Effects of patient navigation on satisfaction with cancer care: a systematic review and meta-analysis

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Kristen J WellsPascal Jean-Pierre

Abstract

Patient navigation (PN) is a model of healthcare coordination designed to reduce barriers to achieving optimal health outcomes. Systematic reviews evaluating whether PN is associated with higher patient satisfaction with cancer care are lacking. We conducted a systematic review to synthesize evidence of comparative studies evaluating the effectiveness of PN programs to improve satisfaction with cancer-related care. We included studies reported in English that: (1) evaluated a PN intervention designed to increase satisfaction with cancer care; and (2) involved a randomized controlled trial (RCT) or non-RCT approach. Standardized forms were used to abstract data from studies. These data were evaluated for methodological quality, summarized qualitatively, and synthesized under a random effects model. The initial search yielded 831 citations. Nine met inclusion criteria. Five had adequate data (1 RCT and 4 non-RCTs) to include in the meta-analysis. Methodological quality of included studies ranged from weak to strong, with half rated as weak. Findings of the RCTs showed a statistically significant increase in satisfaction with cancer care involving PN (standardized mean difference (SMD) = 2.30; 95% confidence interval 1.79, 2.80, p...Continue Reading

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Citations

Jan 7, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Aleksandra BerezowskaEveline Bleiker
Aug 31, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Aleksandra BerezowskaEveline Bleiker
Nov 12, 2020·BMC Health Services Research·Chantal ArditiIsabelle Peytremann-Bridevaux
Mar 26, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Perla ChebliYamilé Molina
Apr 1, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sharon M BigelowDeborah K Mayer
Sep 9, 2021·CMAJ Open·Karen L TangWilliam A Ghali
Jan 15, 2022·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Laura Catherine EdneyJonathan Karnon

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