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In reply

Kim and colleagues outline interesting findings from their recent study, in which better diabetes care was associated with a greater odds of having a mammogram in a cohort of patients with diabetes.¹ They suggest that these results argue against the notion that diabetes care "competes" with cancer screening, as we hypothesized in our study.² We note that our study sought to determine whether diabetes led to lower mammography rates, whereas Kim and colleagues explored potential predictors of mammography within a diabetes cohort.

We agree that the low mammography rate among some of our women with diabetes may have reflected poorer care overall rather than diabetes-related time constraints. Of note, patient-level factors, such as perceived health status, were more important than health care provider factors in their study. This may be because patients who feel "healthier" are more apt to advocate for both cancer screening and better diabetes care. . . . [Full Text of this Article]

AUTHOR INFORMATION
Lorraine L. Lipscombe, MD; Gillian L. Booth, MD, MSc; Janet E. Hux, MD, MSc

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