Oncology Navigation Decreases Time to Treatment in Patients with Pancreatic Malignancy

Background Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first tr...

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Published in:	Annals of surgical oncology Vol. 26; no. 5; pp. 1512 - 1518
Main Authors:	Enomoto, Laura M., Fenstermaker, Joyce, Desnoyers, Rodwige J., Pasche, Boris C., Blackstock, A. William, Howerton, Russell M., Clark, Clancy J., Levine, Edward A., Shen, Perry
Format:	Journal Article
Language:	English
Published:	Cham Springer International Publishing 01.05.2019 Springer Nature B.V
Subjects:	Adenocarcinoma - psychology Adenocarcinoma - therapy Aged Demography DIAGNOSIS Female Follow-Up Studies Health Services Accessibility Humans Male Malignancy Medicine Medicine & Public Health NEOPLASMS Neuroendocrine Tumors - psychology Neuroendocrine Tumors - therapy Oncology PANCREAS Pancreatic cancer Pancreatic Intraductal Neoplasms - psychology Pancreatic Intraductal Neoplasms - therapy Pancreatic Neoplasms - psychology Pancreatic Neoplasms - therapy Pancreatic Tumors Patient Navigation - methods Patient Navigation - statistics & numerical data PATIENTS Power, Psychological Prognosis RADIOLOGY AND NUCLEAR MEDICINE Retrospective Studies SURGERY Surgical Oncology THERAPY Time-to-Treatment Tumors
ISSN:	1068-9265, 1534-4681, 1534-4681
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Abstract	Background Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first treatment date in patients with any pancreatic malignancy before and after the addition of an Oncology Navigator. Methods A single-institution database of patients with any pancreatic neoplasm evaluated by a provider in radiation, medical, or surgical oncology between 1 October 2015 and 30 September 2017 was analyzed. After 1 October 2016, an Oncology Navigator met patients at their initial visit and coordinated care throughout treatment. The cohort was divided into two groups: patients evaluated prior to the implementation of an Oncology Navigator and patients evaluated after implementation. Patient demographics and time from first visit to first intervention were compared. Results Overall, 147 patients with a new diagnosis of pancreatic neoplasm were evaluated; 57 patients were seen prior to the start of the Oncology Navigator program and 79 were evaluated after the navigation program was implemented. On univariate analysis, time from first contact by any provider to intervention was 46 days prior to oncology navigation and 26 days after implementation of oncology navigation ( p = 0.005). While controlling for other covariates, employment of the Oncology Navigator decreased the time from first contact by any provider to intervention by almost 16 days ( p = 0.009). Conclusions Implementing an oncology navigation program significantly decreased time to treatment in patients with pancreatic malignancy.
AbstractList	Background: Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first treatment date in patients with any pancreatic malignancy before and after the addition of an Oncology Navigator. Methods: A single-institution database of patients with any pancreatic neoplasm evaluated by a provider in radiation, medical, or surgical oncology between 1 October 2015 and 30 September 2017 was analyzed. After 1 October 2016, an Oncology Navigator met patients at their initial visit and coordinated care throughout treatment. The cohort was divided into two groups: patients evaluated prior to the implementation of an Oncology Navigator and patients evaluated after implementation. Patient demographics and time from first visit to first intervention were compared. Results: Overall, 147 patients with a new diagnosis of pancreatic neoplasm were evaluated; 57 patients were seen prior to the start of the Oncology Navigator program and 79 were evaluated after the navigation program was implemented. On univariate analysis, time from first contact by any provider to intervention was 46 days prior to oncology navigation and 26 days after implementation of oncology navigation (p = 0.005). While controlling for other covariates, employment of the Oncology Navigator decreased the time from first contact by any provider to intervention by almost 16 days (p = 0.009). Conclusions: Implementing an oncology navigation program significantly decreased time to treatment in patients with pancreatic malignancy. BackgroundCare of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first treatment date in patients with any pancreatic malignancy before and after the addition of an Oncology Navigator.MethodsA single-institution database of patients with any pancreatic neoplasm evaluated by a provider in radiation, medical, or surgical oncology between 1 October 2015 and 30 September 2017 was analyzed. After 1 October 2016, an Oncology Navigator met patients at their initial visit and coordinated care throughout treatment. The cohort was divided into two groups: patients evaluated prior to the implementation of an Oncology Navigator and patients evaluated after implementation. Patient demographics and time from first visit to first intervention were compared.ResultsOverall, 147 patients with a new diagnosis of pancreatic neoplasm were evaluated; 57 patients were seen prior to the start of the Oncology Navigator program and 79 were evaluated after the navigation program was implemented. On univariate analysis, time from first contact by any provider to intervention was 46 days prior to oncology navigation and 26 days after implementation of oncology navigation (p = 0.005). While controlling for other covariates, employment of the Oncology Navigator decreased the time from first contact by any provider to intervention by almost 16 days (p = 0.009).ConclusionsImplementing an oncology navigation program significantly decreased time to treatment in patients with pancreatic malignancy. Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first treatment date in patients with any pancreatic malignancy before and after the addition of an Oncology Navigator.BACKGROUNDCare of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first treatment date in patients with any pancreatic malignancy before and after the addition of an Oncology Navigator.A single-institution database of patients with any pancreatic neoplasm evaluated by a provider in radiation, medical, or surgical oncology between 1 October 2015 and 30 September 2017 was analyzed. After 1 October 2016, an Oncology Navigator met patients at their initial visit and coordinated care throughout treatment. The cohort was divided into two groups: patients evaluated prior to the implementation of an Oncology Navigator and patients evaluated after implementation. Patient demographics and time from first visit to first intervention were compared.METHODSA single-institution database of patients with any pancreatic neoplasm evaluated by a provider in radiation, medical, or surgical oncology between 1 October 2015 and 30 September 2017 was analyzed. After 1 October 2016, an Oncology Navigator met patients at their initial visit and coordinated care throughout treatment. The cohort was divided into two groups: patients evaluated prior to the implementation of an Oncology Navigator and patients evaluated after implementation. Patient demographics and time from first visit to first intervention were compared.Overall, 147 patients with a new diagnosis of pancreatic neoplasm were evaluated; 57 patients were seen prior to the start of the Oncology Navigator program and 79 were evaluated after the navigation program was implemented. On univariate analysis, time from first contact by any provider to intervention was 46 days prior to oncology navigation and 26 days after implementation of oncology navigation (p = 0.005). While controlling for other covariates, employment of the Oncology Navigator decreased the time from first contact by any provider to intervention by almost 16 days (p = 0.009).RESULTSOverall, 147 patients with a new diagnosis of pancreatic neoplasm were evaluated; 57 patients were seen prior to the start of the Oncology Navigator program and 79 were evaluated after the navigation program was implemented. On univariate analysis, time from first contact by any provider to intervention was 46 days prior to oncology navigation and 26 days after implementation of oncology navigation (p = 0.005). While controlling for other covariates, employment of the Oncology Navigator decreased the time from first contact by any provider to intervention by almost 16 days (p = 0.009).Implementing an oncology navigation program significantly decreased time to treatment in patients with pancreatic malignancy.CONCLUSIONSImplementing an oncology navigation program significantly decreased time to treatment in patients with pancreatic malignancy. Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first treatment date in patients with any pancreatic malignancy before and after the addition of an Oncology Navigator. A single-institution database of patients with any pancreatic neoplasm evaluated by a provider in radiation, medical, or surgical oncology between 1 October 2015 and 30 September 2017 was analyzed. After 1 October 2016, an Oncology Navigator met patients at their initial visit and coordinated care throughout treatment. The cohort was divided into two groups: patients evaluated prior to the implementation of an Oncology Navigator and patients evaluated after implementation. Patient demographics and time from first visit to first intervention were compared. Overall, 147 patients with a new diagnosis of pancreatic neoplasm were evaluated; 57 patients were seen prior to the start of the Oncology Navigator program and 79 were evaluated after the navigation program was implemented. On univariate analysis, time from first contact by any provider to intervention was 46 days prior to oncology navigation and 26 days after implementation of oncology navigation (p = 0.005). While controlling for other covariates, employment of the Oncology Navigator decreased the time from first contact by any provider to intervention by almost 16 days (p = 0.009). Implementing an oncology navigation program significantly decreased time to treatment in patients with pancreatic malignancy. Background Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first treatment date in patients with any pancreatic malignancy before and after the addition of an Oncology Navigator. Methods A single-institution database of patients with any pancreatic neoplasm evaluated by a provider in radiation, medical, or surgical oncology between 1 October 2015 and 30 September 2017 was analyzed. After 1 October 2016, an Oncology Navigator met patients at their initial visit and coordinated care throughout treatment. The cohort was divided into two groups: patients evaluated prior to the implementation of an Oncology Navigator and patients evaluated after implementation. Patient demographics and time from first visit to first intervention were compared. Results Overall, 147 patients with a new diagnosis of pancreatic neoplasm were evaluated; 57 patients were seen prior to the start of the Oncology Navigator program and 79 were evaluated after the navigation program was implemented. On univariate analysis, time from first contact by any provider to intervention was 46 days prior to oncology navigation and 26 days after implementation of oncology navigation ( p = 0.005). While controlling for other covariates, employment of the Oncology Navigator decreased the time from first contact by any provider to intervention by almost 16 days ( p = 0.009). Conclusions Implementing an oncology navigation program significantly decreased time to treatment in patients with pancreatic malignancy.
