{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T03:01:53Z","timestamp":1783393313488,"version":"3.54.6"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Young women with breast cancer (YWBC) face medical and psychosocial challenges that are inconsistently addressed by healthcare frameworks. This study evaluated whether a patient navigation (PN) program for YWBC facilitates access to specialty and supportive care through structured patient needs assessments and referrals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Within 3\u2009months of diagnosis, \u226440-year-old patients were prospectively enrolled into a PN program in which a navigator systematically administered needs detection surveys and provided referrals to required services at baseline, 3\u2009months (m), and 6\u2009m. Attendance to referrals at baseline and 3\u2009m was assessed at the next timepoint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 189 participants, 85% required &amp;gt;2 referrals at any timepoint. At baseline and 3\u2009m, referrals were mostly to nutrition (66% and 46%), support groups (65% and 24%), and psychology (56% and 36%); and at 6\u2009m, to nutrition (32%), sexology (31%), and psychology (19%). From baseline-to-3 m, attendance was highest for support groups (99%), genetic cancer risk assessment (88%), and external breast prosthesis providers (82%); from 3\u2009m-to-6 m, for support groups (100%), sexology (91%), and external breast prosthesis (86%). Nearly none attended &amp;gt;2 referrals and receiving more referrals was associated with higher absence rates (P &amp;lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This PN program enabled structured identification of patients\u2019 needs and referral to required services, highlighting the relevance of nutrition, support groups, and psychology needs during early assessments, as well as sexology counseling during later follow-ups. The high absence rates observed suggest that individualized selection of specific referrals prioritizing patients\u2019 needs and preferences at different timepoints in their cancer trajectory could improve attendance while avoiding patient and health-system oversaturation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/oncolo\/oyaf420","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T12:56:54Z","timestamp":1766235414000},"source":"Crossref","is-referenced-by-count":1,"title":["Prospective patient navigation program for young women with breast cancer: assessment and referrals to address medical and supportive care needs"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4723-1837","authenticated-orcid":false,"given":"Fernanda","family":"Mesa-Chavez","sequence":"first","affiliation":[{"name":"Tecnologico de Monterrey, School of Medicine and Health Sciences , Monterrey, N.L., 64700,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"M\u00e9dicos e Investigadores en la Lucha contra el C\u00e1ncer de Mama , Mexico City, 03100,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucero","family":"Labra","sequence":"additional","affiliation":[{"name":"M\u00e9dicos e Investigadores en la Lucha contra el C\u00e1ncer de Mama , Mexico City, 03100,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3846-310X","authenticated-orcid":false,"given":"Alan","family":"Fonseca","sequence":"additional","affiliation":[{"name":"M\u00e9dicos e Investigadores en la Lucha contra el C\u00e1ncer de Mama , Mexico City, 03100,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Soto-Mota","sequence":"additional","affiliation":[{"name":"School of Medicine, Tecnologico de Monterrey , Mexico City, 64700,","place":["Mexico"]},{"name":"Metabolic Diseases Research Unit, National Institute of Medical Sciences and Nutrition Salvador Zubiran , Mexico City, 14080,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2881-7839","authenticated-orcid":false,"given":"Alejandra","family":"Platas","sequence":"additional","affiliation":[{"name":"M\u00e9dicos e Investigadores en la Lucha contra el C\u00e1ncer de Mama , Mexico City, 03100,","place":["Mexico"]},{"name":"School of Medicine, Tecnologico de Monterrey , Mexico City, 64700,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4075-0220","authenticated-orcid":false,"given":"Marlid","family":"Cruz-Ramos","sequence":"additional","affiliation":[{"name":"Departamento