{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:56:55Z","timestamp":1781521015714,"version":"3.54.1"},"reference-count":43,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>Objective:  to compare diagnostic-treatment time indicators for care provided to women with breast cancer, according to inclusion in a nursing navigation program.  Method:  retrospective cohort study conducted at a large hospital. Patients with breast cancer, navigated (n=133) or not (n=226), were included. Sociodemographic and clinical variables were analyzed, and the times (in days) from diagnosis to the start of different treatment modalities constituted the dependent variables. Descriptive and inferential analysis was performed at a significance level of 5%.  Results:  patients covered by the Unified Health System had significantly shorter median times between diagnosis and any treatment (77.0) and neoadjuvant chemotherapy (77.0) (p-value &lt; 0.001) than those not covered (100.5 and 112.2, respectively). Patients navigated by supplementary health insurance also had shorter access times to both treatment in general (38.0 versus 47.0; p-value &lt;0.001) and neoadjuvant chemotherapy (31.0 versus 50.0; p-value &lt;0.001). Without considering the health insurance plan, no significant differences were found.  Conclusion:  the navigation program had a positive impact on the accessibility of breast cancer diagnosis and treatment. Investment in this type of care management promoted by nurses is recommended, with greater emphasis on the Unified Health System.<\/jats:p>","DOI":"10.1590\/1518-8345.8049.4846","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:36:55Z","timestamp":1781519815000},"source":"Crossref","is-referenced-by-count":0,"title":["Navigation program: comparison of diagnosis-treatment times among breast cancer patients"],"prefix":"10.1590","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8791-9308","authenticated-orcid":false,"given":"Fernanda Felipe","family":"Pautasso","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil; Santa Casa de Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2981-9445","authenticated-orcid":false,"given":"Maiara Anchau","family":"Floriani","sequence":"additional","affiliation":[{"name":"Santa Casa de Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3822-171X","authenticated-orcid":false,"given":"Nicole de Moraes","family":"Pertile","sequence":"additional","affiliation":[{"name":"Santa Casa de Porto Alegre,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1822-2360","authenticated-orcid":false,"given":"Jo\u00e3o Lucas Campos de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Carga global de c\u00e2ncer aumenta em meio \u00e0 crescente necessidade de servi\u00e7os","year":"2024"},{"key":"ref2","series-title":"Universal health coverage (UHC)","year":"2023"},{"key":"ref3","series-title":"Estimativa 2023: incid\u00eancia de c\u00e2ncer no Brasil","year":"2022"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","DOI":"10.32635\/2176-9745.RBC.2023v69n1.3700","article-title":"Estimated cancer incidence in Brazil, 2023-2025","volume":"69","author":"Santos MO","year":"2023","journal-title":"Rev Bras Cancerol"},{"key":"ref5","series-title":"Panorama da aten\u00e7\u00e3o ao c\u00e2ncer de mama no SUS","author":"Almeida A","year":"2023"},{"key":"ref6","article-title":"Challenges and proposals for the early diagnosis of breast cancer in women under 50 years in Brazil","volume":"25","author":"Guckert LE","year":"2025","journal-title":"REAC"},{"issue":"E","key":"ref7","doi-asserted-by":"crossref","first-page":"624","DOI":"10.3889\/oamjms.2021.6637","article-title":"Literature review: social determinant of health in breast cancer patients survival","volume":"9","author":"Azriful A","year":"2021","journal-title":"Open Access Maced J Med Sci [Internet]"},{"key":"ref8","article-title":"Lei n\u00ba 12.732, de 22 de novembro de 2012. Disp\u00f5e sobre o primeiro tratamento de paciente com neoplasia maligna comprovada e estabelece prazo para seu in\u00edcio","year":"2012","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref9","article-title":"Lei