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Popul Health Manag. 2018 Nov 8. doi: 10.1089/pop.2018.0128. [Epub ahead of print]

The Case for Patient Navigation in Lung Cancer Screening in Vulnerable Populations: A Systematic Review.

Author information

1
1 Department of Medicine, Thomas Jefferson University , Philadelphia, Pennsylvania.
2
2 Division of Pulmonary and Critical Care, The Jane and Leonard Korman Respiratory Institute, Sidney Kimmel Medical College, Thomas Jefferson University , Philadelphia, Pennsylvania.
3
3 Department of Family & Community Medicine, Sidney Kimmel Medical College, Center for Urban Health, Thomas Jefferson University Hospitals , Philadelphia, Pennsylvania.
4
4 Division of Pulmonary and Critical Care, The Jane and Leonard Korman Respiratory Institute , Philadelphia, Pennsylvania.
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5 Tobacco Dependence Program, Jefferson Health - Northeast , Philadelphia, Pennsylvania.
6
6 Department of Radiology, Thomas Jefferson University , Philadelphia, Pennsylvania.
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7 Division of Thoracic Surgery, Thomas Jefferson University , Philadelphia, Pennsylvania.
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8 Division of Population Science and Center for Health Decisions, Department of Medical Oncology, Thomas Jefferson University , Philadelphia, Pennsylvania.
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9 Department of Medicine, Division of Pulmonary and Critical Care, The Jane and Leonard Korman Respiratory Institute, Sidney Kimmel Medical College, Thomas Jefferson University , Philadelphia, Pennsylvania.

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.

KEYWORDS:

lung cancer; lung cancer screening; navigation metrics; patient navigation; vulnerable populations

PMID:
30407102
DOI:
10.1089/pop.2018.0128

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