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Sheryl G. A. Gabram, Mary Jo B. Lund, Jessica Gardner, Nadjo Hatchett, Harvey L. Bumpers, Joel Okoli, Monica Rizzo, Barbara J. Johnson, Gina B. Kirkpatrick and Otis W. Brawley Effects of an outreach and internal navigation program on breast cancer diagnosis in an urban cancer center with a large African-American population Cancer 113

Article first published online: 25 JUN 2008 | DOI: 10.1002/cncr.23568

Disparities in healthcare access, timely diagnosis, and treatment adherence in African-American women are associated with excess mortality due to breast cancer. Implementation of Patient Navigators and Community Health Advocates significantly increased the proportion of stage 0 breast cancer diagnoses and decreased the proportion of stage IV breast cancer diagnoses in an urban healthcare setting.

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