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The impact of a culturally tailored patient navigator program on cervical cancer prevention in Latina women. | LitMetric

AI Article Synopsis

  • Cervical cancer is a significant issue for Latina women in the U.S., and a study evaluated how patient navigation affects prevention efforts.
  • Women receiving patient navigation showed a reduction in missed appointments (from 19.8% to 15.7%), whereas the non-navigated group had an increase in no-show rates (from 18.6% to 20.6%).
  • The severity of cervical abnormalities improved in the navigated group over time, demonstrating that patient navigation plays a crucial role in increasing attendance and positive health outcomes for Latinas.

Article Abstract

Background: Cervical cancer disproportionately affects Latina women in the United States. This study evaluated the impact of patient navigation on cervical cancer prevention in Latinas.

Methods: Between January 2004 and April 2011, 533 Latina women with an abnormal Pap smear requiring colposcopy received patient navigation from their healthcare center in Chelsea, Massachusetts, to the Massachusetts General Hospital (MGH). The comparison group comprised 253 non-navigated Latinas from other primary care practices at MGH referred to the same MGH colposcopy clinic. Primary outcomes were the percentage of missed colposcopy appointments, time to colposcopy, and changes in the severity of cervical pathology at colposcopy over two time periods, 2004-2007 and 2008-2011.

Results: The mean age in both groups was 35 years (range 22-86). Navigated women had fewer missed colposcopy appointments over time, with the average falling from 19.8% to 15.7% (p=0.024), compared with an insignificant increase in the no-show rates from 18.6% to 20.6% (p=0.454) in the comparison group. The difference in the no-show rate trend over time between the groups was significant (p<0.001). The time to colposcopy did not change in either group, though trends over time demonstrated a shorter follow-up for navigated women (p=0.010). The grade of cervical abnormality among navigated women decreased from a numerical score of 2.03 to 1.83 (p=0.035) over the two time intervals, while the severity of pathological score in the non-navigated group did not change significantly from 1.83 to 1.92 (p=0.573) in the same interval. Comparison of trends in pathological score over time showed a decrease in the severity of cervical abnormality for navigated participants compared to the non-navigated group (p<0.001).

Conclusion: Patient navigation can prevent cervical cancer in Latina women by increasing colposcopy clinic attendance, shortening time to colposcopy, and decreasing severity of cervical abnormalities over time.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941919PMC
http://dx.doi.org/10.1089/jwh.2012.3900DOI Listing

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