التفاصيل البيبلوغرافية
| العنوان: |
Patient Navigation Effectiveness on Improving Cancer Screening Rates: A Meta-Analysis of Randomized Controlled Trials. |
| المؤلفون: |
Ali-Faisal, Sobia F., Colella, Tracey J. F., Medina-Jaudes, Naomi, Scott, Lisa Benz |
| المصدر: |
Journal of Oncology Navigation & Survivorship; Jul2017, Vol. 8 Issue 7, p316-324, 9p |
| مصطلحات موضوعية: |
CONFIDENCE intervals, HEALTH behavior, HEALTH promotion, INFORMATION storage & retrieval systems, MEDICAL databases, MEDICAL information storage & retrieval systems, PSYCHOLOGY information storage & retrieval systems, MEDLINE, META-analysis, SYSTEMATIC reviews, RANDOMIZED controlled trials, PATIENT-centered care, EARLY detection of cancer, ODDS ratio |
| مستخلص: |
Background: Despite the evidence establishing screening as effective in decreasing cancer mortality, rates remain below recommended levels. Patient navigation (PN) has shown promise to increase screening, yet the strength of the evidence of PN on screening rates is unknown. Objectives: To determine the effects of PN, including professional navigators (nurse and non-nurse) versus trained lay navigators, on all cancer screening behaviors. Methods: Medical and social science databases were searched for randomized controlled trials published in English between 1989 and May 2015 for inclusion in a meta-analysis. The review process was guided by PRISMA. Data were extracted to assess the effect of navigation on cancer screening rates. Random effects models were used to compute risk ratios, and I2 statistics determined the impact of heterogeneity. Results: Of 3985 articles screened, 13 articles examining the effect of PN on cancer screening were included in this analysis. Compared with usual care, patients who received PN were significantly more likely to access cancer screening (odds ratio [OR], 2.47; 95% CI, 1.91-3.20; P <.00001), and both professional (OR, 2.98; 95% CI, 2.00-4.45; P <.0001) and lay (OR, 1.99; 95% CI, 1.55-2.55; P <.0001) navigators had a significant effect on cancer screening rates. Discussion: The results suggest that PN is an effective intervention for increasing cancer screening, with greater effects achieved by professional navigators. Conclusion: The evidence provided by this meta-analysis supports the implementation of nurse navigation programs to promote screening rates. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
