Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Oncology clinical trial disruption during the COVID-19 pandemic: a COVID-19 and cancer outcomes study

Bakouny, Z. ; Labaki, C. ; Bhalla, S. ; Schmidt, A. L. ; Steinharter, J. A. ; Cocco, J. ; Tremblay, D. A. ; Awad, M. M. ; Kessler, A. ; Haddad, R. I. ; Evans, M. ; Busser, F. ; Wotman, M. ; Curran, C. R. ; Zimmerman, B. S. ; Bouchard, G. ; Jun, T. ; Nuzzo, P. V. ; Qin, Q. ; Hirsch, L. ; Feld, J. ; Kelleher, K. M. ; Seidman, D. ; Huang, H. ; Anderson-Keightly, H. M. ; El Zarif, T. ; Alaiwi, S. Abou ; Champagne, C. ; Rosenbloom, T. D. ; Stewart, P. S. ; Johnson, B. E. ; Trinh, Q. ; Tolaney, S. M. ; Galsky, M. D. ; Choueiri, T. K. ; Doroshow, D. B.

Background: COVID-19 disproportionately impacted patients with cancer as a result of direct infection, and delays in diagnosis and therapy. Oncological clinical trials are resource-intensive endeavors that could be particularly susceptible to disruption by the pandemic, but few studies have evaluated the impact of the pandemic on clinical trial conduct. Patients and methods: This prospective, multicenter study assesses the impact of the pandemic on therapeutic clinical trials at two large [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Mortality of patients with cancer and SARS-CoV-2 infection: results from the Argentinean Network of Hospital-Based Cancer Registries

Fattore, Gisel Lorena ; Olivos, Natalia Silvana Aráoz ; Olalla, Jose Enrique Carrizo ; Gomez, Lara ; Marucco, Agustina Flamenco ; Mena, María Paz Rojas

Background : Cancer is an important risk factors in patients with COVID-19. We aimed to describe the clinical and demographic characteristics associated with mortality in patients with cancer who were infected with SARS-CoV-2. Methods : We conducted a retrospective longitudinal study of 1206 patients with confirmed SARS-CoV-2 infection and cancer diagnoses registered in the Argentinean Network of Hospital-Based Cancer Registries (RITA), from March 31, 2020 to January 31, 2021. Demographic and [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Counting the social, psychological, and economic costs of COVID-19 for cancer patients

Kirby, Ann ; Drummond, Frances J. ; Lawlor, Amy ; Murphy, Aileen

Purpose : Cancer patients were particularly vulnerable to the adverse impacts of the COVID-19 pandemic given their reliance on the healthcare system, and their weakened immune systems. This systematic review examines the social, psychological, and economic impacts of COVID-19 on cancer patients. Methods : The systematic search, conducted in March 2021, captures the experience of COVID-19 Wave I, when the most severe restrictions were in place globally, from a patient perspective. Results : The [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Hospitalization characteristics and outcomes of patients with cancer and COVID-19 at a comprehensive cancer center

Manzano, Joanna-Grace M. ; Muthu, Mayoora ; Kheder, Ed ; Mohammed, Alyssa ; Halm, Josiah ; Dickson, Kodwo ; Ali, Noman ; Leung, Cerena ; Koom-Dadzie, Kwame ; Rubio, David ; Odaro, Orhue ; Sibille, Michelle ; Etchegaray, Mikel ; Wilson, Kaycee ; Lin, Heather ; George, Marina

Purpose : Several studies have confirmed increased mortality among patients with both COVID-19 and cancer. It remains important to continue to report observations of morbidity and mortality from COVID-19 in this vulnerable population. The purpose of this study is to describe the hospitalization characteristics and outcomes of patients with both cancer and COVID-19 admitted to our comprehensive cancer center. Methods : This was a descriptive study of the first COVID-19-related hospitalization [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Covid-19 outbreak in Lombardy: impact on reducing solid cancer diagnoses in 2020

Trama, Annalisa ; Bernasconi, Alice ; Botta, Laura ; Di Cosimo, Serena ; Miceli, Rosalba ; Claps, Melanie ; Badenchini, Fabio ; Lillini, Roberto ; Rubino, Massimiliano ; Lasalvia, Paolo

Our aim was to analyse, on a population level, the year-long decline in cancer diagnoses in the region of Lombardy (Italy), and to characterise the tumours with the greatest reduction in diagnosis by patient age, sex, and tumour stage at diagnosis. We used the health care utilization databases of the Lombardy region to identify cancer patients’ characteristics (e.g. sex, age) and cancer-related information (e.g. cancer site, stage at diagnosis). The frequency of new cancer diagnoses in 2019 and [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Barriers and opportunities to measuring oncology patient navigation impact: Results from the National Navigation Roundtable survey

