دورية أكاديمية
The Effect of a Patient Navigator on Treatment Abandonment and Follow-up for High Grade Osteosarcoma Patients in the Philippine General Hospital.
العنوان: | The Effect of a Patient Navigator on Treatment Abandonment and Follow-up for High Grade Osteosarcoma Patients in the Philippine General Hospital. |
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المؤلفون: | Gaston CL; Department of Orthopedics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Taleon K; Department of Pediatrics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Barsales K; Department of Orthopedics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Dimayuga C; Department of Orthopedics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Estanislao J; Department of Pediatrics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Fajardo P; Department of Pediatrics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Quintos A; Department of Orthopedics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Rubio D; Department of Orthopedics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Wang E; Department of Orthopedics, College of Medicine and Philippine General Hospital, University of the Philippines Manila., Alcasabas AP; Department of Pediatrics, College of Medicine and Philippine General Hospital, University of the Philippines Manila. |
المصدر: | Asian Pacific journal of cancer prevention : APJCP [Asian Pac J Cancer Prev] 2021 Sep 01; Vol. 22 (9), pp. 2873-2877. Date of Electronic Publication: 2021 Sep 01. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Asian Pacific Organization for Cancer Prevention Country of Publication: Thailand NLM ID: 101130625 Publication Model: Electronic Cited Medium: Internet ISSN: 2476-762X (Electronic) Linking ISSN: 15137368 NLM ISO Abbreviation: Asian Pac J Cancer Prev Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Bangkok : Asian Pacific Organization for Cancer Prevention, |
مواضيع طبية MeSH: | Osteosarcoma/*therapy , Patient Dropouts/*statistics & numerical data , Patient Navigation/*statistics & numerical data, Adolescent ; Female ; Hospitals, General ; Humans ; Male ; Neoplasm Grading ; Osteosarcoma/pathology ; Philippines ; Retrospective Studies ; Tertiary Care Centers |
مستخلص: | Introduction: Treatment abandonment for osteosarcoma is a significant problem in developing countries with rates as high as 70%. This study aimed to determine the effect of a patient navigator on treatment abandonment and patient follow-up of osteosarcoma patients at a tertiary referral center. Materials and Methods: A retrospective review of osteosarcoma patients was performed investigating 2 cohorts based on the start of the patient navigator. Group 1 (Pre-Patient Navigator, n=46) were treated from January 2016 to December 2017 while Group 2 (Post-Patient Navigator, n=29) were treated from January 2018 to June 2019. The primary outcome investigated was treatment abandonment defined as missing 4 or more consecutive weeks of treatment. Semi-structured interviews were conducted to investigate the effect of the patient navigator on the cohorts. Results: Treatment abandonment rates for the Pre-Patient Navigator group was significantly higher compared to those with a patient navigator (50% vs 6%, p=0.0001). Abandonment for the pre-navigator group occurred at a mean of 2.9 months (0 - 9 months, median 3 months). Fourteen of 23 patients who abandoned from Group 1 did not proceed to neoadjuvant chemotherapy while 3 patients abandoned after completing 1 cycle of neoadjuvant chemotherapy. In the patient navigator group, no patients abandoned prior to completing 3 cycles of chemotherapy. One patient abandoned after refusing a below knee amputation after 3 cycles of neoadjuvant chemotherapy and 1 patient did not complete further chemotherapy after having a hip disarticulation. Patient feedback on the patient navigator experience was favorable. Conclusions: Having a patient navigator from diagnosis throughout treatment reduced treatment abandonment rates in osteosarcoma patients and may serve as a model for other low to middle income countries. |
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فهرسة مساهمة: | Keywords: LMIC (Low to middle income country); abandonment; navigator; osteosarcoma |
تواريخ الأحداث: | Date Created: 20210928 Date Completed: 20211222 Latest Revision: 20220225 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC8850873 |
DOI: | 10.31557/APJCP.2021.22.9.2873 |
PMID: | 34582656 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2476-762X |
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DOI: | 10.31557/APJCP.2021.22.9.2873 |