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Support Care Cancer. 2018 May;26(5):1369-1382. doi: 10.1007/s00520-018-4108-2. Epub 2018 Mar 1.

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

Author information

1
San Diego State University, San Diego, CA, USA.
2
San Diego Moores Cancer Center, University of California, San Diego, CA, USA.
3
University of South Florida, Tampa, FL, USA.
4
Florida State University College of Medicine, 1115 W. Call Street, Suite G101E, Tallahassee, FL, 32306-4300, USA. Pascal.Jean-Pierre@med.fsu.edu.
5
Cancer Neurocognitive Translational Research Laboratory, Tallahassee, FL, USA. Pascal.Jean-Pierre@med.fsu.edu.

Abstract

PURPOSE:

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.

METHODS:

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.

RESULTS:

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 < 0.001). Pooled results from non-RCTs showed no significant association between PN and satisfaction with cancer-related care (standardized mean difference = 0.39; 95% confidence interval - 0.02, 0.80, p = 0.06).

CONCLUSIONS:

Although PN has been widely implemented to improve cancer care, high-quality studies are needed to characterize the relationship between PN and satisfaction with cancer-related care.

KEYWORDS:

Cancer early detection; Meta-analysis; Patient navigation; Patient satisfaction; Systematic review

PMID:
29497815
PMCID:
PMC5898973
[Available on 2019-05-01]
DOI:
10.1007/s00520-018-4108-2

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