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Published on: August 30, 2013
Screening mammogram utilization in women with diabetes
T J Beckman1, R M Cuddihy, S M Scheitel
1Divisions of General Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
Diabetes Care
|November 28, 2001
Summary
Women with diabetes are less likely to get screening mammograms than those without diabetes. This highlights a need for improved breast cancer screening in diabetic populations.
Area of Science:
- Medical research
- Oncology
- Endocrinology
Background:
- Diabetes mellitus is a growing public health concern.
- Breast cancer screening is crucial for early detection and improved outcomes.
- Disparities in healthcare access and utilization exist among patient populations.
Purpose of the Study:
- To investigate the frequency of screening mammograms in women with diabetes compared to matched controls.
- To identify potential disparities in breast cancer screening for women with diabetes.
Main Methods:
- Retrospective study of 424 women with diabetes (aged 50-75) and 845 matched controls.
- Data collected from a large Midwestern multispecialty group practice (August 1997 - January 2000).
- Mammography rates assessed within a defined period around an index healthcare visit.
Main Results:
- Women with diabetes had significantly lower mammography rates (78.1%) than controls (84.9%).
- The odds ratio for mammography in women with diabetes was 0.63 (P = 0.002).
- Adjusted analysis (controlling for insurance and race) still showed significantly lower rates (OR 0.70, P = 0.027).
Conclusions:
- Women with diabetes are significantly less likely to undergo recommended screening mammograms.
- The findings suggest a need to enhance breast cancer screening efforts for women with diabetes.
- Improving screening in this population is vital given the equal incidence of malignancy and rising diabetes rates.
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