Patient navigation across the cancer care continuum: An overview of systematic reviews and emerging literature

作者：Raymond J. Chan, Vivienne Milch, Fiona M. Crawford-Williams, Oluwaseyifunmi Andi Agbejule, Ria Joseph, Jolyn Johal, Narayanee Dick, Matthew P. Wallen, Julie Ratcliffe, Anupriya Aditya Agarwal, Larissa Nekhlyudov, Matthew Tieu, Manaf Al‐Momani, Scott Turnbull, Rahul Sathiaraj, Dorothy M. K. Keefe, Nicolas H. Hart · 发表于：CA A Cancer Journal for Clinicians · 年份：2023 · DOI：10.3322/caac.21788 · 被引用次数：276 · 研究领域：Palliative Care and End-of-Life Issues、Global Cancer Incidence and Screening、Cancer survivorship and care

Patient navigation is a strategy for overcoming barriers to reduce disparities and to improve access and outcomes. The aim of this umbrella review was to identify, critically appraise, synthesize, and present the best available evidence to inform policy and planning regarding patient navigation across the cancer continuum. Systematic reviews examining navigation in cancer care were identified in the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Cumulative Index of Nursing and Allied Health (CINAHL), Epistemonikos, and Prospective Register of Systematic Reviews (PROSPERO) databases and in the gray literature from January 1, 2012, to April 19, 2022. Data were screened, extracted, and appraised independently by two authors. The JBI Critical Appraisal Checklist for Systematic Review and Research Syntheses was used for quality appraisal. Emerging literature up to May 25, 2022, was also explored to capture primary research published beyond the coverage of included systematic reviews. Of the 2062 unique records identified, 61 systematic reviews were included. Fifty-four reviews were quantitative or mixed-methods reviews, reporting on the effectiveness of cancer patient navigation, including 12 reviews reporting costs or cost-effectiveness outcomes. Seven qualitative reviews explored navigation needs, barriers, and experiences. In addition, 53 primary studies published since 2021 were included. Patient navigation is effective in improving participation in ...