Author	Pasche, Boris C. Desnoyers, Rodwige J. Blackstock, A. William Clark, Clancy J. Shen, Perry Enomoto, Laura M. Howerton, Russell M. Levine, Edward A. Fenstermaker, Joyce
Author_xml	– sequence: 1 givenname: Laura M. orcidid: 0000-0003-1100-8967 surname: Enomoto fullname: Enomoto, Laura M. organization: Department of Surgery, Wake Forest Baptist Medical Center – sequence: 2 givenname: Joyce surname: Fenstermaker fullname: Fenstermaker, Joyce organization: Department of Surgery, Wake Forest Baptist Medical Center – sequence: 3 givenname: Rodwige J. surname: Desnoyers fullname: Desnoyers, Rodwige J. organization: Department of Medicine, Wake Forest Baptist Medical Center – sequence: 4 givenname: Boris C. surname: Pasche fullname: Pasche, Boris C. organization: Department of Medicine, Wake Forest Baptist Medical Center – sequence: 5 givenname: A. William surname: Blackstock fullname: Blackstock, A. William organization: Department of Radiology, Wake Forest Baptist Medical Center – sequence: 6 givenname: Russell M. surname: Howerton fullname: Howerton, Russell M. organization: Department of Surgery, Wake Forest Baptist Medical Center – sequence: 7 givenname: Clancy J. surname: Clark fullname: Clark, Clancy J. organization: Department of Surgery, Wake Forest Baptist Medical Center – sequence: 8 givenname: Edward A. surname: Levine fullname: Levine, Edward A. organization: Department of Surgery, Wake Forest Baptist Medical Center – sequence: 9 givenname: Perry surname: Shen fullname: Shen, Perry email: pshen@wakehealth.edu organization: Department of Surgery, Wake Forest Baptist Medical Center
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/30652224$$D View this record in MEDLINE/PubMed https://www.osti.gov/biblio/22927809$$D View this record in Osti.gov
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Cites_doi	10.1093/jnci/dju115 10.1002/cncr.23960 10.1093/oxfordjournals.annonc.a058365 10.1097/SLA.0b013e318211cc0f 10.1016/j.ypmed.2006.08.001 10.1002/cncr.24836 10.1002/cncr.28024 10.1097/01.NAJ.0000406404.80894.5a 10.1111/j.1572-0241.2005.00319.x 10.1016/j.jamcollsurg.2017.02.017 10.1097/SLA.0000000000001924 10.1089/jwh.2014.5111 10.4240/wjgs.v2.i10.314 10.1046/j.1523-5394.1999.07308.x 10.1002/cncr.22354 10.1007/s00432-012-1156-8 10.1007/s00520-014-2407-9
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References	SingalVSingalAKKuoYFRacial disparities in treatment for pancreatic cancer and impact on survival: a population-based analysisJ Cancer Res Clin Oncol2012138471572210.1007/s00432-012-1156-822246279 McKennaLREdilBHUpdate on pancreatic neuroendocrine tumorsGland Surg201434258275254932584244504 BilimoriaKYKoCYTomlinsonJSWait times for cancer surgery in the United States: trends and predictors of delaysAnn Surg2011253477978510.1097/SLA.0b013e318211cc0f21475020 RiallTSTownsendCMJrKuoYFFreemanJLGoodwinJSDissecting racial disparities in the treatment of patients with locoregional pancreatic cancer: a 2-step processCancer2010116493093910.1002/cncr.24836200527262819626 RosenbergKPatient navigators improve colorectal cancer screening ratesAm J Nurs2011111101510.1097/01.NAJ.0000406404.80894.5a21955895 ThomasAAGallagherPO’CeilleachairAPearceASharpLMolchoMDistance from treating hospital and colorectal cancer survivors’ quality of life: a gendered analysisSupport Care Cancer201523374175110.1007/s00520-014-2407-925179691 Cancer Stat Facts: Pancreatic Cancer. https://seer.cancer.gov/statfacts/html/pancreas.html. Accessed May 2018. LidskyMESunZNussbaumDPAdamMASpeicherPJBlazerDG3rdGoing the extra mile: improved survival for pancreatic cancer patients traveling to high-volume centersAnn Surg2017266233333810.1097/SLA.000000000000192427429020 RapoportYKreitlerSChaitchikSAlgorRWeisslerKPsychosocial