n\u00ba 13.896, de 30 de outubro de 2019. Altera a Lei n\u00ba 12.732, de 22 de novembro de 2012","year":"2019","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"3537","DOI":"10.1002\/cncr.26262","article-title":"History and principles of patient navigation","volume":"117","author":"Freeman HP","year":"2011","journal-title":"Cancer"},{"key":"ref11","first-page":"E25","article-title":"Nurse navigation program outcomes from a breast cancer center in Brazil","volume":"23","author":"Rohsig V","year":"2019","journal-title":"Clin J Oncol Nurs"},{"key":"ref12","article-title":"Lei n\u00ba 14.758, de 19 de dezembro de 2023. Institui a Pol\u00edtica Nacional de Preven\u00e7\u00e3o e Controle do C\u00e2ncer no \u00e2mbito do Sistema \u00danico de Sa\u00fade (SUS)","year":"2023","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref13","series-title":"Saberes sobre o cuidado de enfermagem direcionado ao paciente oncol\u00f3gico: contribui\u00e7\u00f5es para a pr\u00e1tica cl\u00ednica","first-page":"65","volume-title":"An\u00e1lise da produ\u00e7\u00e3o do conhecimento sobre navega\u00e7\u00e3o de pacientes oncol\u00f3gicos em peri\u00f3dicos de enfermagem brasileiros","author":"Maia GKC","year":"2024"},{"key":"ref14","doi-asserted-by":"crossref","DOI":"10.1590\/1518-8345.3258.3275","article-title":"Nurse navigator: development of a program for Brazil","volume":"28","author":"Pautasso FF","year":"2020","journal-title":"Rev. Latino-Am. 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Colet"},{"issue":"7","key":"ref29","first-page":"1292","article-title":"Evolution of cancer treatment targeted therapies and immunotherapy","volume":"9","author":"Zuqui R","year":"2023","journal-title":"Rev Ibero-Am Hum Cienc Educa\u00e7\u00e3o"},{"issue":"8","key":"ref30","first-page":"1002","article-title":"Adverse effects on neoadjuvant chemotherapy in patients with breast cancer","volume":"10","author":"Pimentel MSSM","year":"2024","journal-title":"Rev Ibero-Am Hum Cienc Educa\u00e7\u00e3o"},{"issue":"4","key":"ref31","article-title":"Predictors of non-adherence and non-persistence to adjuvant hormonal therapy in women with breast cancer: a systematic review","volume":"71","author":"Sousa FVS","year":"2025","journal-title":"Rev Bras Cancerol"},{"issue":"1","key":"ref32","first-page":"12","article-title":"Correlation between time of diagnosis, treatment and survival in patients with breast c\u00e2ncer: a literature review","volume":"13","author":"Leite 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transition from cancer screening to the first treatment phase: a systematic review and meta-analysis","volume":"15","author":"Oh J","year":"2021","journal-title":"Asian Nurs Res"},{"key":"ref42","article-title":"Trajectory for implementation of a patient navigation program in oncology: experience report","volume":"22","author":"Pautasso FF","year":"2024","journal-title":"Online Braz J Nurs"},{"key":"ref43","article-title":"Time interval between breast cancer diagnosis and surgery is associated with disease outcome","volume":"13","author":"Zhu S","year":"2023","journal-title":"Sci Rep"}],"container-title":["Revista Latino-Americana de Enfermagem"],"original-title":["Programa de navega\u00e7\u00e3o: compara\u00e7\u00e3o dos tempos diagn\u00f3stico-tratamento entre pacientes com c\u00e2ncer de mama"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-11692026000100630&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:37:01Z","timestamp":1781519821000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-11692026000100630&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":43,"alternative-id":["S0104-11692026000100630"],"URL":"https:\/\/doi.org\/10.1590\/1518-8345.8049.4846","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1518-8345.8049.4847","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.8049.4845","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.8049.4845","asserted-by":"object"},{"id-type":"doi","id":"10.1590\/1518-8345.8049.4847","asserted-by":"object"}]},"ISSN":["1518-8345"],"issn-type":[{"value":"1518-8345","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e4846"}}