Impact of patient navigation on cancer diagnostic resolution among northwest tribal communities

Victoria Warren-Mears, Jenine Dankovchik, Meena Patil, Rongwei Fu

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

The patient navigator model has not been widely implemented in American Indian/Alaska Native (AI/AN) communities, but may be effective in improving cancer outcomes for this population. Subjects were enrolled from eight clinics at Tribes throughout the Northwest (n = 1,187). Four clinics received navigation. Time between abnormal finding and definitive diagnosis was recorded. We examined whether odds of obtaining definitive diagnosis by 60, 90, and 365 days differed between the two groups. The odds of definitive diagnosis within 365 days for navigated subjects was 3.6 times (95% CI, 1.47, 8.88; p = 0.01) the odds for control subjects. The outcome at 60 and 90 days did not significantly differ between the two groups. Our findings indicate that patient navigation did not significantly impact chance of diagnosis by 60 or 90 days from abnormal finding. However, it did improve the chance of avoiding extreme delays in obtaining a definitive diagnosis.

Original languageEnglish (US)
Pages (from-to)109-118
Number of pages10
JournalJournal of Cancer Education
Volume28
Issue number1
DOIs
StatePublished - Mar 1 2013

Keywords

  • American Indian/Alaska Native
  • Cancer
  • Diagnostic resolution
  • Northwest Tribes
  • Patient navigation

ASJC Scopus subject areas

  • Oncology
  • Public Health, Environmental and Occupational Health

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