Characterizing Time to Diagnostic Resolution After an Abnormal Cancer Screening Exam in Older Adult Participants in the Ohio Patient Navigation Research Program
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
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| Veröffentlicht in: | Journal of aging and health 2018-09, Vol.30 (8), p.1284-1304 |
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| container_title | Journal of aging and health |
| container_volume | 30 |
| creator | DeSalvo, Jennifer M. Young, Gregory S. Krok-Schoen, Jessica L. Paskett, Electra D. |
| description | 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 |
| doi_str_mv | 10.1177/0898264317715184 |
| format | Article |
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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.</description><identifier>ISSN: 0898-2643</identifier><identifier>EISSN: 1552-6887</identifier><identifier>DOI: 10.1177/0898264317715184</identifier><identifier>PMID: 28649914</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adults ; Age Factors ; Aged ; Breast cancer ; Cancer ; Cervical cancer ; Cohort Studies ; Colorectal cancer ; Early Detection of Cancer ; Female ; Health Services Accessibility ; Humans ; Male ; Medical diagnosis ; Medical screening ; Middle Aged ; Neoplasms - diagnosis ; Neoplasms - therapy ; Ohio ; Older people ; Patient Navigation ; Time Factors ; Time-to-Treatment</subject><ispartof>Journal of aging and health, 2018-09, Vol.30 (8), p.1284-1304</ispartof><rights>The Author(s) 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-d1761862f7584b0c523618f0ba45c0d56e3c50d6aab1735797bf2f7b3a0c09f3</citedby><cites>FETCH-LOGICAL-c462t-d1761862f7584b0c523618f0ba45c0d56e3c50d6aab1735797bf2f7b3a0c09f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0898264317715184$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0898264317715184$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,780,784,885,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28649914$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DeSalvo, Jennifer M.</creatorcontrib><creatorcontrib>Young, Gregory S.</creatorcontrib><creatorcontrib>Krok-Schoen, Jessica L.</creatorcontrib><creatorcontrib>Paskett, Electra D.</creatorcontrib><title>Characterizing Time to Diagnostic Resolution After an Abnormal Cancer Screening Exam in Older Adult Participants in the Ohio Patient Navigation Research Program</title><title>Journal of aging and health</title><addtitle>J Aging Health</addtitle><description>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.</description><subject>Adults</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cervical cancer</subject><subject>Cohort Studies</subject><subject>Colorectal cancer</subject><subject>Early Detection of Cancer</subject><subject>Female</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - therapy</subject><subject>Ohio</subject><subject>Older people</subject><subject>Patient Navigation</subject><subject>Time Factors</subject><subject>Time-to-Treatment</subject><issn>0898-2643</issn><issn>1552-6887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi1ERZfCnROyxIVLqJ3EjnNBWi3lQ6q6FezdmjhO4iqxF9upoL-mPxWHbQtU4uTxvM-8M6NB6BUl7yitqlMiapHzskgxZVSUT9CKMpZnXIjqKVotcrbox-h5CFeEkJwS-gwd54KXdU3LFbrdDOBBRe3NjbE93plJ4-jwBwO9dSEahb_q4MY5GmfxuksghhQ01vkJRrwBq1Lqm_Ja28Xg7AdM2Fi8HduUX7fzGPEl-GRk9mBjWLQ4aLwdjEtCNNpGfAHXpoffLVI3DV4N-NK73sP0Ah11MAb98u49QbuPZ7vN5-x8--nLZn2eqZLnMWtpxangeVcxUTZEsbxI_440UDJFWsZ1oRhpOUBDq4JVddV0CW4KIIrUXXGC3h9s93Mz6ValqTyMcu_NBP6ndGDkv4o1g-zdtWQVpbwQyeDtnYF332cdopxMUHocwWo3B0lrmihS1GVC3zxCr9zsbdpO5kTwmnJSFokiB0p5F4LX3cMwlMjl-vLx9VPJ67-XeCi4P3cCsgMQoNd_uv7X8BdS-7mI</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>DeSalvo, Jennifer M.</creator><creator>Young, Gregory S.</creator><creator>Krok-Schoen, Jessica L.</creator><creator>Paskett, Electra D.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180901</creationdate><title>Characterizing Time to Diagnostic Resolution After an Abnormal Cancer Screening Exam in Older Adult Participants in the Ohio Patient Navigation Research Program</title><author>DeSalvo, Jennifer M. ; Young, Gregory S. ; Krok-Schoen, Jessica L. ; Paskett, Electra D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-d1761862f7584b0c523618f0ba45c0d56e3c50d6aab1735797bf2f7b3a0c09f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adults</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>Cervical cancer</topic><topic>Cohort Studies</topic><topic>Colorectal cancer</topic><topic>Early Detection of Cancer</topic><topic>Female</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Neoplasms - diagnosis</topic><topic>Neoplasms - therapy</topic><topic>Ohio</topic><topic>Older people</topic><topic>Patient Navigation</topic><topic>Time Factors</topic><topic>Time-to-Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DeSalvo, Jennifer M.</creatorcontrib><creatorcontrib>Young, Gregory S.</creatorcontrib><creatorcontrib>Krok-Schoen, Jessica L.</creatorcontrib><creatorcontrib>Paskett, Electra D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of aging and health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DeSalvo, Jennifer M.</au><au>Young, Gregory S.</au><au>Krok-Schoen, Jessica L.</au><au>Paskett, Electra D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterizing Time to Diagnostic Resolution After an Abnormal Cancer Screening Exam in Older Adult Participants in the Ohio Patient Navigation Research Program</atitle><jtitle>Journal of aging and health</jtitle><addtitle>J Aging Health</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>30</volume><issue>8</issue><spage>1284</spage><epage>1304</epage><pages>1284-1304</pages><issn>0898-2643</issn><eissn>1552-6887</eissn><abstract>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). 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| ispartof | Journal of aging and health, 2018-09, Vol.30 (8), p.1284-1304 |
| issn | 0898-2643 1552-6887 |
| language | eng |
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| source | MEDLINE; SAGE Complete |
| subjects | Adults Age Factors Aged Breast cancer Cancer Cervical cancer Cohort Studies Colorectal cancer Early Detection of Cancer Female Health Services Accessibility Humans Male Medical diagnosis Medical screening Middle Aged Neoplasms - diagnosis Neoplasms - therapy Ohio Older people Patient Navigation Time Factors Time-to-Treatment |
| title | Characterizing Time to Diagnostic Resolution After an Abnormal Cancer Screening Exam in Older Adult Participants in the Ohio Patient Navigation Research Program |
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