problems in head-and-neck cancer patients and their change with time since diagnosisAnn Oncol199341697310.1093/oxfordjournals.annonc.a0583651:STN:280:DyaK3s7mvVKrsg%3D%3D8435366 Institute of Medicine (US) Committee on Quality of Health Care in AmericaCrossing the quality chasm: a new health system for the 21st century2001Washington (DC)National Academies Press (US) FazioLCotterchioMMannoMMcLaughlinJGallingerSAssociation between colonic screening, subject characteristics, and stage of colorectal cancerAm J Gastroenterol2005100112531253910.1111/j.1572-0241.2005.00319.x16279911 GrayREFitchMIPhillipsCLabrecqueMKlotzLPresurgery experiences of prostate cancer patients and their spousesCancer Pract19997313013510.1046/j.1523-5394.1999.07308.x1:STN:280:DyaK1M3otVChsA%3D%3D10352075 FreundKMBattagliaTACalhounENational Cancer Institute Patient Navigation Research Program: methods, protocol, and measuresCancer2008113123391339910.1002/cncr.23960189515212698219 BattagliaTARoloffKPosnerMAFreundKMImproving follow-up to abnormal breast cancer screening in an urban population. A patient navigation interventionCancer20071092 Suppl35936710.1002/cncr.2235417123275 JonesRVGreenwoodBBreast cancer: causes of patients’ distress identified by qualitative analysisBr J General Pract1994443853703711:STN:280:DyaK2czkslCgug%3D%3D WhiteMGApplewhiteMKKaplanELAngelosPHuoDGroganRHA tale of two cancers: traveling to treat pancreatic and thyroid cancerJ Am Coll Surg2017225112513610.1016/j.jamcollsurg.2017.02.01728473189 BasuMLinebargerJGabramSGPattersonSGAminMWardKCThe effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer centerCancer2013119142524253110.1002/cncr.2802423585059 EllKVourlekisBLeePJXieBPatient navigation and case management following an abnormal mammogram: a randomized clinical trialPrev Med2007441263310.1016/j.ypmed.2006.08.00116962652 FreundKMBattagliaTACalhounEImpact of patient navigation on timely cancer care: the Patient Navigation Research ProgramJ Natl Cancer Inst20141066dju11510.1093/jnci/dju115249383034072900 LuckettRPenaNVitonisABernsteinMRFeldmanSEffect of patient navigator program on no-show rates at an academic referral colposcopy clinicJ Womens Health (Larchmt)201524760861510.1089/jwh.2014.5111 KhanSSclabasGReid-LombardoKMPopulation-based epidemiology, risk factors and screening of intraductal papillary mucinous neoplasm patientsWorld J Gastrointest Surg201021031431810.4240/wjgs.v2.i10.314211608362999209 RE Gray (7157_CR6) 1999; 7 K Rosenberg (7157_CR10) 2011; 111 LR McKenna (7157_CR2) 2014; 3 TA Battaglia (7157_CR14) 2007; 109 V Singal (7157_CR21) 2012; 138 7157_CR1 KM Freund (7157_CR9) 2008; 113 L Fazio (7157_CR17) 2005; 100 Y Rapoport (7157_CR5) 1993; 4 AA Thomas (7157_CR16) 2015; 23 RV Jones (7157_CR4) 1994; 44 TS Riall (7157_CR20) 2010; 116 S Khan (7157_CR3) 2010; 2 K Ell (7157_CR13) 2007; 44 ME Lidsky (7157_CR19) 2017; 266 M Basu (7157_CR11) 2013; 119 MG White (7157_CR18) 2017; 225 Institute of Medicine (US) Committee on Quality of Health Care in America (7157_CR8) 2001 R Luckett (7157_CR12) 2015; 24 KY Bilimoria (7157_CR7) 2011; 253 KM Freund (7157_CR15) 2014; 106 31087181 - Ann Surg Oncol. 2019 Dec;26(Suppl 3):608-609
References_xml	– reference: EllKVourlekisBLeePJXieBPatient navigation and case management following an abnormal mammogram: a randomized clinical trialPrev Med2007441263310.1016/j.ypmed.2006.08.00116962652 – reference: McKennaLREdilBHUpdate on pancreatic neuroendocrine tumorsGland Surg201434258275254932584244504 – reference: Institute of Medicine (US) Committee on Quality of Health Care in AmericaCrossing the quality chasm: a new health system for the 21st century2001Washington (DC)National Academies Press (US) – reference: BilimoriaKYKoCYTomlinsonJSWait times