Mapping of the patient navigation programs in chronic kidney disease: a scoping review

Authors

  • Juliana DallAgnol Universidade Federal de Pelotas
  • Eda Schwartz

DOI:

https://doi.org/10.36704/cipraxis.v20i35.8330

Keywords:

PATIENT NAVIGATOR, KIDNEY FAILURE, DIALYSIS, PATIENT NAVIGATION

Abstract

Introduction: Given the complexity and chronicity of the chronic kidney disease and the concerns of high-level health care models, patient navigation can improve the continuum of care of people with chronic kidney disease.

Objective: mapping the patient navigation programs in chronic kidney disease.

Method: scoping review according to Joanna Briggs Institute and attends the PRISMA-ScR guidelines. We searched Scielo, Web of Science e Pubmed from 1990 to 2022. Eligibility criteria were established together with selection and screening independently and blinded on Rayyan Inc., and the protocol was registered at doi: 10.17605/OSF.IO/FW3AG.

Results: Thirteen heterogeneous documents were included and mapped, mostly carried out in North America and with adult population. The findings demonstrated the feasibility and acceptability of the navigation program. Indicates the importance of the navigators’ support on the decision-making as a facilitator in accessing the nephrology services, providing communication support, assisting the lifestyle changes and promoting the connection between the team of health and social professionals.

Conclusion: The challenges, structure and strategies of the navigation program implementation were mapped in different socioeconomic and health contexts. Likewise, the specific roles attributed to navigators taking care of people with chronic kidney disease were mapped.

References

BASU, M. et al. Transplant center patient navigator and access to transplantation among high-risk population a randomized, controlled trial. Clinical Journal of the American Society of Nephrology, v. 13, n. 4, p. 620–627, 6 abr. 2018.

BRASIL. Resolução nº 510, de 07 de abril de 2016. Dispõe sobre as normas aplicáveis a pesquisas em Ciências Humanas e Sociais. Diário Oficial República Federativa do Brasil, Brasília, DF, 24 maio 2016.

CERVANTES, L. et al. Peer Navigator Intervention for Latinos on Hemodialysis: A Single-Arm Clinical Trial. Journal of Palliative Medicine, v. 22, n. 7, p. 838–843, 1 jul. 2019.

CERVANTES, L. et al. Patient Navigation: Addressing Social Challenges in Dialysis Patients. American Journal of Kidney Diseases, v. 76, n. 1, p. 121–129, 1 jul. 2020.

CREWS, D. C. et al. Burden, access, and disparities in kidney disease. Kidney International, v. 95, n. 2, p. 242–248, 1 fev. 2019.

FLOOD, D. C. et al. A Patient Navigation System to Minimize Barriers for Peritoneal Dialysis in Rural, Low-Resource Settings: Case Study From Guatemala. Kidney International Reports, v. 2, n. 4, p. 762–765, 1 jul. 2017.

FREEMAN, H. P. Poverty, Culture, and Social Injustice Determinants of Cancer Disparities CA A Cancer Journal for Clinicians. CA Cancer J Clin, v. 1, n. 54, p. 72–77, 2004.

FREEMAN, H. P. The History, Principles, and Future of Patient Navigation: Commentary. Seminars in Oncology Nursing, v. 29, n. 2, p. 72–75, 2013.

GEORGE WASHINGTON UNIVERSITY. Executive training on navigation and survivorship: program development workbook, 2014.

GUHA, C. et al. Patient needs and priorities for patient navigator programmes in chronic kidney disease: a workshop report. BMJ Open, v. 10, n. 11, p. e040617, 5 nov. 2020.

GUHA, C. et al. PAVE-CKD workshop investigators. Patient needs and priorities for patient navigator programmes in chronic kidney disease: a workshop report. BMJ Open, v. 5, n.10, p. e040617, 2020.

HARRIS, D.C.H et al. Working Groups of the International Society of Nephrology’s 2nd Global Kidney Health Summit. Increasing access to integrated ESKD care as part of universal health coverage. Kidney Int, v. 95, n. 4 :p.1-33, 2019.

HORTON, A. et al. Health system barriers and facilitators to living donor kidney transplantation: a qualitative case study in British Columbia. CMAJ Open, v. 10, n. 2, p. E348–E356, 19 abr. 2022.

JOLLY, S. E. et al. Development of a chronic kidney disease patient navigator program. BMC Nephrology, v. 16, n. 1, p. 1–8, 2015.

KNIGHT, R. A. An evolving continuum of care for the kidney disease patient will help the transplant center patient navigator. Clinical Journal of the American Society of Nephrology, v. 13, n. 4, p. 519–520, 6 abr. 2019.

LOCKE, J. E. et al. Enhanced Advocacy and Health Systems Training through Patient Navigation Increases Access to Living-donor Kidney Transplantation. Transplantation, p. 122–129, 2020a.

LOCKE, J. E. et al. Enhanced Advocacy and Health Systems Training through Patient Navigation Increases Access to Living-donor Kidney Transplantation. Transplantation, v. 104, n. 1, p. 122–129, 2020b.

MARLOW, N. M. et al. A patient navigator and education program for increasing potential living donors: A comparative observational study. Clinical Transplantation, v. 30, n. 5, p. 619–627, 2016.

NAVANEETHAN, S. D. et al. Pragmatic randomized, controlled trial of patient navigators and enhanced personal health records in CKD. Clinical Journal of the American Society of Nephrology, v. 12, n. 9, p. 1418–1427, 7 set. 2017.

PETERS, M. D. J. et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, v. 18, n. 10, p. 2119–2126, out. 2020.

REED, R. D. et al. A Qualitative Assessment of the Living Donor Navigator Program to Identify Core Competencies and Promising Practices for Implementation. Progress in Transplantation, v. 30, n. 1, p. 29–37, 1 mar. 2020.

SULLIVAN, C. et al. Experiences of Kidney Transplant Recipients as Patient Navigators. Transplantation Proceedings, v. 50, n. 10, p. 3346–3350, 1 dez. 2019.

SULLIVAN, C. M. et al. Impact of navigators on first visit to a transplant center, waitlisting, and kidney transplantation a randomized, controlled trial. Clinical Journal of the American Society of Nephrology, v. 13, n. 10, p. 1550–1555, 2019.

TRICCO, A. C. et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, v. 169, n. 7, p. 467–473, 2 out. 2023.

VAN ZWIETEN, A. et al. NAV-KIDS 2 trial: protocol for a multi-centre, staggered randomised controlled trial of a patient navigator intervention in children with chronic kidney disease. BMC Nephrology, v. 20, p. 134, 2019a.

VAN ZWIETEN, A. et al. NAV-KIDS 2 trial: Protocol for a multi-centre, staggered randomised controlled trial of a patient navigator intervention in children with chronic kidney disease. BMC Nephrology, v. 20, n. 1, 18 abr. 2019b.

Published

2025-04-15

How to Cite

DallAgnol, J., & Schwartz, E. (2025). Mapping of the patient navigation programs in chronic kidney disease: a scoping review . Ciência ET Praxis, 20(35), 109–121. https://doi.org/10.36704/cipraxis.v20i35.8330