Battaglia, Tracy A. ; Fleisher, Linda ; Dwyer, Andrea J. ; Wiatrek, Dawn E. ; Wells, Kristen J. ; Wightman, Patrick ; Strusowski, Tricia ; Calhoun, Elizabeth ; the National Navigation Roundtable Evidence-Based Task Group

Background : Patient navigation improves cancer care delivery for those most at risk for poor outcomes. Lack of sustainable funding threatens the full integration of navigation services into health care delivery systems. Standardized navigation metrics that document impact and identify best practices are necessary to support sustainability. Methods : The National Navigation Roundtable administered a web-based, cross-sectional survey to oncology patient navigation programs to identify barriers [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Patient navigation to address sociolegal barriers for patients with cancer: A comparative-effectiveness study

Battaglia, Tracy A. ; Gunn, Christine M. ; Bak, Sharon M. ; Flacks, JoHanna ; Nelson, Kerrie P. ; Wang, Na ; Ko, Naomi Y. ; Morton, Samantha J.

Background : Sociolegal barriers to cancer care are defined as health-related social needs like affordable healthy housing, stable utility service, and food security that may be remedied by public policy, law, regulation, or programming. Legal support has not been studied in cancer care. Methods : The authors conducted a randomized controlled trial of patients who had newly diagnosed cancer at a safety-net medical center in Boston from 2014 through 2017, comparing standard patient navigation [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Change agents in the oncology workforce: Let's be clear about community health workers and patient navigators

Battaglia, Tracy A. ; Zhang, Xiaochen ; Dwyer, Andrea J. ; Rush, Carl H. ; Paskett, Electra D.

Despite efforts of professional organizations and government agencies to solidify the professional identities of community health workers and patient navigators in the oncology workforce, the scientific literature perpetuates wide variation in the nomenclature used to define these natural change agents, who have proven efficacy in improving access to quality cancer care for historically marginalized populations. To disseminate, sustain, and scale-up these life-saving roles in cancer care, the [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Development of a workflow process mapping protocol to inform the implementation of regional patient navigation programs in breast oncology

Casanova, Nicole L. ; LeClair, Amy M. ; Xiao, Victoria ; Mullikin, Katelyn R. ; Lemon, Stephenie C. ; Freund, Karen M. ; Haas, Jennifer S. ; Freedman, Rachel A. ; Battaglia, Tracy A. ; the Translating Research Into Practice Consortium

BACKGROUND : Implementing city-wide patient navigation processes that support patients across the continuum of cancer care is impeded by a lack of standardized tools to integrate workflows and reduce gaps in care. The authors present an actionable workflow process mapping protocol for navigation process planning and improvement based on methods developed for the Translating Research Into Practice study. METHODS : Key stakeholders at each study site were identified through existing community [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

What makes for successful patient navigation implementation in cancer prevention and screening programs using an evaluation and sustainability framework

Dwyer, Andrea J. ; Weltzien, Elsa S. ; Harty, Nicole M. ; LeGrice, Kirsten E. ; Pray, Shannon L. H. ; Risendal, Betsy C.

Background : Integrating patient navigation into cancer prevention and early detection efforts has been effective in increasing cancer screening rates for the medically underserved. Few publications have focused on how cancer screening interventions in the primary care setting using patient navigation as a primary strategy are implemented, adapted, and sustained. In 2006, the University of Colorado Cancer Center established a statewide colorectal cancer screening program to reduce disparities [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Collective pursuit for equity in cancer care: The National Navigation Roundtable

Dwyer, Andrea J. ; Wender, Richard C. ; Weltzien, Elsa S. ; Dean, Monica S. ; Sharpe, Katherine ; Fleisher, Linda ; Burhansstipanov, Linda ; Johnson, Wenora ; Martinez, Laura ; Wiatrek, Dawn E. ; Calhoun, Elizabeth ; Battaglia, Tracy A. ; the National Navigation Roundtable

BACKGROUND : The evidence continues to build in support of implementing patient navigation to reduce barriers and increase access to care. However, health disparities remain in cancer outcomes. The goal of the National Navigation Roundtable (NNRT) is to serve as a convener to help support the field of navigation to address equity. METHODS : To examine the progress and opportunities for navigation, the NNRT submitted a collection of articles based on the results from 2 dedicated surveys and [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Solidifying roles, responsibilities, and the process of navigation across the continuum of cancer care: The Professional Oncology Navigation Task Force

Franklin, Elizabeth F. ; Dean, Monica S. ; Johnston, Danelle M. ; Nevidjon, Brenda M. ; Burke, Susie L. ; Simms Booth, Lisa M.