for cancer surgery in the United States: trends and predictors of delaysAnn Surg2011253477978510.1097/SLA.0b013e318211cc0f21475020 – reference: FreundKMBattagliaTACalhounENational Cancer Institute Patient Navigation Research Program: methods, protocol, and measuresCancer2008113123391339910.1002/cncr.23960189515212698219 – reference: BasuMLinebargerJGabramSGPattersonSGAminMWardKCThe effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer centerCancer2013119142524253110.1002/cncr.2802423585059 – reference: FazioLCotterchioMMannoMMcLaughlinJGallingerSAssociation between colonic screening, subject characteristics, and stage of colorectal cancerAm J Gastroenterol2005100112531253910.1111/j.1572-0241.2005.00319.x16279911 – reference: BattagliaTARoloffKPosnerMAFreundKMImproving follow-up to abnormal breast cancer screening in an urban population. A patient navigation interventionCancer20071092 Suppl35936710.1002/cncr.2235417123275 – reference: FreundKMBattagliaTACalhounEImpact of patient navigation on timely cancer care: the Patient Navigation Research ProgramJ Natl Cancer Inst20141066dju11510.1093/jnci/dju115249383034072900 – reference: KhanSSclabasGReid-LombardoKMPopulation-based epidemiology, risk factors and screening of intraductal papillary mucinous neoplasm patientsWorld J Gastrointest Surg201021031431810.4240/wjgs.v2.i10.314211608362999209 – reference: JonesRVGreenwoodBBreast cancer: causes of patients’ distress identified by qualitative analysisBr J General Pract1994443853703711:STN:280:DyaK2czkslCgug%3D%3D – reference: WhiteMGApplewhiteMKKaplanELAngelosPHuoDGroganRHA tale of two cancers: traveling to treat pancreatic and thyroid cancerJ Am Coll Surg2017225112513610.1016/j.jamcollsurg.2017.02.01728473189 – reference: GrayREFitchMIPhillipsCLabrecqueMKlotzLPresurgery experiences of prostate cancer patients and their spousesCancer Pract19997313013510.1046/j.1523-5394.1999.07308.x1:STN:280:DyaK1M3otVChsA%3D%3D10352075 – reference: ThomasAAGallagherPO’CeilleachairAPearceASharpLMolchoMDistance from treating hospital and colorectal cancer survivors’ quality of life: a gendered analysisSupport Care Cancer201523374175110.1007/s00520-014-2407-925179691 – reference: RiallTSTownsendCMJrKuoYFFreemanJLGoodwinJSDissecting racial disparities in the treatment of patients with locoregional pancreatic cancer: a 2-step processCancer2010116493093910.1002/cncr.24836200527262819626 – reference: LuckettRPenaNVitonisABernsteinMRFeldmanSEffect of patient navigator program on no-show rates at an academic referral colposcopy clinicJ Womens Health (Larchmt)201524760861510.1089/jwh.2014.5111 – reference: RosenbergKPatient navigators improve colorectal cancer screening ratesAm J Nurs2011111101510.1097/01.NAJ.0000406404.80894.5a21955895 – reference: RapoportYKreitlerSChaitchikSAlgorRWeisslerKPsychosocial problems in head-and-neck cancer patients and their change with time since diagnosisAnn Oncol199341697310.1093/oxfordjournals.annonc.a0583651:STN:280:DyaK3s7mvVKrsg%3D%3D8435366 – reference: Cancer Stat Facts: Pancreatic Cancer. https://seer.cancer.gov/statfacts/html/pancreas.html. Accessed May 2018. – reference: LidskyMESunZNussbaumDPAdamMASpeicherPJBlazerDG3rdGoing the extra mile: improved survival for pancreatic cancer patients traveling to high-volume centersAnn Surg2017266233333810.1097/SLA.000000000000192427429020 – reference: SingalVSingalAKKuoYFRacial disparities in treatment for pancreatic cancer and impact on survival: a population-based analysisJ Cancer Res Clin Oncol2012138471572210.1007/s00432-012-1156-822246279 – volume: 106 start-page: dju115 issue: 6 year: 2014 ident: 7157_CR15 publication-title: J Natl Cancer Inst doi: 10.1093/jnci/dju115 – volume: 3 start-page: 258 issue: 4 year: 2014 ident: 