Evaluation of Bowhead health patient navigator for breast cancer treatment in India: A pilot study.
View on ASCOAbstract e13659
Background: Access to guideline-concordant cancer treatment is a significant challenge in India due to limited resources and variability in clinical care practices. The Bowhead Health Patient Navigator (BHPN) is a digital tool designed to deliver evidence-based, personalized treatment recommendations for breast and lung cancer. This pilot study evaluated the accuracy and applicability of BHPN recommendations compared to official treatment guidelines, local tumor board decisions, and real-world practices for breast cancer.
Methods: Matching of 40 synthetic breast cancer cases to India's cancer care guidelines was conducted using BHPN. Synthetic data was developed by two surgical medical oncologists from India. BHPN's processing pipeline operates entirely on-premise within secure cloud infrastructure, ensuring data localization and compliance. The primary objective was to compare BHPN recommendations to standard treatment guidelines, with a target accuracy of 95%.
Results: BHPN achieved 92% concordance with guideline-based recommendations and 89% with tumor board decisions. The platform generated personalized treatment plans, such as hormone therapy for premenopausal ER-positive breast cancer patients, while accounting for comorbidities. The localized data processing approach ensured end-to-end privacy while enabling real-time clinical trial matching.
Conclusions: BHPN demonstrates significant potential in transforming cancer care delivery by providing secure, guideline-concordant, and personalized recommendations. Its on-premise design and compliance-focused architecture ensure adaptability and scalability in resource-constrained settings. Further validation with larger datasets and real-world implementations is recommended to confirm its impact on oncology outcomes in underserved regions.