Since its founding in 1990, the profession of oncology navigation has grown and evolved. Although core concepts serve as a unifying thread throughout the profession, there has not been formal agreement on standardization of definitions, scopes, and roles for the various types of navigators. This has created challenges for sustainability, including reimbursement for navigation services. Emerging from the Biden Cancer Initiative's patient navigation working group, the Professional Oncology [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Exploring classes of cancer patient navigators and determinants of navigator role retention

Garcia-Alcaraz, Cristian ; Roesch, Scott C. ; Calhoun, Elizabeth ; Wightman, Patrick ; Mohan, Prashanthinie ; Battaglia, Tracy A. ; Cobian Aguilar, Rosa ; Valverde, Patricia A. ; Wells, Kristen J. ; the National Navigation Roundtable Evidence-Based Task Group

BACKGROUND : In the current nationwide study, the authors used latent class analysis (LCA) to identify classes of cancer patient navigators (CPNs) and examined whether class membership and 12 indicators were related to navigator role retention. METHODS : By using data from 460 CPNs in the United States, LCA identified classes (ie, homogenous subgroups) of CPNs with the following indicators: type of CPN (clinical vs nonclinical), education level, area(s) of the cancer care continuum in which the [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Evaluating the sustainability of patient navigation programs in oncology by length of existence, funding, and payment model participation

Garfield, Kathryn M. ; Franklin, Elizabeth F. ; Battaglia, Tracy A. ; Dwyer, Andrea J. ; Freund, Karen M. ; Wightman, Patrick D. ; Rohan, Elizabeth A.

BACKGROUND : For this study, the authors examined whether specific programmatic factors were associated with the sustainability of patient navigation programs. METHODS : This cross-sectional survey explored navigation programmatic factors associated with 3 measures of sustainability: 1) length of program existence, 2) reliance on sustainable funding, and 3) participation in alternative payment models. In total, 750 patient navigators or program administrators affiliated with oncology navigation [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

The American Cancer Society and patient navigation: Past and future perspectives

Knudsen, Karen E. ; Wiatrek, Dawn E. ; Greenwald, Jennifer ; McComb, Kristie ; Sharpe, Katherine

Over the past 30 years, the American Cancer Society (ACS) has played a key role in shaping the field of patient navigation as a means to address cancer disparities. Through collaborations with organizations like the National Navigation Roundtable and the ACS Cancer Action Network, the ACS is uniquely positioned to help develop sustainable navigation models that directly address disparities in access to quality cancer care. As health systems continue to adapt and change in response to various [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Flexibility, adaptation, and roles of patient navigators in oncology during COVID-19

Valverde, Patricia A. ; Kennedy Sheldon, Lisa ; Gentry, Sharon ; Dwyer, Andrea J. ; Saavedra Ferrer, Elba L. ; Wightman, Patrick D. ; the National Navigation Roundtable Workforce Development Task Group

Background : The impact of COVID-19 on cancer care during the first 6 months of the pandemic has been significant. The National Navigation Roundtable Workforce Development Task Group conducted a national survey to highlight the role of patient navigators (PNs). Methods : An anonymous online survey captured how cancer care navigation changed during 2 phases: 1) March 13 to May 31, 2020; and 2) June 1 to September 4, 2020. Differences between the 2 time periods for categorical variables were [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Comparing clinical and nonclinical cancer patient navigators: A national study in the United States

Wells, Kristen J. ; Wightman, Patrick ; Cobian Aguilar, Rosa ; Dwyer, Andrea J. ; Garcia-Alcaraz, Cristian ; Saavedra Ferrer, Elba L. ; Mohan, Prashanthinie ; Fleisher, Linda ; Franklin, Elizabeth F. ; Valverde, Patricia A. ; Calhoun, Elizabeth ; the National Navigation Roundtable Evidence-Based Task Group

BACKGROUND : A nationwide survey was conducted to examine differences between clinical and nonclinical oncology navigators in their service provision, engagement in the cancer care continuum, personal characteristics, and program characteristics. METHODS : Using convenience sampling, 527 oncology navigators participated and completed an online survey. Descriptive statistics, χ2 statistics, and t tests were used to compare nonclinical (eg, community health worker) and clinical (eg, nurse [...]

Ce dossier présente un ensemble d'articles concernant l'intérêt, la mise en place et les coûts d'un parcours de soins coordonné dans les services oncologiques ainsi que le rôle du coordinateur du parcours de soins pour les patients atteints d'un cancer

Establishing a health profession: What oncology patient navigators can learn from the National Association of Community Health Workers

Rush, Carl H. ; Smith, Denise Octavia ; Fox, Durrell J. ; Wennerstrom, Ashley

Persons who identify as community health workers (CHWs) may hold other titles and/or certifications, including the title of patient navigator (PN). PN roles first emerged from Dr. Harold Freeman's initiative at Harlem Hospital as a strategy to reduce disparities in access to health care, whereas CHW roles extend beyond health systems and are predominantly found in community-based organizations and nonprofits. Although CHWs' origins in the United States predate those of PNs, the growth of CHWs' [...]