The Case for Patient Navigation in Lung Cancer Screening in Vulnerable Populations: A Systematic Review.
Publication/Presentation Date
8-1-2019
Abstract
Patient navigation has been proposed to combat cancer disparities in vulnerable populations. Vulnerable populations often have poorer cancer outcomes and lower levels of screening, adherence, and treatment. Navigation has been studied in various cancers, but few studies have assessed navigation in lung cancer. Additionally, there is a lack of consistency in metrics to assess the quality of navigation programs. The authors conducted a systematic review of published cancer screening studies to identify quality metrics used in navigation programs, as well as to recommend standardized metrics to define excellence in lung cancer navigation. The authors included 26 studies evaluating navigation metrics in breast, cervical, colorectal, prostate, and lung cancer. After reviewing the literature, the authors propose the following navigation metrics for lung cancer screening programs: (1) screening rate, (2) compliance with follow-up, (3) time to treatment initiation, (4) patient satisfaction, (5) quality of life, (6) biopsy complications, and (7) cultural competency.
Volume
22
Issue
4
First Page
347
Last Page
361
ISSN
1942-7905
Published In/Presented At
Shusted, C. S., Barta, J. A., Lake, M., Brawer, R., Ruane, B., Giamboy, T. E., Sundaram, B., Evans, N. R., Myers, R. E., & Kane, G. C. (2019). The Case for Patient Navigation in Lung Cancer Screening in Vulnerable Populations: A Systematic Review. Population health management, 22(4), 347–361. https://doi.org/10.1089/pop.2018.0128
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
30407102
Department(s)
Administration and Leadership
Document Type
Article