Breast Cancer Navigator Program

Breast Cancer Navigator Program

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Anastrozole Oral tablet

What is this medicine?

ANASTROZOLE (an AS troe zole) is used to treat breast cancer in women who have gone through menopause. Some types of breast cancer depend on estrogen to grow, and this medicine can stop tumor growth by blocking estrogen production.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • liver disease

  • an unusual or allergic reaction to anastrozole, other medicines, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You can take this medicine with or without food. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on the advice of your doctor or health care professional.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

  • female hormones, like estrogens or progestins and birth control pills

This medicine may also interact with the following medications:

  • tamoxifen

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. Let your doctor or health care professional know about any unusual vaginal bleeding.

Do not treat yourself for diarrhea, nausea, vomiting or other side effects. Ask your doctor or health care professional for advice.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

  • any new or unusual symptoms

  • breathing problems

  • chest pain

  • leg pain or swelling

  • vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • back or bone pain

  • cough, or throat infection

  • diarrhea or constipation

  • dizziness

  • headache

  • hot flashes

  • loss of appetite

  • nausea

  • sweating

  • weakness and tiredness

  • weight gain

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date.


Broward Health Receives Grant to Help Women Navigate Breast Cancer Treatment

Find out more details about the Breast Cancer Navigator Program »

Broward Health provided 29,380 mammograms last year, nearly 3,000 of them for women who had no insurance and could not afford to pay. While a mammogram may be essential in detecting abnormalities, a diagnosis is meaningless without follow-up. That follow-up – particularly for poor women – can be daunting.

A grant of nearly $150,000 from the Florida Division of the American Cancer Society will help Broward Health set up a new Breast Cancer Patient Navigator Program to ensure that more women living in poverty will get the medical care they need after an abnormal mammogram or a diagnosis of breast cancer. The goal is to ensure half of the participants are African-American, Caribbean or Hispanic.

A “navigator” case manager will provide one-on-one assistance to women of any age in navigating the complexities of not only scheduling, testing and treatment, but with things like childcare, transportation, translation services and understanding medical terminology as well.

The navigator case manager will oversee the woman’s care throughout treatment at the Comprehensive Cancer Centers at Broward Health facilities (Broward Health Medical Center and Broward Health North). If the woman doesn’t show up for an appointment, stops treatment, or becomes unreachable after two weeks, the case manager will go to her home to check on her and find out why she hasn’t kept her appointments. The case manager will then work with her to get her back on track. When cancer goes into remission, the case manager will continue to monitor her health and quickly set up doctor appointments and further treatment if needed.

The navigator program is dedicated to dismantling barriers faced by medically underserved women with breast cancer, increasing access to healthcare services and ultimately improving quality of life.

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Breast Cancer Patient Navigator Program Participants

September 2006 – July 2008

The American Cancer Society awarded Broward Health the Breast Cancer Patient Navigator Program Grant in September 2006 to navigate medically underserved women of all ages (living below 200% of the Federal Poverty Level who receive an abnormal mammogram), from diagnostic mammogram to breast cancer survivorship. The two (2) year grant award provided for one (1) Registered Nurse Breast Cancer Patient Navigator to remove the barriers to care by providing one-on-one case management once breast cancer is diagnosed.

The program allows for:

  • Earlier identification/intervention
  • Greater outreach to our community
  • A broader range of services
  • Decreased treatment variability
  • Increased effectiveness of care

Evaluation Methodology

Patient Demographics

  • 282 female and 2 male patients, ages 15 thru 85
  • 57 dependent children
  • Treatment and diagnostic sites – 1-49 miles from patients' home
  • Transportation – 60% of the patients were brought to the health care site by friend or family; 34% by private car; 6% used taxi service or public transportation provided by Broward Health
Race/Ethnicity (Program)
Race/Ethnicity (Claritas 2007)
37% - Black Non Hispanic
51% - Black Non Hispanic
23% - Hispanic
18% – Hispanic
19% - White Non Hispanic
25% - White Non Hispanic
9% - Haitian
3% - Asian
7% - Other
3% - Other
2% - Asian
1% - Portuguese

Patient Participation

  • 284 - patients referred from Broward Health sites and the Broward County Health Department's Breast & Cervical Cancer Initiative
  • 109 - patients that did not meet guidelines (i.e. had insurance, were enrolled in another program, received care at another facility, refused services)
  • 63 - patients disenrolled from the program (i.e. eligibility changed, moved, changed providers, chose homeopathic treatment and/or refused treatment, treatment complete and patients are following up with primary care physician for a yearly mammogram)
  • 37 - patients in the program with no diagnosis of breast cancer that are being followed.
  • 75 - patients with diagnosis of breast cancer – majority of the cases is invasive ductal carcinoma. (61 ductal, 5 intra ductal, 4 multi focal, 3 lobular, 1 mucinous & 2 multi centric)
    1 - stage 0
    7 - stage I
    31 - stage II
    18 - stage III
    6 - stage IV
    12 - in staging process

Referral Sources

  • Broward Health hospitals and Community Health Service sites, i.e., Broward Health Medical Center, Broward Health North, Broward Health Imperial Point, and Broward Health Coral Springs.
  • Broward Health Website
  • Florida Breast Cancer Resource Network
  • Broward County Health Department through its Breast & Cervical Cancer Initiative (BCCI)
  • Other community organizations, i.e., Living Water clinics, Light of the World, churches, etc.
  • Private physician offices, friends, and family

Benefits of Program

Access & Compliance
Patients adhered to their scheduled appointments. In the event of a scheduling conflict, the Breast Cancer Patient Navigator was contacted for resolution.

Transportation and certification process has been expedited because of intervention by Breast Cancer Patient Navigator.

97% of the patients adhered to the treatment plan (3% sought alternative treatment or chose treatment elsewhere).

Care & Treatment
Recommended diagnostic procedures:

  • Mammogram
  • Spot magnification / compression
  • Ultrasound
  • Stereo tactic biopsy
  • Ultrasound biopsy
  • CT Scans, Mir's & PET Scans
  • Echocardiograms, Lab work, X-rays and ultrasounds

Recommended treatment procedures:

  • Lumpectomy
  • Mastectomy
  • Radiation
  • Chemotherapy
  • Hormonal treatment

97% of the patients adhered to scheduled diagnostic procedures

Current status of patient treatment

29 – in treatment (chemo/radiation)
30 – in post treatment
6 – refused treatment
6 – in work-up
1 – out of service area
3 – out of country

Knowledge and Education

Educational components made available to all the patients:

  • Initial education packet
  • American Cancer Society Breast Cancer Guidelines
  • National Cancer Institute Breast Cancer Booklet
  • Chemotherapy and You
  • Triple Touch
  • Nutrition
  • Knowledge & Education
  • Demand Mailings – specific topics of interest
  • Support groups and education classes
  • Look Good, Feel Better
  • Gilda's Club
  • Reach to Recovery
  • Community Church Support Group

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