Characterizing Time to Diagnostic Resolution After an Abnormal Cancer Screening Exam in Older Adult Participants in the Ohio Patient Navigation Research Program

被引：5
|
作者：
DeSalvo, Jennifer M. [1 ]
Young, Gregory S. [1 ]
Krok-Schoen, Jessica L. [1 ]
Paskett, Electra D. [1 ]
机构：
[1] Ohio State Univ, Columbus, OH 43201 USA
来源：
JOURNAL OF AGING AND HEALTH | 2018年 / 30卷 / 08期
关键词：
patient navigation; older adults; diagnostic resolution; barriers to care; cancer health disparities; RANDOMIZED CONTROLLED-TRIAL; FOLLOW-UP; UNDERSERVED WOMEN; LOW-INCOME; BREAST; HEALTH; CARE; INTERVENTION; TIMELINESS; MAMMOGRAM;
D O I：
10.1177/0898264317715184
中图分类号：
R4 [临床医学]; R592 [老年病学];
学科分类号：
1002 ; 100203 ; 100602 ;
摘要：
Objective: This study aims to test the effectiveness of a patient navigation (PN) intervention to reduce time to diagnostic resolution among older adults age 65 years versus those <65 years with abnormal breast, cervical, or colorectal cancer screening exams participating in the Ohio Patient Navigation Research Program (OPNRP). Method: The OPNRP utilized a nested cohort group-randomized trial design to randomize 862 participants (n = 67 for 65 years; n = 795 for <65 years) to PN or usual care conditions. A shared frailty Cox model tested the effect of PN on time to resolution. Results: Older adult participants randomized to PN achieved a 6-month resolution rate that was 127% higher than those randomized to usual care (p = .001). This effect was not significantly different from participants <65 years. Discussion: PN significantly reduced time to diagnostic resolution among older adults beginning 6 months after an abnormal cancer screening exam. Health care systems should include this population in PN programs to reduce cancer disparities.
引用
收藏
页码：1284 / 1304
页数：21
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