Related Experiment Video
Updated: May 31, 2026
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
9.4K
Characteristics and Effectiveness of Patient Navigation Programs on Colorectal Cancer Screening and Follow-Up
Meagan Pilar1, Sonja Hoover2, Jessica Roberson2
1RTI International, Research Triangle Park, North Carolina.
AJPM Focus
|April 20, 2026
Summary
Patient navigation significantly increases colorectal cancer screening rates by addressing patient barriers. Further research is needed to optimize implementation and maximize screening impact.
Area of Science:
- Public Health
- Health Services Research
- Cancer Prevention
Background:
- Patient navigation is an evidence-based strategy to overcome barriers and improve colorectal cancer screening rates.
- Understanding the implementation and effectiveness of navigation programs is crucial for optimizing their impact.
Purpose of the Study:
- To systematically review the implementation and effectiveness of patient navigation interventions for colorectal cancer screening.
- To identify factors influencing the success of navigation programs and inform future research and practice.
Main Methods:
- A systematic review of English-language articles published between 2004-2023, focusing on U.S. studies.
- Data extraction from 30 included studies, assessing study and intervention characteristics, and screening outcomes using the Cochrane Risk of Bias Tool (ROB 2).
- Adherence to PRISMA guidelines for systematic reviews.
Main Results:
- Thirty studies were included, with 29 reporting multicomponent interventions including patient navigation.
- Patient navigation interventions led to an average increase in screening uptake of 16.9 percentage points.
- Limited data were available on implementation outcomes.
Conclusions:
- Patient navigation is an effective strategy for enhancing colorectal cancer screening uptake.
- Further research on implementation outcomes is essential for optimizing screening impact, resource allocation, and equitable access.
- Improved understanding of implementation can lead to better patient outcomes.
Related Concept Videos
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
01:25Endoscopic Procedures II: Colonoscopy
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
01:21Cancer Survival Analysis
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...