Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Wilkinson, Joanne E. ; Culpepper, Larry
Wilkinson, Joanne E. ; Culpepper, Larry Less -
Description:
Introduction

Recent studies indicate an increased risk of colorectal cancer in people with diabetes. However, people with diabetes may have lower colorectal cancer screening rates than people without diabetes. Few data are available regarding factors associated with lack of screening for people with diabetes. Our objective was to describe factors associated with lack of timely colorectal cancer screening in people with diabetes.

Methods

We examined an electronic medical record database with more than 6,000 patients aged 50 years or older who had diabetes and were seen in a large hospital system in Boston, Massachusetts. We compared patients who had received timely colorectal cancer screening with those who had not on several variables, including glycemic control, expressed as average hemoglobin A1c (HbA1c). Bivariate analyses were performed using χ2 and t tests for means when applicable. Logistic regression was used to determine the independent association of variables with lack of screening.

Results

Patients with poor glycemic control (average HbA1c >8.5%) were more likely not to have been screened for colorectal cancer than those with good glycemic control, even after adjusting for the number of primary care visits. Patients with fewer than 20 primary care visits in 5 years were more likely not to have been screened than those with more visits.

Conclusion

Glycemic control appears to be independently associated with the likelihood of colorectal cancer screening. People with poorly controlled diabetes should be targeted in future research and individual patient care.


Subjects:
[+]
Blood Glucose Colorectal Neoplasms Diabetes Mellitus Early Detection Of Cancer Female Follow-Up Studies Hemoglobin A, Glycosylated Humans Incidence Male Mass Screening Middle Aged Retrospective Studies Risk Factors Sigmoidoscopy
Source:
Prev Chronic Dis. 2011; 8(4).
Document Type:
Journal Article
Place as Subject:
Massachusetts
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:db19e4c8427537accd83b1dc4d66889043a1ef483e7784183dc51405a8f513e6
Download URL:
https://stacks.cdc.gov/view/cdc/20597/cdc_20597_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD84A82.nxml	txt

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