de Oncolog\u00eda M\u00e9dica de Mama, Instituto Nacional de Cancerolog\u00eda , Mexico City, 14080,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen Lizette","family":"G\u00e1lvez-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"M\u00e9dicos e Investigadores en la Lucha contra el C\u00e1ncer de Mama , Mexico City, 03100,","place":["Mexico"]},{"name":"Universidad Nacional Aut\u00f3noma de M\u00e9xico (UNAM) Facultad de Psicolog\u00eda, , Mexico City, 04510,","place":["Mexico"]},{"name":"Instituto Nacional de Cancerolog\u00eda Investigador por M\u00e9xico, , Mexico City, 14080,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4320-9448","authenticated-orcid":false,"given":"Paula","family":"Cabrera-Galeana","sequence":"additional","affiliation":[{"name":"Departamento de Oncolog\u00eda M\u00e9dica de Mama, Instituto Nacional de Cancerolog\u00eda , Mexico City, 14080,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Mohar","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Cancerolog\u00eda e Instituto de Investigaciones Biom\u00e9dicas, UNAM Unidad de Investigaci\u00f3n Biom\u00e9dica en C\u00e1ncer, , Mexico City, 14080,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3587-339X","authenticated-orcid":false,"given":"Cynthia","family":"Villarreal-Garza","sequence":"additional","affiliation":[{"name":"M\u00e9dicos e Investigadores en la Lucha contra el C\u00e1ncer de Mama , Mexico City, 03100,","place":["Mexico"]},{"name":"Tecnologico de Monterrey Breast Cancer Center, Hospital Zambrano Hellion TecSalud, , San Pedro Garza Garcia, 66260,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"2026011021220931800_oyaf420-B1","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1007\/s10549-020-06003-8","article-title":"International variation in breast cancer incidence and mortality in young women","volume":"186","author":"Sopik","year":"2021","journal-title":"Breast Cancer Res Treat"},{"key":"2026011021220931800_oyaf420-B2","doi-asserted-by":"publisher","first-page":"1298","DOI":"10.1634\/theoncologist.2013-0321","article-title":"Breast cancer in young women in Latin America: an unmet, growing burden","volume":"18","author":"Villarreal-Garza","year":"2013","journal-title":"Oncologist."},{"key":"2026011021220931800_oyaf420-B3","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1200\/op.20.00793","article-title":"Breast cancer in adolescent and young adult women under the age of 40 years","volume":"17","author":"Cathcart-Rake","year":"2021","journal-title":"JCO Oncol Pract"},{"key":"2026011021220931800_oyaf420-B4","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.breast.2017.02.010","article-title":"Fertility concerns among breast cancer patients in Mexico","volume":"33","author":"Villarreal-Garza","year":"2017","journal-title":"Breast."},{"key":"2026011021220931800_oyaf420-B5","doi-asserted-by":"publisher","first-page":"e21714","DOI":"10.1200\/jco.2017.35.15_suppl.e21714","article-title":"Sexual function and satisfaction in Mexican young women undergoing breast cancer treatment","volume":"35","author":"Villarreal-Garza","year":"2017","journal-title":"J Clin Oncol"},{"key":"2026011021220931800_oyaf420-B6","doi-asserted-by":"publisher","first-page":"e13040","DOI":"10.1111\/ecc.13040","article-title":"Medical and information needs among young women with breast cancer in Mexico","volume":"28","author":"Villarreal-Garza","year":"2019","journal-title":"Eur J Cancer Care (Engl)"},{"key":"2026011021220931800_oyaf420-B7","doi-asserted-by":"publisher","first-page":"e0197931","DOI":"10.1371\/journal.pone.0197931","article-title":"Psychosocial needs of young breast cancer survivors in Mexico city, Mexico","volume":"13","author":"Hubbeling","year":"2018","journal-title":"PLoS One"},{"key":"2026011021220931800_oyaf420-B8","doi-asserted-by":"publisher","first-page":"210","DOI":"10.24875\/RIC.17002285","article-title":"Special needs of young women with breast cancer in limited resource settings","volume":"69","author":"G\u00e1lvez-Hern\u00e1ndez","year":"2017","journal-title":"Rev Invest Clin"},{"key":"2026011021220931800_oyaf420-B9","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1200\/jgo.19.00264","article-title":"Young women with breast cancer in Mexico: results of the pilot phase of the Joven & Fuerte prospective cohort","volume":"6","author":"Villarreal-Garza","year":"2020","journal-title":"JCO Glob Oncol"},{"key":"2026011021220931800_oyaf420-B10","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1634\/theoncologist.2013-0300","article-title":"Cancer survivorship and the young breast cancer patient: addressing the important issues","volume":"18","author":"Partridge","year":"2013","journal-title":"Oncologist."