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A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
06:46

A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19

Published on: July 5, 2022

Moving ahead in diabetics' cancer screening; food for thought from the Hellenic experience

I Karathanasi1, K Kamposioras, I Cortinovis

  • 1Department Of Endocrinology, Polykliniki General Hospital, Athens, Greece.

European Journal of Cancer Care
|January 30, 2009
PubMed

Insights

Diabetic women show lower cancer screening rates, particularly for gynecological cancers. Diabetic men have higher prostate cancer screening, but both groups neglect skin exams, highlighting a need for improved cancer screening in primary care.

Area of Science:

  • Oncology
  • Public Health
  • Endocrinology

Background:

  • Diabetic individuals often have suboptimal screening for gynecological cancers.
  • Limited data exists on comprehensive cancer screening practices for diabetics across genders.
  • Understanding screening disparities is crucial for targeted interventions.

Purpose of the Study:

  • To compare cancer screening practices between diabetic and non-diabetic individuals.
  • To analyze screening patterns by gender and identify at-risk subgroups.
  • To inform primary care strategies for presymptomatic cancer control.

Main Methods:

  • Cross-sectional study (PACMeR 02) involving 675 diabetics and 5772 non-diabetics in Greece.
  • Comparison of evidence-based cancer screening test utilization between groups.
  • Stratified analysis by gender, age, education, and occupation.

Main Results:

  • Diabetic women exhibited significantly lower screening rates for sex-specific tests and digital rectal examination (DRE) compared to non-diabetics.
  • Older diabetic women (over 60), with elementary education, housewives, and farmers showed the lowest screening performance.
  • Diabetic men had higher rates of prostate cancer screening (ultrasound, DRE); however, both genders reported low skin examination rates.
  • Screening intent was very low (<1%) across all participants, irrespective of diabetic status.

Conclusions:

  • Diabetic women require targeted interventions to improve screening for gynecological cancers.
  • Primary care should focus on enhancing cancer screening uptake in both diabetic and non-diabetic populations.
  • Addressing socioeconomic factors and promoting screening intent are vital for comprehensive cancer control.

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