn’t accessible ... to widen the availability of defibrillation, I came up with this idea," said ...
(Date:9/22/2017)... ... September 22, 2017 , ... ... Safe Is Smart Scholarship Sweepstakes.,  , Molli C., a graduate student from Sonora, ... Educational Leadership and Administration at St. Thomas University in Miami, Florida, was selected ...
(Date:9/22/2017)... ... 22, 2017 , ... First Choice Emergency Room , ... year anniversary of its Houston-Fallbrook facility. , “We are honored to celebrate ... of First Choice Emergency Room Houston-Fallbrook. “It has been a pleasure serving the ...
(Date:9/22/2017)... ... 22, 2017 , ... The freshly released app Smart Mart ... Smart Mart, customers can now order vegetable, fruit, snacks, dairy, or any eatables. ... clothing at discounted prices. Apart from this, Smart Mart has emphasized upon their ...
Breaking Medicine News(10 mins):
(Date:9/13/2017)... , Sept. 13, 2017   OrthoAtlanta has been ... Atlanta Football Host Committee (AFHC) for the 2018 College Football ... 8, 2018, at Mercedes-Benz Stadium in Atlanta, Georgia ... the AFHC "I,m In" campaign, participating in many activities leading ... ...
(Date:9/12/2017)... , Sept. 12, 2017  Consumer reviews on the independent review ... as the number one company for hearing aids, ranking it higher ... other brands. ... Named #1 by Consumers For Hearing Aids ... Embrace Hearing is an online store that provides high performance, state-of-the-art, ...
(Date:9/9/2017)... 2017 ... coming to Washington DC ... Tuesday, September 12 th – Monday, September 18 th .The Brain ... MRI brain scans to the public.Where:  BTF,s Mobile ... 501 K Street NW, Washington, D.C.What:BTF brings its nationwide initiative, the Road ...
Breaking Medicine Technology: