Patient navigation services for cancer care in low-and middle-income countries: A scoping review

Autoři: Milena Dalton aff001;  Emily Holzman aff002;  Erica Erwin aff003;  Sophia Michelen aff004;  Anne F. Rositch aff005;  Somesh Kumar aff006;  Verna Vanderpuye aff007;  Karen Yeates aff002;  Erica J. Liebermann aff008;  Ophira Ginsburg aff001
Působiště autorů: Department of Population Health, NYU School of Medicine, New York, New York, United States of America aff001;  New York University College of Global Public Health, New York, New York, United States of America aff002;  Better Outcomes Registry & Network (BORN) Ontario, Ottawa, CA aff003;  Independent Researcher, New York, New York, United States of America aff004;  Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America aff005;  Jhpiego, Baltimore, Maryland, United States of America aff006;  Korle Bu Teaching Hospital, Accra, Ghana aff007;  New York University Rory Meyers College of Nursing, New York, New York, United States of America aff008;  Perlmutter Cancer Center, NYU Langone Health, New York, New York, United States of America aff009
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223537



Nearly 70% of all cancer deaths occur in low- and middle-income countries (LMICs) and many of these cancer deaths are preventable. In high-income countries (HICs), patient navigation strategies have been successfully implemented to facilitate the patient’s journey at multiple points along the cancer care continuum. The purpose of this scoping review is to understand and describe the scope of patient navigation interventions and services employed in LMICs.


A systematic search of published articles was conducted including Medline, Biosis, Embase, Global Health, and Web of Science. Articles were examined for evidence of patient navigation interventions used in cancer care in LMICs. Evidence was synthesized by navigation service provided and by type of outcome.


Fourteen studies reported on patient navigation interventions in cancer care in low-income and middle-income countries in Asia, South America, and Africa. Most studies reported on women’s cancers and included navigation interventions at most points along the cancer care continuum i.e. awareness, education, screening participation, adherence to treatment and surveillance protocols.


Few studies report on cancer patient navigation in LMICs. With the use of an implementation science framework, patient navigation research can explore a broader range of outcomes to better evaluate its potential role in improving cancer control in LMICs.

Klíčová slova:

Breast cancer – Cancer detection and diagnosis – Cancer screening – Cancer treatment – Database searching – Diagnostic medicine – Finance – Patients


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