Moving ahead in diabetics' cancer screening; food for thought from the Hellenic experience
| Autor: | Apostolos Xilomenos, E. Zorba, Ioanna Karathanasi, Davide Mauri, Vassiliki Karampoiki, Ivan Cortinovis, Paraskevi Alevizaki, Giovanni Casazza, D. Zavou, Konstantinos Kamposioras, Magdalini Bristianou, Charalampos Panou, P. Kouiroukidou, E. Bouiatiotis, E. Pantazi, Mario Dambrosio |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Services Accessibility Diabetes Complications Young Adult Sex Factors Risk Factors Neoplasms Internal medicine Cancer screening medicine Humans Mass Screening Young adult Early Detection of Cancer Mass screening Aged Aged 80 and over Gynecology Greece medicine.diagnostic_test business.industry Age Factors Case-control study Cancer Rectal examination Middle Aged medicine.disease Presymptomatic Cancer Prostate cancer screening Socioeconomic Factors Oncology Case-Control Studies Female business |
| Zdroj: | European Journal of Cancer Care. 18:255-263 |
| ISSN: | 1365-2354 0961-5423 |
| DOI: | 10.1111/j.1365-2354.2007.00858.x |
| Popis: | Although data from literature suggest that diabetic women are frequently under screened for gynaecological cancers little is known about screening implementation for other cancers for both genders. This study investigates comprehensive cancer screening practices of diabetics as compared with non-diabetics; analyses screening patterns both by gender and level of evidence and reveals target subgroups that should be paid more attention for screening implementation. 675 diabetics vs. 5772 non-diabetic Greek individuals entered the PACMeR 02 cancer screening study. Diabetic women reported significantly lower performance for the sex-specific evidence-based cancer screening tests and digital rectal examination (DRE) as compared with non-diabetics (P < 0.05). Diabetic women older than 60 years old, of elementary education, housewives and farmers showed the lowest performance rates (P < 0.01). Prostate cancer screening was higher among diabetic men with ultrasound and DRE reaching statistical significance (P < 0.05). Subgroups analysis did not reveal a hidden relationship. Both genders of diabetics reported never performing skin examination at higher rates (P < 0.001), although screening intent is extremely low in both diabetics and non-diabetics ( |
| Databáze: | OpenAIRE |
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