Reduced screening mammography among women with diabetes
Reduced screening mammography among women with diabetes
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DOI：
10.1001/archinte.165.18.2090
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发表时间：
2005-10-10
影响因子：
--
通讯作者：
Booth, GL
中科院分区：
文献类型：
--
作者：
Lipscombe, LL;Hux, JE;Booth, GL
背景：尽管定期进行医疗保健，但糖尿病等慢性病患者的预防性健康问题可能会被忽视。美国的病例对照研究表明，患有糖尿病的女性进行乳房X光检查的比率较低；然而，目前尚不清楚糖尿病的存在是否会影响在医疗保健普及的加拿大环境中乳房X光检查的使用。 方法：利用安大略省1999年4月1日至2002年3月31日的健康数据库，这项回顾性队列研究观察了50至67岁的女性，在两年内进行第一次乳房X光检查之前，她们没有患乳腺癌。对患糖尿病至少 2 年的女性 (n = 69 168) 和未患糖尿病的女性 (n = 663 519) 之间的乳房 X 光检查率进行了比较。结果：与未患糖尿病的女性相比，糖尿病患者年龄更大，就诊次数更多，更多来自低收入社区，并且在 65 岁或以上的患者中，服用雌激素的可能性较小。 2 年期间进行乳房 X 光检查的优势比为 0.68（95% 置信区间，0.67-0.70；P
Background: Despite regular health care, preventive health issues may be neglected in patients with chronic diseases such as diabetes. Case-control studies in the United States have shown lower mammogram rates in women with diabetes; however, it is not known whether the presence of diabetes mellitus affects mammography use in a Canadian setting, where there is universal access to health care.Methods: Using health databases in Ontario from April 1, 1999, to March 31, 2002, this retrospective cohort study observed women aged 50 to 67 years, who were free of breast cancer, until their first mammogram in a 2-year period. Mammogram rates were compared between women who had had diabetes for a minimum of 2 years (n = 69 168) and women without diabetes (n = 663 519).Results: Compared with women without diabetes, diabetic patients were older, had more physician visits, were more often from a lower-income neighborhood, and, in those 65 years or older, were less likely to be taking estrogen. The odds ratio of having a mammogram during the 2-year period was 0.68 (95% confidence interval, 0.67-0.70; P