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Updated: Feb 6, 2026
06:48
An Orthotopic Murine Model of Human Prostate Cancer Metastasis
Published on: September 18, 2013
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Prostate cancer navigation: initial experience and association with time to care
Emily C Serrell1, Moritz Hansen1,2,3, Greg Mills2,3
1Tufts University School of Medicine, Boston, MA, USA.
World Journal of Urology
|August 29, 2018
Summary
Patient navigation in prostate cancer care was utilized by 85% of patients, particularly those with lower-risk disease. Navigation was linked to longer treatment times, suggesting shared decision-making, not barriers, influences care duration.
Area of Science:
- Oncology
- Health Services Research
- Patient Navigation
Background:
- Patient navigation improves cancer care access but is understudied in prostate cancer.
- Understanding factors influencing navigation use is crucial for optimizing patient outcomes.
Purpose of the Study:
- To identify factors associated with patient navigation use in localized prostate cancer.
- To determine if navigation impacts time to treatment.
Main Methods:
- Retrospective review of 1587 men diagnosed with localized prostate cancer (2009-2015).
- Regression analyses assessed factors linked to navigation utilization.
- Cox proportional hazards regression evaluated navigation's association with treatment delay.
Main Results:
- 85% of patients received navigation services.
- Navigation use correlated with earlier diagnosis year, high-volume urologists, and lower-risk disease.
- Treatment delay was associated with low-risk disease and navigation receipt, not traditional barriers.
Conclusions:
- Low-risk prostate cancer patients were more likely to use navigation.
- Traditional barriers did not predict navigation use.
- Navigation associated with longer treatment times, likely due to shared decision-making; patient satisfaction and psychosocial outcomes may be better evaluation metrics.
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