Population surveillance of navigation frequency and palliative care contact before death among cancer patients

Grace M. Johnston, Grace Park, Robin Urquhart, Gordon Walsh, Meg McCallum, Krista Rigby

Abstract


Cancer patient navigation in Canada began in 2002 in Nova Scotia with oncology nurses providing support to patients from diagnosis up to and including end of life. This novel study was carried out to determine navigation frequency and palliative care contact rates, and variations in these rates among adults who were diagnosed with cancer, navigated, and then died between 2011 and 2014. Among the 2,532 study subjects, 56.7% were navigated for more than one month and 30.6% had palliative care contact reported. Variations were observed by geographic area, cancer stage, time from diagnosis to death, and whether the person died of cancer. Further study of the role of navigation is advised for persons at end of life.


Full Text:

PDF

References


Canadian Cancer Society’s (CCS) Advisory Committee on Cancer Statistics. (2010). Canadian Cancer Statistics 2010. Toronto, ON: Canadian Cancer Society. Retrieved from http://www.cancer.ca/~/media/cancer.ca/CW/cancer%20information/cancer%20101/Canadian%20cancer%20statistics/Canadian-Cancer-Statistics-2010-EN.pdf?la=en

Canadian Cancer Society’s (CCS) Advisory Committee on Cancer Statistics. (2017). Canadian Cancer Statistics 2017. Toronto, ON: Canadian Cancer Society. Retrieved from http://www.cancer.ca/~/media/cancer.ca/CW/cancer%20information/cancer%20101/Canadian%20cancer%20statistics/Canadian-Cancer-Statistics-2017-EN.pdf?la=en

Craigs, C.L., West, R.L., Hurlow, A., Bennett, M.I., & Ziegler L.E. (2018) Access to hospital and community palliative care for patients with advanced cancer: A longitudinal population analysis. PLoS ONE 13:8, e0200071.

Duthie, K., Strohschein, F.J., & Loiselle, C.G. (2017). Living with cancer and other chronic conditions: Patients’ perceptions of their healthcare experience. Canadian Oncology Nursing Journal, 27(1), 43–48.

Fillion, L., Cook, S., Veillette, A.M., deSerres, M., Aubin, M., Rainville, F., … Doll, R. (2012). Professional navigation: A comparative study of two Canadian models. Canadian Oncology Nursing Journal, 22(4), 257–277.

Fiscella, K., Ransom, S., Jean-Pierre, P., Cella D., Stein, K., Bauer, J.E., … Walsh, K. (2011). Patient-reported outcome measures suitable to assessment of patient navigation. Cancer, 117(15 Suppl.), 3603–3617.

Fitch, M. (2017). Focusing on care of older adults with cancer. Canadian Oncology Nursing Journal, 27(3), 208.

Freeman, H. (2006). Patient navigation: A community based strategy to reduce cancer disparities. Journal of Urban Health, 83(2), 139–141.

Freeman, H.P., & Rodriguez, R.L. (2011). History and principles of patient navigation. Cancer, 117(15 Suppl.), 3539–3542.

Gao, J., Johnston, G.M., Lavergne, M.R., & McIntyre, P. (2011). Identifying population groups with low palliative care program enrolment using classification and regression tree analysis. Journal of Palliative Care, 27(2), 98–106.

Hauser, J., Sileo, M., Araneta, N., Kirk, R. Martinez, J., Finn, K., … Rodrigue M.K. (2011). Navigation and palliative care. Cancer, 117(15 Suppl.), 3585–3591.

Hurton, S., Urquhart, R., Kendell, C., Jorgensen, M., Porter, G., Levy, A., & Moilinary, M. (2017). Variations in medical oncology utilization for pancreatic cancer patients in Nova Scotia. Journal of the Pancreas, 18(10), 62–68.

Lavergne, M.R., Johnston, G.M., Gao, J., Dummer, T.J.B., & Rheaume, D.E. (2011). Variation in the use of palliative radiotherapy at end of life: Examining demographic, clinical, health service, and geographic factors in a population-based study. Palliative Medicine, 25(2), 101–110.

Mertz, B.G., Dunn-Henriksen, A.K., Kroman, N., Johansen, C., Andersen, K.G., Andersson, M., … Envold Bidstrup, P. (2017). The effects of individually tailored nurse navigation for patients with newly diagnosed breast cancer: A randomized pilot study. Acta Oncologica, 56(12), 1682–1689.

Park, G., Johnston, G., Urquhart, R., Walsh G., & McCallum, M. (2018). Comparing enrolees to non-enrolees of cancer patient navigation at end of life. Current Oncology, 25(3),e184–e192.

Paskett, E.D., Harrop, J.P., & Wells, K.J. (2011). Patient navigation: An update on the state of the science. CA Cancer Journal for Clinicians, 61(4), 237–249.

SAS software, version 9.4. Copyright © 2002–2012 SAS Institute Inc. Cary, NC, USA.

Walkinshaw, E. (2011). Patient navigators becoming the norm in Canada. Canadian Medical Association Journal, 183(15), e1109–e1110.

Watson, L.C., Vimy, K., Anderson, J., Champ, S., & DeIure, A. (2016). Developing a provincial cancer patient navigation program utilizing a quality improvement approach Part three: Evaluation and outcomes. Canadian Oncology Nursing Journal, 26(4), 276–284.


Refbacks

  • There are currently no refbacks.


Bookmark and Share