This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in this journal  Topic Collections  • Oncology  • Breast Cancer  • Pain  • Women's Health  • Women's Health, Other  • Mammography  • Diabetes Mellitus  • Alert me on articles by topic  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In a well-conducted retrospective cohort study, Lipscombe and colleagues¹ found that women with diabetes had roughly two-thirds the odds of having a mammogram as women without diabetes. The investigators were able to adjust for women's age, region of residence, income, number of visits, specialty care, and the presence of unstable chronic disease; of note, this Canadian cohort was fully insured for mammography. They conclude that diabetes care may "compete" with cancer screening.

As the authors note in their discussion, an alternate explanation is that the factors that contribute to diabetes and diabetes care may also contribute to poorer cancer screening. We were able to examine this issue more closely in our study recently published in Diabetes Care.² Using data from a US prospective cohort study of diabetes care in managed care, we were able to examine the association between mammography and diabetes processes of care (measurement of hemoglobin A_1c. . . [Full Text of this Article]

AUTHOR INFORMATION
Catherine Kim, MD, MPH; Bahman P. Tabaei, MPH; William H. Herman, MD, MPH

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

Diabetes and Cancer Screening: A Win-Win Situation or a Zero Game?—Reply
Lorraine L. Lipscombe, Gillian L. Booth, and Janet E. Hux
Arch Intern Med. 2006;166(9):1042-1043.
EXTRACT | FULL TEXT  

Reduced Screening Mammography Among Women With Diabetes
Lorraine L. Lipscombe, Janet E. Hux, and Gillian L. Booth
Arch Intern Med. 2005;165(18):2090-2095.
ABSTRACT | FULL TEXT  

External Incentives, Information Technology, and Organized Processes to Improve Health Care Quality for Patients With Chronic Diseases
Lawrence Casalino, Robin R. Gillies, Stephen M. Shortell, Julie A. Schmittdiel, Thomas Bodenheimer, James C. Robinson, Thomas Rundall, Nancy Oswald, Helen Schauffler, and Margaret C. Wang
JAMA. 2003;289(4):434-441.
ABSTRACT | FULL TEXT