Patient navigation programmes for symptomatic lung cancer patients: a scoping review

Area of Science:

• Oncology
• Public Health
• Healthcare Management

Background:

• Lung cancer patient navigation programs (PNP) are under-researched compared to other cancers.
• Existing literature often focuses on other chronic diseases or screening initiatives.

Purpose of the Study:

• To scope the landscape of lung cancer patient navigation programs (PNP).
• To characterize PNP features, outcomes, and research methodologies.
• To identify gaps and inform future research directions.

Main Methods:

• Scoping review utilizing Arksey and O'Malley's framework and PRISMA-ScR guidelines.
• Systematic literature search conducted in January 2025.
• Analysis of 16 included studies.

Main Results:

• PNP implementation varies, with diverse navigator types and strategies, predominantly from high-income countries.
• Key service delivery themes include emotional support, logistical aid, and healthcare system navigation, though PNP focus is inconsistent.
• Significant heterogeneity in outcome measures, with an emphasis on administrative and clinical outcomes; research often excludes marginalized demographics.

Conclusions:

• Harmonizing PNP methodologies and outcome measures is crucial for future lung cancer navigation research.
• Enhanced transparency and collaborative efforts are needed to optimize PNP effectiveness.
• Addressing health inequalities and improving inclusivity in research populations are essential for equitable outcomes.