7157_CR2 publication-title: Gland Surg – volume: 113 start-page: 3391 issue: 12 year: 2008 ident: 7157_CR9 publication-title: Cancer doi: 10.1002/cncr.23960 – volume: 4 start-page: 69 issue: 1 year: 1993 ident: 7157_CR5 publication-title: Ann Oncol doi: 10.1093/oxfordjournals.annonc.a058365 – volume: 253 start-page: 779 issue: 4 year: 2011 ident: 7157_CR7 publication-title: Ann Surg doi: 10.1097/SLA.0b013e318211cc0f – volume: 44 start-page: 26 issue: 1 year: 2007 ident: 7157_CR13 publication-title: Prev Med doi: 10.1016/j.ypmed.2006.08.001 – volume: 116 start-page: 930 issue: 4 year: 2010 ident: 7157_CR20 publication-title: Cancer doi: 10.1002/cncr.24836 – volume: 119 start-page: 2524 issue: 14 year: 2013 ident: 7157_CR11 publication-title: Cancer doi: 10.1002/cncr.28024 – ident: 7157_CR1 – volume-title: Crossing the quality chasm: a new health system for the 21st century year: 2001 ident: 7157_CR8 – volume: 111 start-page: 15 issue: 10 year: 2011 ident: 7157_CR10 publication-title: Am J Nurs doi: 10.1097/01.NAJ.0000406404.80894.5a – volume: 100 start-page: 2531 issue: 11 year: 2005 ident: 7157_CR17 publication-title: Am J Gastroenterol doi: 10.1111/j.1572-0241.2005.00319.x – volume: 225 start-page: 125 issue: 1 year: 2017 ident: 7157_CR18 publication-title: J Am Coll Surg doi: 10.1016/j.jamcollsurg.2017.02.017 – volume: 266 start-page: 333 issue: 2 year: 2017 ident: 7157_CR19 publication-title: Ann Surg doi: 10.1097/SLA.0000000000001924 – volume: 24 start-page: 608 issue: 7 year: 2015 ident: 7157_CR12 publication-title: J Womens Health (Larchmt) doi: 10.1089/jwh.2014.5111 – volume: 2 start-page: 314 issue: 10 year: 2010 ident: 7157_CR3 publication-title: World J Gastrointest Surg doi: 10.4240/wjgs.v2.i10.314 – volume: 44 start-page: 370 issue: 385 year: 1994 ident: 7157_CR4 publication-title: Br J General Pract – volume: 7 start-page: 130 issue: 3 year: 1999 ident: 7157_CR6 publication-title: Cancer Pract doi: 10.1046/j.1523-5394.1999.07308.x – volume: 109 start-page: 359 issue: 2 Suppl year: 2007 ident: 7157_CR14 publication-title: Cancer doi: 10.1002/cncr.22354 – volume: 138 start-page: 715 issue: 4 year: 2012 ident: 7157_CR21 publication-title: J Cancer Res Clin Oncol doi: 10.1007/s00432-012-1156-8 – volume: 23 start-page: 741 issue: 3 year: 2015 ident: 7157_CR16 publication-title: Support Care Cancer doi: 10.1007/s00520-014-2407-9 – reference: 31087181 - Ann Surg Oncol. 2019 Dec;26(Suppl 3):608-609
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Snippet	Background Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been... Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to... BackgroundCare of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been... Background: Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have...
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SubjectTerms	Adenocarcinoma - psychology Adenocarcinoma - therapy Aged Demography DIAGNOSIS Female Follow-Up Studies Health Services Accessibility Humans Male Malignancy Medicine Medicine & Public Health NEOPLASMS Neuroendocrine Tumors - psychology Neuroendocrine Tumors - therapy Oncology PANCREAS Pancreatic cancer Pancreatic Intraductal Neoplasms - psychology Pancreatic Intraductal Neoplasms - therapy Pancreatic Neoplasms - psychology Pancreatic Neoplasms - therapy Pancreatic Tumors Patient Navigation - methods Patient Navigation - statistics & numerical data PATIENTS Power, Psychological Prognosis RADIOLOGY AND NUCLEAR MEDICINE Retrospective Studies SURGERY Surgical Oncology THERAPY Time-to-Treatment Tumors
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Title	Oncology Navigation Decreases Time to Treatment in Patients with Pancreatic Malignancy
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