},{"key":"2026011021220931800_oyaf420-B11","doi-asserted-by":"publisher","first-page":"323","DOI":"10.12788\/jcso.0169","article-title":"A qualitative exploration of supports and unmet needs of diverse young women with breast cancer","volume":"13","author":"Ruddy","year":"2015","journal-title":"J Community Support Oncol"},{"key":"2026011021220931800_oyaf420-B12","volume-title":"Patient Navigation for Early Detection, Diagnosis and Treatment of Breast Cancer: Technical Brief","author":"World Health Organization","year":"2024"},{"key":"2026011021220931800_oyaf420-B13","doi-asserted-by":"publisher","first-page":"3686","DOI":"10.1200\/JCO.2016.67.5454","article-title":"Patient navigation in breast cancer treatment and survivorship: a systematic review","volume":"34","author":"Baik","year":"2016","journal-title":"J Clin Oncol"},{"key":"2026011021220931800_oyaf420-B14","doi-asserted-by":"publisher","first-page":"237","DOI":"10.3322\/caac.20111","article-title":"Patient navigation: an update on the state of the science","volume":"61","author":"Paskett","year":"2011","journal-title":"CA Cancer J Clin"},{"key":"2026011021220931800_oyaf420-B15","doi-asserted-by":"publisher","first-page":"3539","DOI":"10.1002\/cncr.26262","article-title":"History and principles of patient navigation","volume":"117","author":"Freeman","year":"2011","journal-title":"Cancer."},{"key":"2026011021220931800_oyaf420-B16","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.6004\/jnccn.2019.0048","article-title":"Distress management","volume":"17","author":"Riba","year":"2020","journal-title":"J Natl Compr Cancer Netw"},{"key":"2026011021220931800_oyaf420-B17","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.jpainsymman.2004.04.016","article-title":"Development of an impact thermometer for use in combination with the distress thermometer as a brief screening tool for adjustment disorders and\/or major depression in cancer patients","volume":"29","author":"Akizuki","year":"2005","journal-title":"J Pain Symptom Manage"},{"key":"2026011021220931800_oyaf420-B18","first-page":"1737","article-title":"Validation and utility of a self-report version of PRIME-MD","volume":"282","author":"Spitzer","year":"2000","journal-title":"Prim Care Companion J Clin Psychiatry"},{"key":"2026011021220931800_oyaf420-B19","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"2026011021220931800_oyaf420-B20","first-page":"209","article-title":"Traducci\u00f3n, adaptaci\u00f3n y validaci\u00f3n del term\u00f3metro de distr\u00e9s en una muestra de pacientes mexicanos con c\u00e1ncer","author":"Almanza-Mu\u00f1oz","year":"2008","journal-title":"Rev Sanid Milit"},{"key":"2026011021220931800_oyaf420-B21","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1002\/mpr.1461","article-title":"Factor structure of the Spanish version of the patient health questionnaire-9 in Mexican women","volume":"24","author":"Familiar","year":"2015","journal-title":"Int J Methods Psychiatr Res"},{"key":"2026011021220931800_oyaf420-B22","article-title":"Adult cancer pain","volume":"23","author":"Swarm","year":"2020","journal-title":"J Natl Compr Cancer Netw"},{"key":"2026011021220931800_oyaf420-B23","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.medipa.2013.02.001","article-title":"Versi\u00f3n espa\u00f1ola del edmonton symptom assessment sytem (ESAS): un instrumento de referencia Para la valoraci\u00f3n sintom\u00e1tica del paciente con c\u00e1ncer avanzado","volume":"20","author":"Carvajal Valc\u00e1rcel","year":"2013","journal-title":"Medicina Paliativa"},{"key":"2026011021220931800_oyaf420-B24","doi-asserted-by":"publisher","first-page":"1863","DOI":"10.1016\/j.ejca.2011.03.027","article-title":"A comprehensive study of psychometric properties of the Edmonton symptom assessment system (ESAS) in Spanish advanced cancer patients","volume":"47","author":"Carvajal","year":"2011","journal-title":"Eur J Cancer"},{"key":"2026011021220931800_oyaf420-B25","doi-asserted-by":"publisher","first-page":"895","DOI":"10.1634\/theoncologist.2016-0006","article-title":"Referral criteria for outpatient palliative cancer care: a systematic review","volume":"21","author":"Hui","year":"2016","journal-title":"Oncologist."