Early Implementation of the Navigator-Assisted Hypofractionation (NAVAH) Program in Hispanic-American Breast Cancer Patients
- PMID: 40486385
- PMCID: PMC12144923
- DOI: 10.7759/cureus.83727
Early Implementation of the Navigator-Assisted Hypofractionation (NAVAH) Program in Hispanic-American Breast Cancer Patients
Abstract
Although cancer-related mortality in the United States (US) has generally been decreasing, this has not occurred among Hispanic populations, where cancer is the leading cause of death. The population growth of the Hispanic population in the US from 2010 to 2021 was substantially larger than the overall US population growth rate (24% vs. 7%). This increased population growth adds importance to addressing cancer care delivery barriers facing this patient population. We discuss early implementation of the Navigator-Assisted Hypofractionation (NAVAH) program in addressing these barriers.
Keywords: breast cancer; financial toxicity; hispanic ethnicity; patient navigation; radiation therapy.
Copyright © 2025, McClelland III et al.
Conflict of interest statement
Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: This implementation of the NAVAH program for Hispanic breast cancer patients was sponsored by the Clinical and Translational Science Collaborative of Northern Ohio [UM1TR004528 from the National Center for Advancing Translational Sciences (NCATS) component of the National Institutes of Health and NIH Roadmap for Medical Research] at Case Western Reserve University Research Equity, Accessibility, Diversity, & Inclusion (READI) Clinical Trials Barrier Elimination Pilot. . Financial relationships: Shearwood McClelland III, M.D. declare(s) a grant from National Institutes of Health (National Cancer for Advancing Translational Sciences). Shearwood McClelland III, M.D. declare(s) a grant from Gilead Sciences. Gilead Sciences Research Scholars Program in Solid Tumors Award. Shearwood McClelland III, M.D. declare(s) a grant from Radiation Oncology Institute. Shearwood McClelland III, M.D. declare(s) a grant from Susan Komen. Susan G Komen Career Catalyst Research Grant. Shearwood McClelland III, M.D. declare(s) a grant from Bristol Myers Squibb Foundation. Robert A Winn Excellence in Clinical Trials Program Career Development Award. Chesley Cheatham declare(s) a grant from American Cancer Society. Chesley Cheatham declare(s) a grant from NatureStone Flooring. Abizairie Sanchez-Feliciano declare(s) a grant from American Society for Radiation Oncology (ASTRO). 2023 ASTRO Medical Student Fellowship. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
Similar articles
-
Support Group Impressions of Hispanic-American Cancer Patients: Early Findings From the Navigator-Assisted Hypofractionation (NAVAH) Program.Am J Clin Oncol. 2025 Jul 4. doi: 10.1097/COC.0000000000001226. Online ahead of print. Am J Clin Oncol. 2025. PMID: 40643413
-
Early Cancer Screening Impressions of African-American Breast Cancer Patients Enrolled on the Navigator-Assisted Hypofractionation (NAVAH) Trial.Am J Clin Oncol. 2025 Jul 1;48(7):362-364. doi: 10.1097/COC.0000000000001189. Epub 2025 Mar 26. Am J Clin Oncol. 2025. PMID: 40134317 Clinical Trial.
-
Navigator-Assisted Hypofractionation (NAVAH) Phase I Clinical Trial of Breast Cancer Patients: Implications for Assessing Personal Versus Familial Financial Toxicity via the Comprehensive Score for Financial Toxicity-Functional Assessment of Chronic Illness Therapy (COST-FACIT) Survey Instrument.Am J Clin Oncol. 2025 Jul 1;48(7):342-344. doi: 10.1097/COC.0000000000001190. Epub 2025 Mar 26. Am J Clin Oncol. 2025. PMID: 40134276 Clinical Trial.
-
Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men.Cochrane Database Syst Rev. 2008 Jul 16;(3):CD001230. doi: 10.1002/14651858.CD001230.pub2. Cochrane Database Syst Rev. 2008. PMID: 18646068
-
The effectiveness of patient navigation programs for adult cancer patients undergoing treatment: a systematic review.JBI Database System Rev Implement Rep. 2016 Feb;14(2):295-321. doi: 10.11124/jbisrir-2016-2324. JBI Database System Rev Implement Rep. 2016. PMID: 27536800
References
-
- American Cancer Society: Cancer facts & figures for Hispanics/Latinos 2018-2020. [ May; 2025 ]. 2025. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-... https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-...
-
- Krogstad J, Passel J, Noe-Bustamante L. Pew Research Center: Key facts about U.S. Latinos for National Hispanic heritage month. Pew Research Center. [ May; 2025 ]. 2025. https://www.pewresearch.org/short-reads/2022/09/23/key-facts-about-u-s-l... https://www.pewresearch.org/short-reads/2022/09/23/key-facts-about-u-s-l...
-
- Disparities in access to radiotherapy among Hispanic/Latinx populations in the United States: how far have we left to go? Verdini NP, Santos PM, Vicioso-Mora YM, et al. Am J Clin Oncol. 2024;47:40–47. - PubMed
Publication types
Grants and funding
LinkOut - more resources
Full Text Sources