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. |
| References: | Int Orthop. 2014 Mar;38(3):579-85. (PMID: 24305786) J Clin Oncol. 2014 Jan 1;32(1):12-8. (PMID: 24276777) Clin J Oncol Nurs. 2015 Dec;19(6):723-32. (PMID: 26583636) Pediatr Blood Cancer. 2008 Jun;50(6):1143-6. (PMID: 18085687) Am J Prev Med. 2017 Sep;53(3):363-372. (PMID: 28676254) Asian Pac J Cancer Prev. 2013;14(2):1101-6. (PMID: 23621194) Cancer Pract. 1995 Jan-Feb;3(1):19-30. (PMID: 7704057) J Oncol Pract. 2016 Mar;12(3):e344-9. (PMID: 26883404) Lancet Oncol. 2011 Aug;12(8):719-20. (PMID: 21719348) J Oncol Navig Surviv. 2018 Dec;9(12):519-524. (PMID: 31772830) AIDS. 2018 Nov 13;32(17):2557-2571. (PMID: 30102661) Cancer Epidemiol Biomarkers Prev. 2012 Oct;21(10):1673-81. (PMID: 23045542) PLoS One. 2016 Oct 13;11(10):e0163090. (PMID: 27736871) Clin J Am Soc Nephrol. 2012 Oct;7(10):1639-45. (PMID: 22798540) BMJ Case Rep. 2020 Jul 8;13(7):. (PMID: 32641312) Pediatr Blood Cancer. 2019 Aug;66(8):e27781. (PMID: 31045326) |
| 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 |
Full Text Finder | تدمد: | 2476-762X |
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| DOI: | 10.31557/APJCP.2021.22.9.2873 |