},{"key":"2026011021220931800_oyaf420-B26","doi-asserted-by":"publisher","first-page":"1139","DOI":"10.1111\/j.1743-6109.2009.01635.x","article-title":"Development and validation of a 6-item version of the female sexual function index (FSFI) as a diagnostic tool for female sexual dysfunction","volume":"7","author":"Isidori","year":"2010","journal-title":"J Sex Med."},{"key":"2026011021220931800_oyaf420-B27","doi-asserted-by":"publisher","first-page":"118","DOI":"10.4067\/s0717-75262004000200006","article-title":"ndice de funci\u00f3n sexual femenina: un test Para evaluar la sexualidad de la mujer","volume":"69","author":"Bl\u00fcmel","year":"2004","journal-title":"Rev Chil Obstet Ginecol"},{"key":"2026011021220931800_oyaf420-B28","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1186\/s12885-023-11087-8","article-title":"Unmet supportive care needs of breast cancer survivors: a systematic scoping review","volume":"23","author":"Fan","year":"2023","journal-title":"BMC Cancer."},{"key":"2026011021220931800_oyaf420-B29","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1200\/JCO.2015.64.3809","article-title":"American cancer society\/American society of clinical oncology breast cancer survivorship care guideline","volume":"34","author":"Runowicz","year":"2016","journal-title":"J Clin Oncol"},{"key":"2026011021220931800_oyaf420-B30","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1097\/CCO.0000000000000733","article-title":"Models of supportive care in oncology","volume":"33","author":"Hui","year":"2021","journal-title":"Curr Opin Oncol"},{"key":"2026011021220931800_oyaf420-B31","doi-asserted-by":"publisher","first-page":"899","DOI":"10.1007\/s13187-020-01941-9","article-title":"The supportive care needs of cancer patients: a systematic review","volume":"36","author":"Evans Webb","year":"2021","journal-title":"J Cancer Educ"},{"key":"2026011021220931800_oyaf420-B32","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1007\/s00520-002-0371-2","article-title":"Uptake of psychosocial referrals in an outpatient cancer setting: improving service accessibility via the referral process","volume":"10","author":"Curry","year":"2002","journal-title":"Support Care Cancer"},{"key":"2026011021220931800_oyaf420-B33","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1093\/jncimonographs\/lgae004","article-title":"Transforming patient-centered cancer care using telehealth: the MATCHES center","volume":"2024","author":"Bange","year":"2024","journal-title":"J Natl Cancer Inst Monogr."},{"key":"2026011021220931800_oyaf420-B34","doi-asserted-by":"publisher","first-page":"e11","DOI":"10.2196\/jmir.6575","article-title":"Cancer survivors\u2019 experience with telehealth: a systematic review and thematic synthesis","volume":"19","author":"Cox","year":"2017","journal-title":"J Med Internet Res"},{"key":"2026011021220931800_oyaf420-B35","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1200\/edbk_176093","article-title":"mHealth: mobile technologies to virtually bring the patient into an oncology practice","volume":"37","author":"Pennell","year":"2017","journal-title":"Am Soc Clin Oncol Educ Book"}],"container-title":["The Oncologist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/oncolo\/advance-article-pdf\/doi\/10.1093\/oncolo\/oyaf420\/66107667\/oyaf420.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/oncolo\/article-pdf\/31\/1\/oyaf420\/66107667\/oyaf420.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/oncolo\/article-pdf\/31\/1\/oyaf420\/66107667\/oyaf420.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T02:22:14Z","timestamp":1768098134000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/oncolo\/article\/doi\/10.1093\/oncolo\/oyaf420\/8402144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,22]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12,27]]}},"URL":"https:\/\/doi.org\/10.1093\/oncolo\/oyaf420","relation":{},"ISSN":["1083-7159","1549-490X"],"issn-type":[{"value":"1083-7159","type":"print"},{"value":"1549-490X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2025,12,22]]},"article-number":"oyaf420"}}